Lisa Parker s Puppies ADOPTION APPLICATION Thank you for your interest in adopting a Rescue Dog through Lisa Parker's Puppies! Our Mission: To rescue, foster and find permanent loving homes for abandoned dogs and puppies in La Plata County and the rural Four Corners, while also raising awareness for spay and neuter and proper stewardship of all animals. Lisa Parker's Puppies (LPP) is a local non-profit operating under the auspices of Dogster s Spay and Neuter Program (D_SNiP). Lisa is a Durango, CO. native who has been rescuing dogs in the remote areas of the Four Corners for more than 10 years. Lisa and her husband Eric officially started LPP in the spring of 2014 after receiving a litter of 6 day old bottle feeding puppies. LPP has developed a diverse team of foster homes and volunteers and works closely with D-SNiP and La Plata County Humane Society to rescue and transport puppies and dogs from the surrounding areas. The rescue work never stops! If you feel that you could and would like to provide a good home for a Rescue Dog in need, please fill out the enclosed application and return it via email to: lppdurango@gmail.com. We hope that you will consider a rescue dog! Please contact us by phone or by email if you have any questions about the application process. We look forward to hearing from you! Lisa Parker's Puppies 970-769-2584 lppdurango@gmail.com
Name: Age: Co-Applicant / Spouse s Name: Age: Street Address : Apt#: City: State: Zip: Email: Home Phone: Cell Phone: Name of Employer: Occupation: Work Ph: How long there? Name of Spouses Employer: Spouse s Occupation: Work Ph: Number of Children in Home: Do children visit frequently? Yes No Names of Children (in home) or other Occupants: age: age: age: Residence Information: Please indicate the following that best describes your living situation: Ownership: Own Rent Lease Type: House Condo/townhouse Apartment Location: City Suburban Country/county How long have you lived at this address? If renting, do you have your landlord s permission to keep dogs? Yes No Please attach such permission in writing. (This will be required prior to processing your application) What are the requirements for dog ownership in your community and how many pets may you legally have? Does your home have a yard? Yes No If yes, is it fenced? Yes No Approximate Size: Height of Fence: Type of Fence:
If you do NOT have a fenced yard, how will you exercise, confine and provide for your dog s need to eliminate? Where will you keep your dog: During the day? During the night? During family absences overnight? What is the maximum number of hours your dog will be left alone during a 24-hour period? Do you object to the discriminate use of a crate or cage? Yes No Do you have one? Yes No If no, would you get one? Yes No Current / Past Pet Information: Have you owned pets before? Yes No If no, why do you want a pet now? Is anyone in your household allergic to dogs? Yes No Have you ever adopted an animal from a shelter or rescue group? Yes No Name /Location of organization? List kind and number of pets you ve owned in the past seven years. (Include all pets in home roommates, boarders etc ) 1. Name: 2. Name: 3. Name: 4. Name:
If you no longer have any pets, why? Have you ever trained a pet before? Have you ever surrendered a pet of yours to an animal shelter? Yes No Have you ever sold or given away one of your pets? Yes No Has anyone in your immediate family/household ever been charged and/or convicted of cruelty to animals or child abuse? Yes No Veterinary / Reference Information: Can you afford to spend at least $800 per year for food and routine medical care for your pet? No Yes List your regular veterinarian (Will be contacted for reference check): Name: Phone# Please provide three non-related individuals who can serve as references and can speak to your lifestyle, home environment and history as a pet owner: Name: Phone: Name: Phone: Name: Phone: Your Adopted Rescue Dog: Have you ever owned a Rescue Dog? Yes No What behaviors would you have a hard time dealing with in an adopted dog? (check all that apply) Too much energy Nervous Shy/Timid Herding and/or nipping Not good with other animals other How much time per day (not including sleeping hours) will you spend with your dog? 1-3 Hrs 3-6 Hrs 6-10 Hrs 10 Hrs+ What will you feed your dog? Please be specific and include brand of dog food!
What circumstances justify getting rid of a dog? What will you do with your dog when you move? Are you willing to attend obedience classes with your dog? Yes No What methods / approach will you use to teach your dog desired behaviors? What will you do/how will you address it should your dog develop a behavior problem (i.e. jumping up on you, growling at strangers, destructive when left alone)? Which of the following methods/tools do you use in training a dog: Choke Chain Electric Training Collar Clicker Training Prong/Pinch Collar Food/Toy Reward Halti Collar or Gentle Leader Other: Please list your preferences: Sex of dog: Male Female Not Important Age of dog: Puppy Young Adult Adult Senior Will you consider something other than your stated preferences? Yes No Please check the traits most important to you in your new dog: Good with children Good with dogs Good with cats Travels well Friendly Off Leash Potential Doesn t chew Doesn t jump up Which activities will you do with your new Rescue Dog? Jogging Hiking Biking Walking Visiting dog parks Playing fetch or Frisbee Agility Obedience Therapy LPP will attempt to provide you with an honest evaluation of temperament on any dog we have to place. Do you realize that often times the complete history of a Rescue Dog may not be known and you may encounter some behavioral problems? Yes No Are you willing to work with us on correcting these problems? Yes No Have you recently applied to adopt a dog from another rescue group? If so, who?
Please note that the dogs listed on our website may be in the process of being adopted or may not be the right match for you and/or your family. If your application is approved, we will make every effort to find the right dog for you! There are inherent risks associated with providing foster care for Lisa Parker s Puppies(LPP). LPP shall not be liable for any damages, injury or death resulting from the inherent risks of providing foster care for LPP and no Foster, or Foster's representative, shall make any claim against, maintain an action against, or recover from LPP for injury, loss, damage, or death resulting from any of the inherent risks of providing foster care for LPP. By signing below, Foster acknowledges the inherent risks involved with providing foster care for LPP and agrees to waive any and all claims for liability as set forth herein Thank you for taking the time to complete this application! By checking this box and/or signing this form you attest to the truthfulness of your answers, and give us permission to call your references and visit your home prior to approval for adoption. Falsification of any of the above information will be grounds to disallow your adoption of a rescued dog from Lisa Parker's Puppies and/or remove the animal from your premises without a refund of monies paid. The fee to adopt a Rescue Dog from Lisa Parker's Puppies is $175.00. Puppies under 6 months require an additional $100.00 spay/neuter deposit refundable with proof of the spay/neuter by 6 months of age. Applicant Signature: Date: Applicant Signature: Date: LPP Representative: Date: Lisa Parker's Puppies 970-769-2584 PO Box 4438 Durango, CO. 81302 lppdurango@gmail.com Please let us know how you heard about us: Petfinder Adopt-A-Pet Internet Search Facebook Friend / Family Other: