ADOPTION APPLICATION

Does anyone in househould have allergies or athsma?

Yes

No

Applicant Name

Do you travel frequently?

Yes

No

Name & Phone Number of Vet

Please Sign

Phone

Please Fill Out All Information Completely

This application is to assist in screening for suitable placement of L.A.P. animals. L.A.P. may refuse placement of an animal for any reason. When submitting this application, you give permission for L.A.P. to examine and verify the information that you provide. All forms are property of L.A.P. Thank You!

Does everyone in household agree to adoption at this time?

Yes

No

# of Adults in home

Drivers License #

# and ages of Children in home

Pet

Please list all pets you own now or have owned

Thank you for contacting us! If needed, you will hear back within 48-72 hours.

Have you adopted from a Rescue or shelter before?

Adult #2 D.O.B. and D.L #

Work Phone

LEAGUE OF ANIMAL PROTECTORS

ADOPTION APPLICATION

Adult #2 Name

Check one that applies

Own House

Rent House

Rent Apartment

Home Address

Employer

Do you have a fenced yard?

Yes

No

Email:

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How long have you lived in your home and do you have plans to move?

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LEAGUE OF ANIMAL PROTECTORS

PO BOX 823293 DALLAS, TX 75382

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