ADOPTION APPLICATION Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### How long have you lived at your current address? * Do you rent or own? * Rent Own If you rent, do you have permission from your landlord showing dogs are acceptable? Please include landlords’ phone and email address Do all residents in the home agree to adopting a dog? * Yes No How many people live in the home? Please list the names and relationships of everyone in the household. Please list the ages of all minor children * Do other young children visit your home? If so, please list ages * Do you have a pool the dog can access? If yes, please describe and safety precautions you would take * Describe your yard including size, fencing. What type of fencing do you have (material and height) * What pets do you currently have? (type, age, gender, altered, indoor or outdoor pet, any concerns with compatibility with a rescue animal?) * Aside from your current pets, what other pets have you had in the last 10 years. Please tell us the type of animal and why they are no longer with you * What is your veterinarian’s name and contact info? * Does anyone in your home have pet allergies? Please describe. * Describe the type of dog you would like to adopt (breed/mix, sex, age range, energy level, weight range, temperament etc.) * Which dogs on our website are you interested in? * Have you ever had to take a dog to a shelter? If so why? * How much exercise would your dog get? Please describe * What opportunities would your dog get to socialize with other animals? * How many hours each day will your dog be home alone? * Where will your dog be kept when you aren’t home during the day? * Where will the dog sleep at night? * During vacation or travel, how and where will your dog be cared for? * What type of training classes have you done in the past with your dogs? * What type of collar/leash/harness do you prefer for walking your dog? * What will you do if your new dog chews your belongings or exhibits other destructive behavior? * What issues are you willing to work on with your new dog? What issues are you willing to accept until you can correct through training? * What conditions or circumstances would cause you to give up an animal? * Would you consider adopting a bonded pair? * Yes No Would you consider adopting a special needs dog? * Yes No How did you hear about Lola’s House Rescue? Any questions or comments? By clicking the submit button, I agree to Lola's House Rescues adoption process and will undergo a home check and interview at the discretion of Lola's House Rescue. By clicking the submit button, I understand Lola's House Rescue will check my references, including veterinary and personal. By clicking the submit button, I understand there is an adoption donation associated with adopting a pet from Lola's House Rescue. It is tax-deductible according to IRS 501(c)3 guidelines. I understand this donation will ensure the organization is equipped to rescue another homeless pet. By clicking the submit button, I understand that if I no longer want or can no longer care for my adopted pet, I agree to notify Lola's House Rescue BY EMAIL and provide seven days to allow Lola's House Rescue to make arrangements for my pet to be taken back into rescue. I will not give the pet away or take it to a shelter. By clicking the submit button, I agree to indemnify and hold harmless Lola's House Rescue against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet once adoption has been completed and will cover any attorney's fees. By clicking the submit button, I understand that Lola's House Rescue will disclose any pet's health or behavior issues known by the above-named rescue group before an adoption is completed. By clicking the submit button, I understand that if I no longer want my pet or am no longer able to care for my adopted pet, I will be directed to surrender my pet to Lola's House Rescue and provide transport to where Lola's House Rescue deems appropriate. By clicking the submit button, I verify all of the above information is true and accurate. * I agree to the above terms Thank you for your interest in adopting! We will be in touch shortly. In the meantime, click here to see the dogs we have up for adoption.