The first step for adoption is to fill out an application and get it to us for processing.
Highlight, Copy, and Paste the Entire Application below. Paste the application into an
Email message, Edit in your information, and then Send it all back for processing.
All our pets are current on vaccinations, spayed/neutered, and crate trained - Some are house
trained. All dogs are on heartworm prevention regardless of heartworm status. All cats are tested
for FeLV. We try to match the right pet to the right family.
We do require a fenced yard and you must live within driving distance
(about 50 miles) from Shreveport. Any adoption out of the immediate Shreveport area will
need to reimburse for gasoline for bringing the pet to your home.
Adoption fees are $75 for dogs and puppies / $50 for cats and kittens.
Thank YOU !
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Application Which Pet are you Interested in? ____________________________ Date of Application: ___________________________ Name: __________________________________________________ Home Phone: (______)_________________________ Spouse’s Name: __________________________________________ Cell Phone(s): (______)_________________________ Address: _________________________________________________ Apt # ______________ City: _____________________________________ State: ________________________ Zip: _____________ Email Address: ________________________________________________ Date of Birth: ___________________________ 1. Do you live in a [ ] Condo/Townhouse [ ] Apt. [ ] Duplex [ ] Mobile Home [ ] House [ ] Other 2. Do you [ ] Rent/Lease [ ] Own your residence [ ] Live with Parents or Friends 3. If you rent, is your rent/lease [ ] Monthly or [ ] Yearly? What is the Name of the Complex, Association, Landlord, or Owner? _________________________________________ __________________________________________________ Phone # for Landlord: (_______)_____________________ Pet Policy? ____________________________________________ Amt. Of Pet Deposit? _______________ 4. How long have you been at this address? _____________ If you have been at this address less than 1 year, what was your previous address? ________________________________ ______________________________________________________________________________________________________ How long were you at your previous address? _________________ 5. How many Adults reside in the household? _______ How many Children? ______ Ages of Children? ____________________ 6. Do you smoke? __________________________ Does your mate/spouse smoke? ____________________ 7. Employer’s Names: __________________________________________________________________________________ How long working there? _______________________________ Phone Number: (____) _______________________ Military ONLY – Please list 2 persons that would care for your pet if you are deployed or gone to special training. 1. Name: ___________________________________________________________ Relationship: ______________________ Address: ____________________________________________________________________________ Phone Numbers: ______________________________Email: __________________________________ 2. Name: ___________________________________________________________ Relationship: ______________________ Address: ___________________________________________________________________________ Phone Numbers: _____________________________Email: __________________________________ 8. Have you ever turned an animal over to an animal shelter? ___________________________________________ If yes, when and why? __________________________________________________________________________________ 9. Have you ever had to find a home for one of your pets? ______________________________________________ If yes, when and why? __________________________________________________________________________________ 10. Would there be anybody at home during the day? ___________________________________________________________ If yes, who? _________________________ If no, how long would the pet be left unattended? __________ 11. Does it matter if the pet is housebroken? ___________________________________________________________________ 12. Do you have any Dogs and/or Cats at home now? _________________ Name: ___________________ Age: _______ Breed: ____________ Sex: _______ Spayed/Neutered: _____________ Inside or Outside: _________ Heartworm Prev. ____________ Brand: ______________________________ When & Where did you get the pet? ___________________________________________________________ Name: ___________________ Age: _______ Breed: ____________ Sex: _______ Spayed/Neutered: _____________ Inside or Outside: _________ Heartworm Prev. ____________ Brand: ______________________________ When & Where did you get the pet? __________________________________________________________ Name: ___________________ Age: _______ Breed: ____________ Sex: _______ Spayed/Neutered: _____________ Inside or Outside: _________ Heartworm Prev. ____________ Brand: _____________________________ When & Where did you get the pet? __________________________________________________________ Name: ___________________ Age: _______ Breed: ____________ Sex: _______ Spayed/Neutered: _____________ Inside or Outside: _________ Heartworm Prev. ____________ Brand: _____________________________ When & Where did you get the pet? __________________________________________________________ Name: ___________________ Age: _______ Breed: ____________ Sex: _______ Spayed/Neutered: _____________ Inside or Outside: _________ Heartworm Prev. ___________ Brand: _______________________________ When & Where did you get the pet? ___________________________________________________________ 12b. Do you have any other pets? _____________ What kind? ___________________________________________________ 13. What Animal Hospital/Clinic do you currently use? _____________________________________________________ Address and Phone: ______________________________________________________________________________ Date and reason of last visit? _______________________________________________________________________ 14. What previous Animal Hospital/Clinic did you use? _____________________________________________________ Address and Phone: ______________________________________________________________________________ 15. What type/brand of pet Food have you fed in the past? ___________________________________________________ 16. What type/brand of pet Food do you plan to feed your new pet? ____________________________________________ Why this food? ___________________________________________________________________________________ 17. Have you had pets in the past 10 years? ________________________ Name: _________________ Age: ______ Breed: __________ Sex: _______ Spayed/Neutered: _________ Inside or Outside: _________ Heartworm Prev. ____________ Brand: ______________________________ When you got the pet? _______________________When did you loose the pet? ________________________ What Happened? ___________________________________________________________________________ Name: _________________ Age: ______ Breed: __________ Sex: _______ Spayed/Neutered: _________ Inside or Outside: _________ Heartworm Prev. ____________ Brand: ______________________________ When you got the pet? _______________________When did you loose the pet? ________________________ What Happened? ___________________________________________________________________________ Name: _________________ Age: ______ Breed: __________ Sex: _______ Spayed/Neutered: _________ Inside or Outside: _________ Heartworm Prev. ____________ Brand: _____________________________ When you got the pet? ______________________When did you loose the pet? ________________________ What Happened? ___________________________________________________________________________ Name: _________________ Age: ______ Breed: __________ Sex: _______ Spayed/Neutered: _________ Inside or Outside: _________ Heartworm Prev. ____________ Brand: _____________________________ When you got the pet? ______________________When did you loose the pet? ________________________ What Happened? ___________________________________________________________________________ Name: _________________ Age: _____ Breed: __________ Sex: _______ Spayed/Neutered: _________ Inside or Outside: _________ Heartworm Prev. ___________ Brand: _______________________________ When you got the pet? ______________________When did you loose the pet? _________________________ What Happened? ___________________________________________________________________________ 18. Has anyone in the household ever had allergies to animals? __________________________ If yes, who and what did you do? _____________________________________________________________________ 19. Is this pet a gift? ________________________________ If yes, for who? ___________________________________________________________________________________ 20. Where will the pet be when no one is home? ______________________________________________________________ 21. If outside, is shelter provided? ______________ What type of shelter? _________________________________________ 22. If outside, how will your pet be confined? _______________________________________________________________ [ ] Chain [ ] Fenced Yard [ ] Garage [ ] Dog House [ ] Kennel/Pen [ ] Patio [ ] Trolley [ ] Crate [ ] Other: _______________________________________________ 23. Do you have a fenced yard? ______________ What height is your fence? _________________________________ What type of fence: [ ] Chain Link [ ] Wood [ ] Other: __________________________________________ 24. Where will the pet sleep? ______________________________________________________________________________ 25. Are you aware of the need for heart worm prevention? __________________________________________ Do you agree to keep the dog on heart worm prevention? _________________________________________________ How much do you think heart worm prevention will cost per Month? ___________________________________________ 26. How much Money do you think it will cost to care for your new pet for 1 Year? ___________________________________ 27. Why do you want to adopt a pet? _________________________________________________________________________ 28. How long have you been looking for a pet? _________________________________________________________________ 29. Who will be responsible for taking care of the pet? ___________________________________________________________ 30. Are you planning on taking the dog through obedience training? ________________________________________________ 31. Are you aware that when bringing a new pet into your home, there is an adjustment period that can take up to a month on up to 1 year? _______________________________ 32. Are you aware that from time to time pets can damage your belongings, soil your furniture and/or flooring, scratch furniture, chew and tear up items, knock down breakable heirlooms, and/or dig up your yard? ________________________________ 33. How and where will you exercise your dog? ________________________________________________________________ 34. How do you plan to housebreak your dog? _________________________________________________________________ 35. How will you handle your cat scratching on your furniture? ___________________________________________________ 36. How will you handle your cat or dog running out the door and outside? ___________________________________________ 37. If you own a pick-up truck, will you let your dog ride in the back? _______________________________________________ 38. Do you have a swimming pool on your property? ____________________ If Yes, is there a fence around it? _______________________ What type of fence? __________________________________ 39. Pets often live 15-20 years – Are you ready and willing to take the time, responsibility, and have the money necessary to take care of your dog for its entire lifetime? ____________________ 40. IF YOU HAVE NEVER HAD A PET BEFORE....List the Names, Addresses, & Phone numbers of 3 references we may call who can attest to your suitability as an Adopter. For example - an animal professional, trainer, veterinarian, groomer, educator, employer, etc. 1. Name: ____________________________________________ Phone #: __________________________________ Address: __________________________________ City/State/Zip: ________________________ Email: ________________________________________________ Relationship: ______________________________ 2. Name: ___________________________________________ Phone #: ___________________________________ Address: __________________________________ City/State/Zip: ________________________ Email: ________________________________________________ Relationship: ______________________________ 3. Name: ___________________________________________Phone #: ___________________________________ Address: __________________________________ City/State/Zip: ________________________ Email: ________________________________________________ Relationship: ______________________________ 41. Have you ever applied for adoption before? _____________________ When:? _____________________________________ Which shelter or agency? _______________________________________________________________________________ Which Pet did you adopt from them? ______________________________________________________________________ If you were denied the pet, what was the reason? _____________________________________________________________ 42. Have you ever applied for adoption from another shelter or agency? ____________ When? ____________________________ Which shelter or agency? _______________________________________________________________________________ Which Pet did you adopt from them? ______________________________________________________________________ If you were denied the pet, what was the reason? _____________________________________________________________ 43. Do you travel for business or vacation? __________ Who will care for your pet while you are away? _____________________ _____________________________________________________________________________________________________ 44. Have you thought about how a pet will affect your daily lives? __________________________________________________ 45. Have you thought about how a pet will affect your lives in times of stress, unemployment, marriage, birth, divorce, moving,, and other events? _____________________________________________________________________ 46. Do you realize that having a pet is a great Responsibility much like having a human toddler? ________________________ 47. What will you do for your pet if you have to move? __________________________________________________________ 48. How will you train your dog and children - current & in the future? _________________________________________ ____________________________________________________________________________________________________ 49. Would you object to having a representative visit your home to check on the pet? __________________________________ I, ___________________________________________________________, hereby certify that the above information is true and correct to the best of my knowledge. Falsification of information may be deemed cause for denial of this application for adoption, and the pet may be reclaimed by the Rescuer and/or may result in legal action. By signing this application, I authorize the Rescuer to contact my landlord, veterinarian, relative, employer, or reference contacts to verify any or all information given and in the future to verify the care of the pet. I also understand that, if for any reason, I am no longer able to take care of an adopted pet, I am obligated and MUST return the pet to Rescuer. Before returning the pet, I agree to give Rescuer, a minimum of ten days advance notice. I understand that I /we may be denied a pet for any reason. Date: _____________________ Applicants Signature: _____________________________________________ Date: _____________________ Applicants Signature: _____________________________________________ THERE IS ALWAYS AN ADJUSTMENT PERIOD WHEN BRINGING A NEW PET INTO YOUR HOME. SOMETIMES THE ADJUSTMENT MAY BE A MONTH OR SO, PLEASE BE PATIENT WITH YOUR NEW COMPANION AND SHOULD YOU HAVE ANY QUESTIONS, PLEASE DO NOT HESITATE TO CALL US FOR ASSISTANCE. THANK YOU FOR OPENING UP YOUR HEART AND YOUR HOME TO A HOMELESS ANIMAL ! |
