Please provide full address: street, town, state and zip code
Your answer
How long have you lived at your current address? *
Your answer
Do you own or rent? *
Type of Residence: *
If you lease: name and number of landlord. If you own: name and number of owner *
Your answer
How did you hear about us? *
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Name of the cat/dog applying for: *
Your answer
Do you have transportation to pick up the cat/dog? *
Your answer
Do you currently have any pets within the household? *
Your answer
Have you adopted a pet from other rescues or organizations before?( If so, what rescue) *
Your answer
Please list all animals , whether it be a cat or dog, age, alive or deceased, and if they are up to date on vaccines, and fixed. *
Your answer
Why are you interested in a cat or dog at this point in time? *
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What's your occupation? *
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Name of Employer: *
Your answer
How long have you been employed with this employer? *
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How many adult residents live in your home? *
Your answer
How many kids ( under 17) live in your home? *
Your answer
Please provide the name/ age/ relationship of the people within your household *
Your answer
Does everyone in your home agree to adopting a pet? *
Do you or anyone in the house smoke? *
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Have you ever surrendered a pet before? *
Who would be the primary caretaker? *
Your answer
For dogs: How many times a day will the dog be let out or walked? *
Your answer
Do you have a fenced in backyard? Dogs only. ( Type: N/a if it doesn't apply) *
Your answer
Do you have any out door cats? *
Your answer
Do you agree to have this pet spayed or neutered by the age of six months? Lend-a-Pet will provide this service at a spay/neuter facility of our choosing provided adopter provides transportation for pet. *
Do you agree to home visits at the discrimination of Lend-a-Pet if there is cause for concern for the well-being of pet? *
As your new cat/dog transitions to your routine, it may take a month (or more) to adjust. Are you willing to devote time to the transition process? *
What is the name and number of the account your pet(s) are under at your vet
Your answer
Please provide your Facebook name & Instagram username. If you receive a request from Lend-a-Paw Inc., please accept to avoid delay in your application. *
Your answer
Do you agree with Lend-a-Paw's policy that ONLY IF you are fostering or fostering-to-adopt, you have 15 days from the day you begin fostering to let us know if you will be adopting your foster. If you would like to adopt and it is after 21 days, you can adopt the animal ONLY if there are no pending applications for that animal. *
Your answer
Please provide the name and number of your veterinarian. *
Your answer
Please provide 2 references.( Name/relationship/phone number) Must not be family. *
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Electronic Signature: *
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A copy of your responses will be emailed to the address you provided.