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LCR DOG ADOPTION APPLICATION

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LCR Dog Application

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*1.	How did you hear about LCR?

*2.	Name of dog/puppy you are interested in adopting:

*3.	We often get multiple applications for the same dog. If the dog you are applying for is no longer available, do you want us to continue processing your application to be approved for another dog?

	Yes No

*4.	Are you currently working with or seeking out a pet from another organization? (If yes, please explain in Comments Box.)

	Yes No Additional Comments Remaining Characters: 1000

*5.	I understand that the dog I have chosen may not be a good match for my family, and I am open to the suggestions of LCR's adoption counselors and trainers.

	Yes No

*6.

Please provide us with your contact information:

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First Name
Last Name
Address1
Address2
City
US State
Zip Code
Home Phone
Work Phone
Cell Phone
Email Address

*7.	Is it okay to contact you at work?

	Yes No

*8.

Dog age group desired:

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	Under 6 Months
	Under 1 Year
	1-3 Years
	4-8 Years
	8+ Years

*9.

What gender do you prefer?

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	Male
	Female
	Doesn't matter

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