Pet Adoption Application Form

Adoption Questionnaire

Thank you for your interest in adopting a Little Giants Rescue Dog! Filling out this application does not guarantee that the dog you choose will be available to you. We carefully review each application and place dogs based on a variety of criteria and ultimately will always act in the best interest of the dog.

Perspective Pet Parent*

First NameLast Name

Email Address*

Are you 21 or older?*

YesNo

Phone Number*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Name of Pet You Wish to Adopt*

Occupation*

How would you prefer to be contacted?*

EmailPhone CallText

How experienced do you feel caring for this type of pet?*

No experience- but ready to learnSome experience- have had pets beforeTons of experience- I am an expert

What energy level are you looking for in a new pet?*

High energy- running and a lot of exerciseMedium energy- daily walksLow energy- couch potato and/or senior

How would you describe your household?*

Very quiet- light noise and little to no people aroundAverage- some noise and few people aroundVery Busy- loud and lots of people around all the time

Do you live alone? If yes, please put N/A in the box to list family members below.*

Please list all family members and ages who live in the home*

Do you own any pets?*

YesNo

Pet Name(s)

Pet Breed(s)

Pet Name(s)

Pet Breed(s)

Pet's disposition and behavior towards other dogs?

Please provide your veterinarian's name and phone number:*

Do you own or rent your home?*

OwnRent

If you rent, please provide your landlord's information here:

What is your landlord's pet policy?

Do you have a yard?*

YesNo

If "Yes" to the above, is it fenced? please describe

Have you ever surrendered a pet you own to any animal shelter including a "low" or "no kill" shelter?*

YesNo

If you answered "Yes" to the above question, please provide detail:

Are there children in the home? (If yes, please list ages)*

How many hours per day would the pet be alone?*

Will you crate your pet?*

Where will you keep your pet when you are home?*

Where will you keep your pet when you are not home?*

If you have to leave town, emergently or planned, where would your pet stay?*

How would you deal with behavioral issues such as barking, chewing, destructive behavior, bathroom accidents indoors, unruly leash behaviors in your pet?*

Please provide the names, emails, and contact numbers for 2 personal references: Reference 1*

Reference 2*

Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment?*

YesNo

If you answered "Yes" please provide a detailed description:

The completion of this application does not guarantee an adoption of a Little Giants Rescue Dog. Please sign below if you agree to the following:

By clicking the submit button, I agree to Little Giants Dog Rescue adoption process, will undergo a homecheck, and interview at the discretion of Little Giants Dog Rescue
By clicking the submit button, I understand Little Giants Dog Rescue will check my references including veterinary and personal
By clicking the submit button, I understand there is an adoption donation associated with adoption of a pet from Little Giants Dog Rescue. I understand this donation will ensure the organization is equipped to rescue another homeless pet
By clicking the submit button, I agree to indemnify and hold harmless Little Giants Dog 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
By clicking the submit button, I understand that Little Giants Dog Rescue will disclose any of the pet's health or behavior issues known by the above named rescue group before 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 Little Giants Dog Rescue and provide transport to where Little Giants Dog Rescue deems appropriate
By clicking the submit button, I verify all of the above information is true and accurate

Signature of Potential Pet Parent*

Date

If approved for adoption, the adopter listed above will sign and abide by the terms and conditions of the adoption contract, which will be provided at the time of the adoption.