Name
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First Name
Last Name
Phone
*
(###)
###
####
Email
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Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Instagram username
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If you’re open to other dogs/cats, please describe what you’re looking for.
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Ex: breed, sex, age, size (full grown), energy level
Help us learn a bit more about you and why you want to adopt a dog or cat.
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How did you hear about us?
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Instagram
Facebook
Friend
Referral - Mutt Luv volunteer
Referral - Mutt Luv foster or adopter
Search engine
Adopt-a-Pet or Petfinder
Adoption or fundraising event
Occupation
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include your place of work
If you’re unemployed or have a non-traditional form of employment, please describe how you earn an income.
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I work:
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Please select all that apply
Please list the name, age, and relationship of everyone who lives in your household.
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If you have children, please describe their previous experience with dogs and/or cats. If you are expecting, please also note that here.
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Is anyone in your household allergic to dogs or cats?
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What type of home do you live in?
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House
Apartment
Townhouse
Condo
Duplex
Back house
Do you rent or own?
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Rent
Own
If you rent, do you have your landlords permission to have an animal?
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Yes
No
Landlords name and phone number.
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If approved, we will contact your landlord to confirm you are allowed to have an animal.
May we contact your landlord?
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Yes
No
If you selected no, please explain why.
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If you rent (or have an HOA), are there any breed or weight restrictions?
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Do you smoke or vape?
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Yes, but only outside
Yes, inside and outside
No
Please select the option that best describes your outdoor space:
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After you submit your application, please email pictures to muttluvrescue@gmail.com
If you share your outdoor space, please provide more details.
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Names, relationship, are there other pets that also share the outdoor space.
Do you have a pool?
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Yes, it’s gated
Yes, it’s not gated
No
Do you currently have pets in your home?
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If yes, please list what kind of pet, their age, are they dog social or cat social? If no, please let us know if you’ve ever owned any pets and what kind.
If you do have pets, are they spayed or neutered?
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Yes
No
Where will your animal primarily live?
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If indoor/outdoor, please estimate the percentage of time the dog will be indoors and outdoors.
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What is your preferred level of activity with the dog?
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Tell us more about life with your future Mutt Luv animal.
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Do you plan on having your dog off-leash? If yes, explain. To your best efforts, describe your daily routine with your new animal - exercise, socialization, etc.
Is anyone home during the day?
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How many hours will your animal be left alone?
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Less than 2
2-4 hours
5-8 hours
8+ hours
When you travel and aren’t able to bring your animal, where will they stay?
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How much are you willing to spend on vet bills?
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up to $100
up to $500
up to $1,000
up to $5,000
Whatever it takes
If you didn’t respond “Whatever it takes,” what will you do if the bills are more than the amount you selected?
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Will you keep your new animal up-to-date on vaccinations and check-ups?
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Yes
No
What would happen to your pets if you moved?
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What will you do if you can no longer keep your pet?
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In the past, have you ever been forced to give up your pet? If yes, please explain the reasons for giving up your pet.
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If you have given up a pet in the past, what did you do?
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If this question doesn't apply to you, please type N/A
Under what circumstances would you give up/return your dog to us?
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Select all that apply.
If the dog were to do one of the above behavioral issues, are you willing to consult a trainer (to try to rectify the situation) before giving the dog up?
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If no, explain why.
Are you open to crate train your dog?
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Yes
No
If you selected "no", please explain why you would not crate train.
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What method(s) do you plan to use for training?
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Select all that apply.
Do you already have a family veterinarian?
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Yes
No
The average yearly cost of owning a dog is between $1,500 and $4,300, not including medical emergencies that might arise. Knowing this, are you willing and able to provide for your new dog?
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If yes, please list your vet's name and telephone number. If no, would you like a recommendation?
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A pet requires a lot of love, affection and discipline. Are you prepared to spend a lot of time with your new pet, for the rest of its life?
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Yes
No
Will you require your dog to to wear a color and ID tags at all times?
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Yes
No
Is there anything else you would like to tell us?
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Ex: why you are interested in this particular animal, why would you be an ideal home for him/her)
I understand that a home visit is required prior to final placement.
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When would you like your new puppy/dog/cat to come home?
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I agree to provide my own collar, leash, or harness, and a personal ID tag at the time of completing the home visit.
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I understand that Mutt Luv Rescue does not adopt on a first-come-first-serve basis. Our priority is the well-being of our animals and they will be adopted based on the needs of that particular animal.
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I understand that this application does not guarantee adoption. Mutt Luv Rescue reserves the right to refuse adoption to any applicant for any reason. This application becomes part of our contract
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Please print your name to acknowledge you have read and agree with the information above.
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First Name
Last Name
Today’s Date
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