1. Name
*
First Name
Last Name
Phone Number
*
(###)
###
####
2. Email
*
3. Subject (Foster, Adopt, Volunteer)
*
4. Name of the Angel You're Interested In
*
5. Message (Tell Us About Yourself)
*
6. Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
8. Facebook Profile
9. What is your primary reason for wanting a cat or dog?
*
10. How did you hear about us?
Social Media (Instagram or Facebook)
Web Search
APR Adopter or Volunteer
Petfinder
Friend
Other
11. If you were referred by a previous adopter, volunteer, or friend, please share their name below:
12. Please list the names and ages of everyone living in your household.
*
13. If you have children, please describe their previous experience with pets here:
14. Is anyone in your household allergic to cats or dogs?
*
Cats
Dogs
Both
Neither
Other
15. Occupation and place of work:
*
16. I work:
*
At home
In an office
In a dog friendly office
Both at home and in an office
I'm retired
Other
17. Please select the option that best describes your home:
*
House
Condo
Apartment
Back House
Duplex
Other
18. At my current residence, I:
*
Rent
Own
Live with family
19. If you rent, do you have permission to adopt a pet from your landlord?
*
If not applicable write N/A
Yes
No
N/A
21. My pet will be:
*
Indoors only
Indoor/Outdoor
Outdoor only
22. If indoor/outdoor, please estimate the percentage of the time your pet will be indoors and outdoors
23. Which rooms, if any, are off-limits to the pet?
*
24. Are pets allowed on the furniture?
*
25. When you are not home, where will your pet be?
*
26. How many hours a day will your pet be left alone?
*
Less than 2 hours
2-3 hours
4-8 hours
8+ hours
27. When you go on vacation, where will your pet stay?
*
House-sitter will come and stay with the pet
Pet will be boarded at the vet's office
The pet will stay at a friend/family member's home
Pet will be boarded at a pet hotel/kennel facility
Someone will come feed/spend time with the pet but not overnight
Other
28. Do you have a pet now? If yes, please list breed(s) and age(s).
*
29. Are your pets spayed or neutered? (If no, please explain)
*
30. Have you ever had a pet before? If yes, for how long?
*
31. If you no longer have the pet, what happened to him/her?
*
34. If your pet gets out, which of the following will you do?
*
Check all that apply
Check local shelters
Put up signs
Put ads in newspapers/Craigslist
Take flyers door to door
Wait, because she/he will come back
35. What would happen to your pets if you moved?
*
36. What will you do if you can no longer keep your pet?
*
37. In the past, have you ever been forced to give up your pet? If yes, please explain the reasons for giving up your pet.
*
38. If you have given up a pet in the past, what did you do?
39. When/if you pet is sick or injured, will you be able to pay for medical treatments?
*
Yes
No
Other
40. If other, please explain:
41. Do you already have a family veterinarian?
*
Yes
No
42. If yes, please list your vet's name and telephone number. If no, would you like a recommendation?
*
43. What is your annual budget for standard care for this pet? (Standard vet visits, meds, food, treats, grooming, etc.)
*
Less than $500
$500 - $1000
$1000 - $2000
$2000 - $3000
$3000 - $4000
$5000 - $10,000
$10,000+
44. What is your budget for vet emergencies?
*
Less than $500
$500 - $1000
$1000 - $2000
$2000 - $3000
$3000 - $4000
$5000 - $10,000
$10,000+
45. Will you get pet insurance?
*
Yes
No
46. If you selected "no" please explain why you would not get pet insurance:
47. A pet requires a lot of love, affection, and patience. Are you prepared to spend a lot of time with your new pet, for the rest of its life?
Yes
No
48. Would you declaw your cat?
*
Yes
No
49. Under what circumstances would you give your pet up? (Check all that apply)
*
Allergies
They meow/bark a lot
They ruined the furniture
Expensive vet bills
The pet has accidents in the house
The pet develops a chronic illness
The pet is not the kind of pet I thought it would be (more aggressive, requires more training, etc.)
The pet is not good with strangers
The pet is not good with kids
Other
50. If the pet were to do one of the above behavior issues, will you be willing to consult a trainer (to try to rectify the situation) before giving the pet up? (If no, please explain)
*
51. Is there anything else you would like to tell us? (ie. why you are interested in this particular pet, why would you be an ideal home for him/her)
I acknowledge that there is a $100-$200 tax-deductible charitable adoption donation. I understand that this is a donation to cover the costs associated with rescue, including medical care, microchip, spay/neutering and boarding, and not a purchase price for a pet.
*
Yes I understand
I understand that a home visit is required prior to final placement:
*
Please know that during COVID times we are completing virtual video home checks to ensure the safety of everyone.
Yes, I understand
When would you like your new pet to come home?
*
Please note, if you are not ready to adopt right now we do not hold pets for potential adopters for extended periods of time. Please check back when you're ready, and we will be happy to help match you with a pet!
As soon as possible (e.g. within a week)
I won't be ready to take my pet right away (e.g. within the next month or two)
I'm not ready to adopt but want to put my application in now for future pets
I understand that Lori's Angels Animal Rescue does not adopt on a first-come-first-serve basis. Their priority is the well-being of their cats or dogs and they will be adopted based on the needs of that particular cat or dog.
*
I agree
I understand that this application does not guarantee adoption. Lori's Angels Animal Rescue reserves the right to refuse adoption to any applicant for any reason. This application becomes part of our contract:
*
I agree