The NLOL Adoption Fee of $135.00 includes one very lovable canine that is current on vaccines, flea & heartworm prevention, microchipped, already spayed or neutered, as well as one complementary training session with Masterful Dog Training, Inc. ($89 value). In addition, adopters will receive a journal describing their NLOL dog’s journey through the 8-week training course! We ask that you please be honest in your responses and only submit a completed application.

  1. Name of the dog that you are interested in adopting (please put Any if unsure):
  1. How did you hear about the dog (ex. Adoptapet, Friend, Newspaper)?
  1. Applicant(s) Names (first & last)
  1. Physical Address
  1. CityState Zip Code Email Address
  1. Home Phone Cell Phone
  1. How long have you lived at your current address?
  1. Residence Type: Rent or Own:

If you rent, please provide: Landlord Name: Landlord Telephone:

*If you rent, you will need to provide an approval letter from your landlord to Pals for Paws.

  1. Are you planning to move in the next two years? If yes, where?
  1. Number of adults in the household:
  1. Do you have the consent of all the adults living in the house?
  1. Are there children living in the household or who visit frequently? If yes, how many and what are their ages?
  1. Does anyone in your household have any allergies to any animals? If yes, please describe:
  1. Why would you like to adopt this pet?
  1. Are you available to adopt this dog at graduation? If not, how soon?
  1. This pet will be kept:
  1. How many hours per day will your new pet be alone (no one home):

During this time where will the pet be? Restrictions Include:

  1. What method of flea control will you provide for your pet?
  1. What method of heartworm preventative will you provide for your pet?
  1. Please list any and all animal(s) you’ve owned in the past five years, including the ones you own now:

Pet’s Name / Type/Breed / Age / Sex / Fixed / Still Own? If no, please explain.
FemaleMale / YesNo
FemaleMale / YesNo
Female / YesNo
FemaleMale / YesNo
FemaleMale / YesNo
  1. When you travel, what do you plan to do for your pet care?
  1. Are you able to provide regular professional grooming if your pet requires it?
  1. If you currently have a dog, what kind of food (brand & age/activity level) do you feed?

24.Do you have a fenced yard? YesNo

  1. Does the yard have shade? Does it have shelter in case of rain?
  2. Type (material): Height of fence:
  1. Annual Household Income
  1. Employer(s)
  1. Any financial constraints in caring for this dog or providing proper veterinary care?
  1. What, if any, circumstances would cause you to consider giving up this pet?
  1. How would you plan to continue to provide care for this pet, if you could no longer do so?
  1. 5 –Year Veterinary History:

Clinic Name / Address / Telephone

I agree to the following:

  • This dog will live indoors.
  • Quality shelter will be provided for this dog when it is outside (food, shade and water).
  • A quality diet will be provided for this dog (no generic pet foods).
  • I will take this dog for an annual wellness exam & heartworm test.
  • I will support the dog with flea and heartworm prevention medication.
  • I will continue reinforcing the training received.
  • I will provide companionship for the dog aswell as regular exercise.
  • I will provide grooming for this dog if it has long hair and/or hair tangles easily.

By signing below I submit that the information provided by me is true and complete. Any false information may result in my losing the privilege of pet adoption. I understand that Pals for Paw has the right to deny my request to adopt an animal. I consent to Pals for Paws contacting my landlord and my veterinarian. I agree to an initial home visit and a follow-up visit. If at any time it is discovered that the adopted pet is not receiving proper care, in accordance with this agreement, Pals for Paws reserves the right to take the dog back into their care.

Signature(s)Date (mm/dd/yyyy)

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