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Date
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Name
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Home/Cell Phone Number
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Alternate Phone Number
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Email
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Address
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Name of pet you are interested in (if known):
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If you do not have an exact pet in mind, that is OK! We will assist in finding a pet to match your household and lifestyle.
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Why are you interested in adopting?
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Is this pet going to be a gift? If so, to whom?
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Do you Rent or Own your residence?
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Rent
Own
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If you Rent, who is your LandLord and what is their contact information?
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Please note: If you Rent, you will need to be able to provide proof from your LandLord that you are allowed to have pets on the premises.
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Are there children (under 18) in your household?
If yes, please describe how many and what their ages are.
Also, have the children been around pets before?
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Does anyone in the household have animal allergies?
If so, what exactly are they allergic to and how to they control their outbreaks?
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How many pets have you had in the past 10 years?
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How many pets do you currently have? What are their species (cat, dog, rabbit, etc.)?
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Are your current pets up-to-date on vaccinations?
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Are your current pets spayed/neutered?
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Who is your current veterinarian and what is their contact information (clinic phone number and address)?
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Lucky Paws reserves the right to contact your current veterinarian for a recommendation.
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Are your current pets kept indoors, outdoors, or both?
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Indoor
Outdoor
Other (please explain)
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When you are not home for short periouds (at work, running errands, etc.), where do your pets stay?
(ie: do they have free roam of the house, are they caged or kept one room, are they leashed outside?)
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When you are not home for extended periods (vacationing), who provides for your pets?
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How do you or how would you plan to correct any possible behavioral problems?
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Have you declawed or cats in the pat and do you plan on declawing your future cats?
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I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND THAT ANY FALSE INFORMATION WILL NULLIFY THE ADOPTION.
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Electronic Signature
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A Lucky Paws Animal Rescue Adoption Counselor will contact you within 24 hours. Lucky Paws Animal Rescue reserves the right to decline any adoption.
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