Two Left Paws Dog Adoption Application

So we can help make a great match between you and a pet(s), please provide us with the information below. Please read our Adoption Process on our website www.twoleftpaws.org so you're aware of our procedures. You must be at least 18 in order to submit an application.

Pet Care Questions

Are all members of the household 'on board' with and excited about adopting a pet? * YesNo

How long will your pet be left alone, without human companionship, each day? *

Are you willing to be patient and take time to allow your new pet to adjust to you and your home? * YesNo

Are you financially able to provide annual and routine pet care?(exams/vaccinations)? * YesNo

Are you able to make a LONG-TERM committment to care for a pet? * YesNo Pets can live 10-20 years!

Will you be able to live with pet hair on your furniture/clothes, stains on your rugs, a warm body in your bed, or an animal that could be destructive at times? * YesNo

Are you able to provide proper grooming/shelter/exercise and a quality diet for your new pet? * YesNo Please talk with your Veterinarian about proper nutrition for your pet

What would happen to this pet if you moved due to job change/lifestyle change/relationship change/etc.? *

Who will care for your pet(s) when you take trips? *

If you checked 'other' to the above, please explain: * If you did not check 'other', type "N/A"

What would you do if you were unable to keep this dog? *

When the dog is home alone, where will it be kept. *

What areas of the house will the dog normally be allowed? *

Do you plan to enroll your new dog in training sessions? * YesNo

Have you ever crate trained? YesNo

If No, would you be interested in learning about crate training? * YesNo

Will you accept a dog that needs housebreaking or obedience help? * YesNo Such is the case for many rescued dogs

If No to above, please explain what you are or are not willing to accept: *

How would you correct your dog's undesired behaviors? *

What would you do if the undesirable behavior continued? *

Have you ever had to handle an animal's continued undesireable behavior? * YesNo

If Yes to the above, please explain: *

Current Pet Information

Please list the name/breed/age of all pets currently living in your home: * List Name, Breed, Age, Sex. If there are no pets, please type "None"

Are all pets currently in your home spayed and/or neutered? * YesNoDoesn't Apply

If you answered No to the above, please list reason(s) why the animal is not altered. Please include name/breed. *

Please list pets you have OWNED IN THE PAST: (This does not include childhood family pets - only the ones you have been financially responsible for.) * List Names, Ages, Breed, Sex, if you have not owned any pets to date, please type "None"

Please list what became of the pets you have owned in the past. * If you have not had any pets to date, type "N/A"

Please list past and/or present Veterinarians. * List Name of Office/Clinic. If you have never used a Veterinarian, type "None".

Vet's Phone Number * Please type "N/A" if you do not currently have a Veterinarian

List any other names, such as maiden, that pets may be listed under at the vet's office. * If this does not apply to you, type "None"

May we contact your veterinarian for a reference? *** Many veterinarians require their clients to have a release form on file, or a verbal OK to release information about their pets. Contacting your vet to ensure they have that OK will speed up application processing. * YesNoDoesn't Apply

Miscellaneous

Any comments you feel you would like to share?

Will you allow a Two Left Paws representative to visit your home PRIOR to adoption? * YesNo

Will You allow a Two Left Paws representative to visit your home AFTER adoption? * YesNo

Application completion DOES NOT mean you are guaranteed adoption approval!! By entering my name below, I certify that the information I have given is true and I recognize that any misrepresentation of the facts may result in my losing the privelege of adopting a pet. I understand that Two Left Paws Animal Sanctuary has the right to deny my request to adopt an animal and I aurthorize investigation of all statements in this application, including any veterinary records. SCROLL DOWN TO CLICK SUBMIT AFTER SIGNING. * Type Name and Current Date

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