ADOPTION APPLICATION

ARE YOU READY TO MEET YOUR FUREVER BEST FRIEND?

Thank you for considering adopting
a rescue dog in need!

Have questions?

Please review our Adoption Process and Adoption Fees prior to completing the application.

ADOPTION PROCESSADOPTION FEES

Please complete this form in its entirety so we can process your application.

Adoption Application

"*" indicates required fields

Select date MM slash DD slash YYYY
What animal would you like to adopt?*
If your first choice is no longer available we are happy to help you find another pet that will fit your family. Please list other’s you may be interested in adopting;

Tell Us About You

Birth Date*
How did you hear about Lucky Chance Rescue?

HOUSEHOLD INFORMATION

Is everyone in your household aware of and on board with your intentions to adopt a pet?*
Address*
Type of Residence*
Do You Rent Or Own?*
Renters must provide a letter from your landlord stating you are able to have the type of pets our organization takes in.
Are there any restrictions from your landlord or subdivision?
What kind of fence does your yard have?*
Please list everyone living in your household including full name, age and relationship

REFERENCES

Please Provide three (3) personal references whom we may contact (only one can be a family member)

REFERENCE #1

REFERENCE #2

REFERENCE #3

CURRENT PETS

PET #1

Sex
Choose Items That Best Describe His/Her Personality

PET #2

Sex
Choose Items That Best Describe His/Her Personality

PET #3

Sex
If Dog, Choose Items That Best Describe His/Her Personality

Tell Us More About You

If the dog has an “accident” in your home, what type of correction do you plan to use?

VETERINARY INFORMATION

SIGNATURE

Name
MM slash DD slash YYYY

To Be Completed By Lucky Chance Rescue Admin

Applicant, Please Continue Below

Please Select*
This field is for validation purposes and should be left unchanged.