Adoption Application - 4 Luv of Dog Rescue

Applicant Information

Have you adopted a dog from 4 Luv of Dog Rescue before? *

Yes
No

What year did you last adopt from 4 Luv of Dog Rescue?

Are you 21 years of age or older? *

Yes
No

You must be 21+ to apply.

Please indicate your date of birth on the next line if you will be 21+ very soon. At the time of adoption, the adopter must be at least 21 years old.

Date of Birth *

We have various age-based programs, like our Seniors for Seniors program, so we use this information to see if you qualify for any of those.

First Name *

Last Name *

Preferred Phone Number *

Additional Phone Number

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Employer Information

Are you currently employed? *

Yes
No

Occupation *

Employer Name *

How will you cover the expenses of your dog? *

Home Information

What type of home you do you live in? *

House
Condo/Townhome
Apartment
Mobile Home

Do you rent or own your home? *

Own
Live with homeowner
Rent

Homeowner's Full Name *

Homeowner's Phone Number *

Homeowner's Email Address

Mobile Home Park Office's Name *

Mobile Home Park Office's Number *

Mobile Home Park Office's Email Address

Landlord's Name *

Landlord's Phone Number *

Landlord's Email Address

Do you have a fenced yard? *

Yes, my yard has a complete and secure above-ground fence.
No, my yard does not have a complete and secure above-ground fence.

What type of fence and height? *

Example: 6′ Wood Fence, Underground/Electronic Fence, etc.

How many people live in the home, including yourself? *

How many people in the home are under 21 years old? *

Please list the age of each individual under 21 years old. *

Some of our dogs are not compatible with younger individuals. We want to make sure that we connect you with a dog that is right for your family.

Personal References

Please provide contact info for three personal references who do not live in the home with you. One of our volunteer reference checkers will be reaching out to each. Please also make sure the references know you listed them so they are expecting the call. 4 Luv of Dog Rescue will not use your references’ information for anything other than calling about your application.

First Reference

First Reference Full Name *

First Reference Relationship *

First Reference Email *

First Reference Phone *

Second Reference

Second Reference Full Name *

Second Reference Relationship *

Second Reference Email *

Second Reference Phone *

Third Reference

Third Reference Full Name *

Third Reference Relationship *

Third Reference Email *

Third Reference Phone *

Current Pet Information

Are there any dogs or cats (indoor or outdoor) currently living at your residence? *

Yes
No

List the name, species, age, and sex of each pet living in the home. *

Do these pets live inside or outside? *

Inside
Outside

Please explain. *

How do these pets react to new dogs? *

How do these pets react to new people? *

Are all of these pets current on vaccinations? *

Yes
No

Are all of these pets spayed/neutered? *

Yes
No

Please explain why the pet(s) are not spayed/neutered. *

Have any of your pets ever been given away, sold, abandoned, surrendered, reclaimed, or put to sleep? *

Yes
No

Please explain. *

Has a pet ever disappeared or been killed, injured, or mistreated while in your care? *

Yes
No

Please explain. *

Veterinarian Reference

Please provide veterinarian information that can verify that any pets currently living in your home, including those not owned by you, and pets that you have owned in the past 5 years are spayed/neutered and up to date on vaccinations.

Some veterinarians require owner permission before releasing information when we call which can cause a delay in processing your application. Please contact your veterinarian to approve the release.

Veterinarian Clinic Name *

Veterinarian Clinic Phone Number *

What human name(s) are the vet records listed under? *

Examples: Your Name, Spouse’s Name, Roommate’s Name

What pet name(s) are the vet records listed under? *

Include the names of any current or past pets that have seen this vet.

Do you need to provide information for another vet clinic? *

Yes
No

For example, you may have a dog that goes to one vet, but your partner or roommate takes their cat to a different vet.

Veterinarian Clinic Name *

Some veterinarians require owner permission before releasing information when we call which can cause a delay in processing your application. Please contact your veterinarian to approve the release.

Veterinarian Clinic Phone Number *

What human name(s) are the vet records listed under? *

Examples: Your Name, Spouse’s Name, Roommate’s Name

What pet name(s) are the vet records listed under? *

Additional Comments/Explanations Regarding Vet Clinics or Vet Care

If you need to include additional contact information for vets, please include the other clinic name(s), phone number(s), and relevant pet names here.

Compatibility Questions

Why do you want to adopt a dog? *

What is the name of the dog(s) you are interested in? *

We are only accepting applications for available dogs listed on our website. If you do not list a specific dog, your application may not be processed.

What is it about this dog(s) that appeals to you? *

Knowing what qualities you like can help us connect you with a different dog if that one is no longer available.

Please explain. *

If the dog(s) you are interested in is no longer available, will you consider other dogs? *

Yes
No

Is everyone in the home in favor of adopting a dog? *

Yes
No

Please list who and why someone in the home does not wish to adopt. *

What conditions or circumstances would cause you to give up a pet? *

What size of dog and personality characteristics would best suit your home? *

Please list any size, breed, or qualities.

What qualities would not suit your home? *

How will your dog be exercised and how often? *

When will your dog be allowed off leash? *

If your dog shows destructive behavior, such as chewing belongings, what action will you take to correct them? *

What dog training methods do you prefer? *

Do you agree you will not use any form of electronic training collar, prong collar, or aversive training methods on the adopted dog? *

I agree that I will not use these methods.
I do not agree.

How long do you feel a new pet, and pets already in the home, should be given for an adjustment period? *

What is the longest your dog will be left alone in the home with no potty breaks? *

0-4 hours
4-8 hours
8-9 hours
More than 9 hours

After 9+ hours alone, how will the dog be able to go potty? *

Where will your new dog be when everyone has left the home? *

Inside
Crate/kennel
Garage
Outside

Where will your dog sleep? *

Inside
Crate/kennel
Garage
Outside

Please describe the garage where the dog will be. *

Please describe what the outside area the dog will be in is like. *

Agreement

Dogs often need an adjustment period when transitioning to a new home. They may need time to decompress before meeting new dogs and people, have potty accidents, or appear anxious. Are you willing to work with your dog on any issues that may arise? *

Yes
No

Do you agree to provide vet care for the dog, including but not limited to, an annual exam and vaccinations, as well as rabies vaccinations as required by law? *

Yes
No

Dogs in our rescue are usually spayed/neutered when they are four months old. If you adopt a dog that is not yet spayed/neutered, do you agree to spay/neuter the dog by seven months of age? *

Yes
No

Are you aware of the initial and long-term financial obligation of a dog, and are you prepared to take this on? *

Yes
No

Are you willing to have a 4 Luv of Dog Rescue volunteer visit your home? *

Yes
No

Is the information you provided in this application true and correct to the best of your knowledge? (Your application to adopt will be revoked if any information is found to be false or incorrect.) *

Yes
No

Your application to adopt will be revoked if any information is found to be false or incorrect.

Is there anything else that you'd like 4 Luv of Dog Rescue to know?

File Upload

Click or drag files to this area to upload.

You can upload up to 3 files.

If available, you may upload your veterinary documentation. However, please keep in mind that we may still need to contact the vet directly for follow-up information.

Adoption Guidelines

To expedite the processing of your application:

Applicant Information

You must be 21+ to apply.

Employer Information

Home Information

Personal References

First Reference

Second Reference

Third Reference

Current Pet Information

Veterinarian Reference

Compatibility Questions

Agreement

Make a difference in a dog's life.

Help us with our medical costs.

Adoption Guidelines

To expedite the processing of your application:

Applicant Information

**You must be 21+ to apply.**

Employer Information

Home Information

Personal References

First Reference

Second Reference

Third Reference

Current Pet Information

Veterinarian Reference

Compatibility Questions

Agreement

Make a difference in a dog's life.

Help us with our medical costs.

You must be 21+ to apply.