Adoption Application

Company

Please be aware that the animal you are applying for may already have pending applications. We do not “hold” animals. If, when we receive your application, the animal has other pending applications, or has been adopted, we will inform you immediately.

Download a paper adoption form here. Scan and email the adoption form to adopt.luckypuprescueSC@gmail.com.

Our adoption fee is $250 which includes all vetting, current vaccinations and spay/neuter.
A vet reference and home visit are required for approval.

APPLICANT INFORMATION

Full Name:

Date of Birth

Cell Number:

Home/Other Number:

Address:

Email Address:

Occupation:

Drivers License #:

HOUSEHOLD INFORMATION

House Type:

House

Condo/Apartment

Mobile Home

Student Housing

Military Housing

Rent or Own?:

Rent Own

How long have you been at your current address?

Do you have a fenced yard?

Yes No

Are you planning to move within the next year?

Yes No

If you decide to move in the future, what will you do with your companion animal?

How many adults are in your home?

1 2 3 4+

Are there children in your home?

Yes No

Are any members of your household allergic to animals?

Yes No

Where will your companion animal sleep?

How many hours per day will your companion animal be alone?

Who will be responsible for the animal?

Do you have any health conditions which could restrict your ability to care for an animal?

Yes No

In the event of illness or death, what are your plans for your new pet?

VACATION INFORMATION

How often do you go on vacation?

Who will care for your companion animal when you go on vacation?

OTHER PETS INFORMATION

Do you have any cats?

Yes No

Do you have any dogs?

Yes No

Do you have any other animals?

Yes No

LIVESTOCK GUARDIAN

Are you applying for a live stock guardian breed (Great Pyrenees, Anatolian Shepherd Dog or similar)?

Yes No

VET INFORMATION

Please note we will call your vet to confirm information regarding your animals - specifically that their care is up to date, including spay/neuter, heartworm checks, flea/tick/heartworm medication, vaccinations, etc.

Please give your vet permission to share this information with us.

If you do not currently have a vet as you do not own any animals, please research and select the vet you would like to use for your Lucky Pup adoptee.

Name of Veterinarian:

Address and phone number:

PREVIOUS ANIMAL INFORMATION

Have you had any animals (other than the ones listed above) in the past 10 years?

Yes No

Have you ever turned in an animal to an animal shelter?

Yes No

Have you ever had to rehome one of your pets?

Yes No

GENERAL QUESTIONS

Why do you want to adopt an animal?

What type of personality are you looking for?

Do you plan to do any structured activities with the animal (agility, hunting, dock diving, obedience, etc.)?

If the animal you wish to adopt is not housebroken, how do you plan to accomplish housebreaking?

What kind of food do you plan to feed (canned, dry, raw diet, home cooked, brand, etc)?

If necessary, how will you discipline the animal?

Please explain what you know about heartworm disease:

DOG PREFERENCES

Applying For:

Please inform me of other dogs meeting my criteria if my preferences above are unavailable.
Please inform me of other dogs meeting my criteria if my preferences above are unavailable.

FINAL SIGNOFF

All members of my household aware that I intend to adopt.
All members of my household aware that I intend to adopt.

I hereby certify that all information supplied by me on this application is true.
All members of my household aware that I intend to adopt.

Signature