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Dog Adoption/Foster Application

The following information is requested so that we can assist you in the selection of your new pet. This form and consultation with a Lovin' Life Rescue Representative are designed to help you find the pet most compatible with your lifestyle.

General Information

Applicant / Co-Applicant Information

Employment Information
Family / Household Information

Pet Information

If you have had pets in the past of currently have pets, please tell us about them:

Name Breed / Mix Age Gender Spayed or neutered? Tail-dock, Ear-crop? Vaccines Current? *Do they still live with you?

*If deceased, please indicate so and approximate the age of death.

Veterinarian Information
New Pet Information

What would you do if your dog develops a problem with...

Please list 3 personal references below.

Name Relationship Phone Number