Lost Paws Dog Application Jot Form

Lost Paws Animal Rescue Dog Application
By submitting this application, you understand:
- Lost Paws adopts within a 2 hr range of Bridgewater, NJ
- It may take at least 7 days to process your application
Please carefully review the Ownership Committment portion of the application.
Please indicate you have read the above: *

I have read and understand the above disclaimer
About You
First Name *
Last Name *
Occupation: *
Age *
Note: Applicants under 21 years of age will need someone to sign for the pet, please make a note of who that will be.
E-mail *
example@example.com
Primary Telephone *

Area Code Phone Number
Secondary Telephone

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
How long have you lived at your current address? *
Do you plan on moving in the next year? *
Do you rent or own? *

Own Rent
If you rent: Provide your Landlord's Name, Address, & Telephone Number *
Name, Address, Phone Number
If you rent: Do you have permission from landlord & are you prepared to pay any pet fee/deposit?

Yes No
If you rent: How much is the pet deposit/fee? *

What's your family's lifestyle like? *

	Does this apply?
Active and on the go
Quite and relaxed
Entertain frequently
Lots of kids in & out
Travel frequenty

Members of Household *

	Name	Age	Relationship to Applicant
1
2
3
4
5
6

Have you or any one in the puppy’s future household ever been arrested, charged or convicted for animal cruelty or animal hoarding? *
Are any members of the household allergic to dogs? *

Yes No
About the Pup
Name of dog you are applying for? *
You can write more than 1 name or "any"
If this dog is no longer available would you like your app to still be processed in consideration for a different dog? *

Yes No
Why are you interested in adopting a dog? *
Is this your first dog? *
If applying for a dog under 18 months: Is this your first time raising a puppy? *
What are you looking for in a dog? *
Who will be responsible for the dog? *
Where will the dog spend its time when no one is home? *
Where will the dog spend its time when someone is home? *
Where will the dog spend its time at night? *
How many hours will the dog be left alone (without a potty break) each day? *
My NEW dog will:
Do you have a fenced yard? *
What kind of fence?
IE wood, metal
How high is the fence?
in feet
How often & in what way(s) will you exercise the dog? *
IE: 30 minute walk twice a day
How will the dog be trained? *
Will you be crate training the dog? *
Who will care for the dog if you are out of town? *
Under what condition(s) would you have to give up your dog? *
CURRENT & PREVIOUS PETS

CURRENT pet information

	Name	Breed	Age	Spay/Neutered?	Declawed?	Notes:
1
2
3
4
5
6

If applicable, please provide the following information about any pets you have had in the last 10 years that are no longer with you.

PREVIOUS pet info

	Name	Breed	Age	Length of Ownership	Reason they are no longer with you	Additional Info:
1
2
3
4
5
6
7

Have you (or any member of the household) given away a pet away before, to anyone, for any reason? *

Yes No
If you answered yes, what were the circumstances?
Veterinarian Information

PLEASE CALL YOUR VET and let them know that we will be calling for a reference. A failure to do so will result in a delay of your application being processed.
Do you authorize your vet being contacted as a reference? *

Yes No N/A (not providing Vet reference)
Vet Name
Practice Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Vet's Phone Number

Area Code Phone Number
We would like as much vet/medical history as possible, if you have taken your current and/or past animals to multiple facilities please provide that as well.
If you'd like to provide information for another medical reference please do so:
IE: Emergency/24 hr Vet (Animerge, Red Bank), Specialty Vet (neurologist, dermatologist)
Ownership Commitment
Are all adults in the household aware of and in agreement of adoption? *
Some breeds of dogs require professional grooming approx. every 8 weeks, and it can cost $100+ each time. Lack of grooming can cause serious skin problems. Are you committed to this expense? *
Do you agree to give us follow-up reports and photos from time to time? *
Do you agree to contact us in the case that you need to re-home this puppy for whatever reason? *
Are you willing to let a member of Lost Paws visit your home? *
I have read the above information carefully and have filled out this application honestly. I understand that omission of information and/or failure to answer all questions and sign the application can result in this application being declined. Also, if an omission or untruth is discovered after an adoption takes place, I understand that the rescue reserves the right to annul the adoption and reclaim the animal. I give the rescue permission to investigate the information provided, including conducting a background check, as well as contact veterinarians and related officials. I understand the adoption decision is dependent on many factors, including but not limited to the compatibility of the family and home to the individual pet, and other applications received on this pet. I understand it is the rescue's sole prerogative to decide which home is most appropriate, that my application can be denied at any time for any reason, that their decision is final and I will not contest it. It is our goal to place pets in loving, lifelong homes and any information gathered is used only to that interest.
Signature *
Today's Date *

Month Day Year
Please provide any other relevant information you feel would assist us in placing an animal in your home:
Thank you for the inquiry!

Please allow at least 7 business days for your application to be reviewed. If we have to contact you because of any missing information or because you haven't contacted your vet there will be a delay. We are all volunteers & also work full-time jobs. We work as quickly as possible to process all applications. If we have any follow-up questions we will send you an email or give you a phone call. If you are approved, we will contact you to let you know the affirmative. We unfortunately cannot reach out to each applicant individually because of the large number of applications which we receive. Lost Paws reserves the right to refuse any application.
Please check your SPAM folder for an auto email explaining how the process works from this point on!
Should be Empty:

About You

About the Pup

CURRENT & PREVIOUS PETS

Veterinarian Information

Ownership Commitment

Thank you for the inquiry!

Please check your SPAM folder for an auto email explaining how the process works from this point on!