Dog Adoption and/or Foster Volunteer Application in Waldorf, MD

Due to the pandemic, many foster families are choosing to adopt their foster animals. For this reason, we are moving to one application for foster and adoption. The adoption fee only applies if you choose to adopt your foster dog at the end of the foster period. Should you adopt your foster, we require a $400 adoption donation from all adoptive families at time of adoption to help cover the cost of preparing the dog for his/her new home. We spay/neuter all animals prior to adoption. LCAR is a non-profit animal rescue organization that rescues from animal shelters; as such Last Chance Animal Rescue cannot and does not warranty the health or breed of the animal. Please fill out the application to help us get to know you, your family and your lifestyle. This information will assist us in matching you with one of the rescue pets awaiting adoption.

A $400* non-refundable ADOPTION FEE includes:

All animals spayed / neutered
Vaccines up to date
Dewormed
Heartworm tested, pups 6 months and older
Current on heartworm preventative, if old enough
Flea/tick control applied
Boarding and transportation from shelters
Microchip

*Limited ability to take credit cards, no checks

Name or breed of dog desired*
Date*
MM slash DD slash YYYY
Do you have a spouse/partner?*
- Yes
- No
Legal Name of Applicant*
First Middle Last
Legal Name of Spouse/Partner*
First Middle Last
Your Email*
Your Spouse/Partner's Email*
Hidden
Date of Birth:*
Date of Birth*
MM slash DD slash YYYY
Age*
Hidden
Spouse/Partner DOB*
Spouse/Partner DOB*
MM slash DD slash YYYY
Spouse/Partner Age*
Your Phone # (Cell)*
Spouse/Partner Phone # (Cell)*
Home Address*
Street Address Address Line 2 City State ZIP Code
If less than 2 years, please list your previous address:*
How long have you resided at this address:*
Is this where the pet will live?*
- Yes
- No
Employer's Name:*
Employer’s Phone #*
Employer’s Address:*
How long have you worked there?*
Spouse/Partner Employer Name*
Spouse/Partner Employer Phone*
Spouse/Partner Employer Address*
How long have they worked there?*
Please indicate your housing status:*
- Rent
- Own
Are you living with your parents?*
- Yes
- No
If living with parents, provide name*
Parent's Phone Number*
If you are renting, please provide your landlord’s name*
Landlord's Phone Number*
Are there breed restrictions, if so what breeds?*
Is there a weight limit, if so what is the limit?*
Do you have a fenced yard?*
- Yes
- No
Type of fence*
Height of fence*
Do you have a Pool?*
- Yes
- No
Is pool area fenced?*
- Yes
- No
How many members are in your home?*
Are there any kids in your household?*
- Yes
- No
Please list their ages*
Are all adults in your household aware that you are adopting a dog and in agreement?*
- Yes
- No
Why do you want to adopt a dog?*
Are any members of your household or regular visitor allergic to dogs?*
- Yes
- No
Are you expecting?*
- Yes
- No
Do children visit regularly?*
- Yes
- No
How many hours each day will the dog be left alone?*
Is anyone home during the day? Who & when?*
Who will be responsible for caring for the dog?*
Who will supervise ALL outdoor activities?*
Where will the dog be kept during the day and at night?*
Are you willing to care for this dog for the next 10 years, or more?*
- Yes
- No
When vacationing/traveling who will care for the dog?*
If you move, what will you do with this dog?*
Are you a first-time dog owner?*
- Yes
- No
Would you consider adopting a dog over 1 year of age?*
- Yes
- No
Do you know about crate training?*
- Yes
- No
Do you have a problem crate training?*
- Yes
- No
Are you prepared for the effort of housetraining a dog?*
- Yes
- No
How long do you expect housetraining to take?*
Do you understand the importance of socialization?*
- Yes
- No
Do you understand the importance of obedience training?*
- Yes
- No
Do you plan to attend obedience classes with your dog?*
- Yes
- No
Is there a situation in which you would not be willing to keep your dog? If so, please explain:*
What behaviors WOULD you be willing to work through with your dog with training, (if you have children under the age of 14, please give thought before answering)?*
How long are you willing to give your dog to adjust to their new home?*
Do you have an idea of the yearly expense of caring for this animal?*
- Yes
- No
Please provide an estimate of the expense (vet care, food, grooming, licensing):*
How much are you willing to spend on medical bills for your dog?*
What would you do if your bills go over your budgeted amount?*
Please list all current pets living in your home:
Current Pets*
Name Species Age Sex Spayed/Neutered?
Please list all pets you have had, no longer with you in the past 10 years and what happened to them: (reason, i.e., they passed away, ran away, stolen, hit by a car?)
Past Pets*
Name Species Age Sex What happened to it?
Have you ever turned a pet into the shelter? If so, please explain:*
Are all your pets’ current on their core vaccines?*
- Yes
- No
Do you know about heartworm & flea/tick preventative?*
- Yes
- No
Will you provide heartworm, flea & tick preventatives to your newly adopted pet?*
- Yes
- No
What is the name and address of your vet, or anticipated vet?*
Veterinarian’s phone number:*
May we contact them for a vet reference?*
- Yes
- No
*Please contact your vet and give them permission to release information to a Last Chance representative
Please list three (NON-RELATED) personal references that we may contact
Reference #1
Name/Relationship*
Phone Number*
Email*
Reference #2
Name/Relationship*
Phone Number*
Email*
Reference #3
Name/Relationship*
Phone Number*
Email*
All animals we adopt out are already spayed/neutered; do you have any reservation about this?*
- Yes
- No
Are you willing to have a Last Chance representative conduct a home visit?*
- Yes
- No
The adoption contract stipulates that should you not be able to care for your Last Chance pet that you will return it to our rescue for re-homing; you may not turn your pet into a shelter. Will you return our pet to us should you not be able to keep it?*
- Yes
- No
Are there any circumstances you would like us to know about?*
How did you hear about Last Chance Animal Rescue?*
I acknowledge that all the information on this form is true and correct. I understand that any misrepresentation of any fact may result in the removal of the adopted dog from my home by Last Chance Animal Rescue Inc.
Which are you interested in?*
- Foster
- Adopt
- Foster to adopt
Signature*
Date*
MM slash DD slash YYYY
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Dog Adoption and/or Foster Volunteer Application

Please list all current pets living in your home:

Please list all pets you have had, no longer with you in the past 10 years and what happened to them: (reason, i.e., they passed away, ran away, stolen, hit by a car?)

Please list three (NON-RELATED) personal references that we may contact

Reference #1

Reference #2

Reference #3

Name	Species	Age	Sex	Spayed/Neutered?

Name	Species	Age	Sex	What happened to it?