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Lost-Paws-Rescue-of-Texas - Dog-Adoptions-DFW

Dog Adoption Application

Please Read Before Beginning to Fill the Form:

For better viewing of the complete form, please consider submitting the Dog Adoption Form on a larger screen: an iPad, tablet, laptop or desktop computer.  If all form fields are not filled with requested information – the form will not send. It is very challenging to see all required form information on a mobile phone screen.
Thanks for your help!

Our adoption process starts with you filing an adoption application. Please complete and submit the form below.

  • When we see you in person, we will need your signature on the application form.
  • An  *  indicates required information. The form will not send until all * required fields have information.
  • If you do not see a ‘Thank You’ page after pressing ‘Send’ – it means the form did not send.
  • In that case, please scroll up to the top of the form to see the Error Message and Instructions.
  • Thanks!

If you have any questions please Contact Us. 


Dog Adoption Application Form

"*" indicates required fields

Please Note:
This form has Required Fields marked with a ' * '.
The form will not send if a Required Field is missing information.
If you do not see a 'Thank You' screen after completing the form and pressing the 'Send' button - it means the form did not send. If you do not see a 'Thank You' page after pressing 'Send', scroll up to the top of the form to view an Error Notice and Instructions. Thank you!
Name*
Address
Do you live in:*
If renting, do you have a copy of your Pet Addendum?
DOG ADOPTION INFO

Dog Gender Preference
Is this your 1st experience with a dog?*
What is the primary reason you want to adopt?*
Have you ever adopted an animal before?*
Have you ever given up an animal for adoption?*
What percentage of time will your pet be:
Do you have a doggie door?

HOME ENVIRONMENT
Number of people regularly in your home:
Example: 4,6,12
Is anyone allergic to dogs in your house?*
Will there be any regular extended periods of time your dog will be alone (other than normal work hours)?*

CURRENT PETS IN HOUSEHOLD - DOGS
Do you currently own one or more dogs?*
Is each dog you own current on their shots?
Are all of your dogs spayed or neutered?
Please give percentage of time your current dogs (or dog) are kept inside and outside.

CURRENT PETS IN HOUSEHOLD - CATS
Do you currently own one or more cats?
Is each cat you own current on their shots?
Are all of your cats spayed or neutered?
Please give percentage of time your current cats (or cat) are kept inside and outside.

DOG ADOPTERS:
Are you familiar with leash/licensing laws in your community?
Are you willing to take your dog to training?
How will you confine your dog? (click all that apply)
Do you have a fenced yard?
Type of fence:
Are you willing to housebreak your dog?
Have you crate trained a dog previously?
Are you familiar with Heartworm Disease?
Are your current dogs on heartworm preventative?
Please click on ALL the behaviors you are unwilling or unable to deal with, tolerate or work through until resolved:
Are you familiar with Canine Distemper?
Are you familiar with the canine disease Parvovirus?

Please tell us how you heard about us?

I certify that the information entered above is true and that false information may result in nullifying this adoption.

I also authorize my veterinarian to release my veterinary records on my personal pets to Lost Paws Rescue of Texas.

I authorize Lost Paws Rescue of Texas to contact me by phone, email or in person at the information released in this application.

I agree to pay the adoption fee, as required. I understand that the Lost Paws Rescue of Texas adoption fees are applied to defray the costs of medical care and boarding for our adoptable dogs and cats. We are an all volunteer organization and 100% of donations and adoption fees go towards the well-being and adoption of animals in our care.

I agree to all provisions of the Lost Paws Rescue of Texas contract. I acknowledge that if I break the contract terms - I may be subject to criminal and civil prosecution.
Please Note: If you do not see a 'Thank You' page after pressing 'Send' - it means your form has not sent! In that case, please scroll up to the top of the form to view an Error Notice and Instructions. Thank you!