Dog Adoption Application Please enable JavaScript in your browser to complete this form.Pet Name or BreedName *Street Address - Please enter your physical street address, city, state and zip code.Please enter your physical street address, city, state and zip code.Email *Best Telephone Number 000-000-0000 *Current Veterinarian and Telephone NumberI wish to adopt a dog because:Personal reference and telephone numberPersonal reference and telephone numberPlease check one. Are you?WorkingHomemakerRetiredStudentOtherEmployer and OccupationEmployer Telephone 000-000-0000000-000-0000Do you Own or Rent OwnRentIf you are renting, please enter your Landlords name and telephone.Type of housingHouseCondoApartmentMobile HomeRVLive with ParentsOther individuals in householdMy experience with Dogs.First TimeHad One or TwoExperiencedDo you have pets now?NoYes- CatsYes- DogsHow many other cats?How many other dogs?Name of Cat or Dog, Age and BreedName of Cat or Dog, Age and BreedName of Cat or Dog, Age and BreedName of Cat or Dog, Age and BreedWhere did you get your pet(s)?How long have you had your pet(s)Are your current pet(s) Spayed or NeuteredYes - All are Spayed or NeuteredYes - Some are Spayed or NeuteredNo - None are Spayed or NeuteredIf you do not have a pet now; Have you had a per in the past?No - First time pet adoptionYes - DogsYes - CatsBreed of pet(s) we have had before.Was the pet Spayed or NeuteredYesNoLength of time you had the pet?What happened to the pet?How you ever adopted a pet from LSARYesNoSize of Dog.Small: - 20 lbs.Medium: 20-50 lbs.Large: 50-100 lbs.Giant: +100 lbs.GenderEitherFemaleMalePersonality and temperament of dog should be:MellowAffectionateLap DogProtectiveVocalHerderRetrieverLoves WaterTraining PreferenceNoneSome ObedienceHouse TrainedFully TrainedFor Exercise I prefer a dog that:Walks on leashWalks off leashWalks on or off leashWill run or hike with meWill exercise itselfRequires no exerciseI prefer a dog with an energy level that is HighModerateLowI presently have aFenced YardEnclosed KennelStationary Tie-upWhere my dog will be during the day *Where my dog will be during the night *Send