Adoption Application

Please provide the following information:

First Name

Last Name

Primary Phone

Alternate Phone

Date of Birth of Applicant

Complete Address

City

State

Zip Code

Why are you interested in adopting from us at this time?

In your own words, please describe why you feel you would provide the best home for this dog?

List all adults in your household, and describe their relation with you

List any children in your household and age:

Are you employed?

Yes

Length of Employee

Name of employer

What are your work hours and work hours of other members of your family?

How long have you been living at your current address?

Do you rent or own your home?

Rent

Own

What type of home do you live in?

Single Family

Town Home

Apartment

Other

Please describe your household:

Active

Noisy

Quiet

Average

If you rent, are pets allowed? Any breed restrictions? Please provide us with a copy of your lease.

Name and phone of your landlord

*By providing us this information you authorize The Luving contact your landlord.

Is everyone in your household in agreement with the decision to adopt a dog?

Yes

Does anyone in your household have allergies to dogs or cats?

Yes

Who will care for your dog when you travel for business or vacation? Please provide name, phone number, address:

Are you a first time dog owner:

Yes

Have you consider the daily expenses - food, vaccinations, monthly preventive Heartgard for Heartworm and tick/flees preventetive, grooming, bath, unexpected medical expenses, obedience classes?

Yes

What other pets do you have currently?

Please provide the name, lenth of time you have had it, describe the pet:

Are your pets up to date on vaccines?

Yes

Do you give your pets heartworm and flea and tick preventatives monthly?

Yes

Provide the brand for both preventeive: (Flea / Tick / Heartworm)

Are your pets spayed and neutered? If not, why?

Have you ever surrendered a pet? If so, why?

Have you ever lost a pet to an accident? If so, describe the circumstances:

How do you plan to discipline / train your pet and why?

Please provide your veterinary name, phone, clinic name, address:

*Please call your vet and ask them to release the information to our adoption counselor.

What is your idea of the ideal dog and why?

Desired age

Desired breed

Desired size

Desired sex / gender

Are you interested in a specific Bori doggie? If so, please name below

If we don't have the dog you are looking for, are you open to suggestions?

Yes

Where will the dog spend the day?

Where will the dog spend the night?

Number of hours dog will be alone during the day?

Who will have primary responsability for this dog's daily care?

Are you prepared to make a commitment to this dog for the duration of his / her life? What plan will you make for the event that you can no longer take care of your dog?

Do you agree and understand that you need to provide regular health care by a licensed veterinarian?

Yes, I agree

When the dog is outdoors, how do you plan to supervise the pet?

Street walks with harness, collar and leash

Certified pet walker

Yard has fence and secure gates, height that wont allow the dog to climb or jump over

Do you intend to crate this dog? Why, when and how long?

Do you agree to contact The Luving Paws Foundation if you can no longer take care of this dog?

Yes, I agree

Are you willing to let The Luving Paws Foundation representative visit your home by appointment?

Yes

List two persons and their contact information (not a family member or otherwise related to you) Who are familiar with both you and your pets. PLEASE PROVIDE NAME, PHONE NUMBER, AND RELATIONSHIP.

*By providing this information you are authorized The Luving Paws Foundation to contact the individuals as reference regarding your adoption application.

PLEASE INDICATE THAT YOU READ AND AGREE WITH THE FOLLOWING STATEMENT

We believe dogs are not a child's responsibility but all our dogs for adoptions have been exposed to children, we kid test them every week as part of our socialization program, but keep in mind that any dogs behavior may change during the transition to a new environment, dogs are in many occasions unpredictable and they may react when startled or hurt by a child, intentionally or unintentionally. I will teach and educate my child or other children not to pull ears, poke eyes, using a horses, or to lay on top of them. I will make sure that my child or other children will understand that my rescue dog is a family member and he deserve to be treated with love, compassion and respect. I will not leave any child under 10 years old unsupervised around the dog.

WE, THE LUVING PAWS FOUNDATION, RESERVE THE RIGHT TO DENY ADOPTION OF ANY ANIMAL IN OUR CARE FOR ANY REASON, INCLUDING BUT NOT LIMITED TO THE FOLLOWING.

1. WE FEEL THE ANIMAL IN QUESTION IS NOT APPROPRIATE FOR THE LIVING SITUATION AS STATED BY THE POTENCIAL ADOPTER, OR IS OTHERWISE NOT A GOOD FIT FOR THE POTENTIAL ADOPTER.

2. WE FEEL THE POTENCIAL ADOPTER IS INCAPACITATED IN ANY WAY NOT MAKE A RATIONAL DECISION WITH REGARDS TO ADOPTING AND CARING FOR AN ANIMAL.

3. WE FEEL THE ANIMAL IN QUESTION WILL BE IN MORTAL DANGER BE IT FROM NEGLECTED OR ABUSED.

4. WE FEEL THE ADOPTER IN QUESTION CANNOT ADEQUATELY TAKE CARE OF THE ANIMAL, WHETER WAS FINANCIALLY OR PHYSICALLY.

5. IF A PREVIOUSLY ADOPTED ANIMAL IS RETURNED, WE RESERVE THE RIGHT TO NOT RE-ADOPT AN ANIMAL TO THAT INDIVIDUAL OR FAMILY.NO EXPLANATION NEEDED.

6. WE WILL ALWAYS ACT IN THE BEST INTEREST OF OUR DOGS AND AS SUCH RESERVE THE RIGHT TO DENY ADOPTION IN ANY AND ALL SITUATIONS WHERE WE FEEL THE BEST INTEREST OF OUR DOGS WILL NOT BE SERVED.

7. ALL DECISIONS ARE FINAL.

All I have given is true and complete. This dog will reside in my home as amenber of our family. I will provide it with quality food, plenty of fresh water, indoor shelter, affection, annual physical examinations, vaccines, proper health and emergency care, montlhy heartwork preventetive all supervised under a licensed veterinarian.

I read and understand (please sign below)

Your Signature

Thanks for submitting!