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Adoption / Foster / Volunteer Application

Please complete this application with as much detail as possible. There are many questions -- and some may seem quite personal in nature -- but we take our responsibility of matching each Leonberger with the right home most seriously. We do not believe that adoptive homes or rescue dogs are one-size-fits-all.  Please take the extra time and care, now, to fill out this application so that we can make sure the right dog spends a lifetime with you.  

After we receive your application, an Adoption Coordinator will review it and contact you if there are any questions or concerns or simply contact you to confirm receipt of your application. Please be patient, as it may take as long as three days for us to contact you. You can anticipate that we will also contact your Veterinarian, your personal references and arrange for a home evaluation. If you do not receive a call or email regarding your application, please email us at info@lrpals.org

Please Note: When your adoption is approved you will be required to sign an adoption contract and pay an adoption fee as well as any costs to transport. The adoption fee will need to be paid in the form of a cashier's check or money order.. The cost to transport is the responsibility of the adopter.

[*] indicates answer is required

Are you able to volunteer for Leo Rescue Pals?[*]

The next five questions are for VOLUNTEERS - If you are applying to only Adopt / Foster, you can skip to the next section.

What are your interests for volunteering.
Note any other interests you have for volunteering
How far are you willing to transport - in miles.
What skills can you offer as a volunteer?
Details of your skills.

THESE QUESTIONS ARE FOR FOSTER / ADOPTION APPLICATIONS

Are you interested in:
If you are applying for a specific dog, please note his/her name.
Do you have a gender preference?[*]
Would you consider a leo mix?[*]
What age are you interested in? Select all that apply.[*]
Would you consider a special needs dog? Select all that apply
What dog behavior do you find objectionable? e.g. Chewing, Digging, Barking, Drooling, Shedding Licking, Smell, etc.
If you are willing to take a dog with temperament issues, please indicate any behavior you are comfortable dealing with.

PERSONAL INFORMATION FOR ALL APPLICANTS

Your First Name[*]
Your E-mail:[*]
Street Address
City[*]
Mailing address (if different)
Home Phone:
-
Your Last Name [*]
State[*]
Postal code
Cell Phone:
-
Work Phone
-

REMAINING QUESTIONS ARE FOR FOSTER / ADOPTION APPLICATIONS.
IF APPLYING TO VOLUNTEER ONLY, PLEASE PROCEED TO END OF THE FORM AND SUBMIT

Occupation[*]
If you plan to take your dog to work, we need employer information to verify acceptance.
List other adult members of your household or individuals that will have constant contact with your dog.
List children and ages that live in the home or will have constant contact with our dog
Does anyone in your home have an allergy to pet hair? if yes, explain below.[*]
Explanation of pet hair allergy.
Is there anyone in your home or that will have contact with the dog that has been convicted or charged with cruelty to animals or domestic violence?[*]
If you answered yes above, please explain
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HOUSING INFORMATION

Describe your current residence[*]
Do you own or rent?[*]
Have you verified that you will not be violating any local ordinances, association by-laws, tneancy rules, etc. related to the number or size of dogs you are permitted to have in your house?
If you RENT, do you have landlord permission to have a large or giant dog?
Landlord contact information:
Do you have a fence?[*]
If you have a fence, note the type and height.
If you do not have a fence, how will you handle exercise and toilet duties?
If you move due to military service, job transfer, or other reason, what do you intend to do with your dog?
Do all residents in your home want a Leonberger?[*]
If someone in the household does not, please explain:
If there is no one home during the day, what are your work hours?
On average, how many hours a day will the dog spend alone?[*]
Who will care for your dog in your absence?[*]
Where will the dog stay during the day[*]
Where will the dog stay at night?[*]
While inside the dog will have:[*]
Comments on the inside access
What type of vehicle will you use to transport your Leonberger (make-model)? If a pick-up, where will the dog ride?[*]
Please describe any aspects of your home that concern you if you get a dog. (antiques, carpet, etc)
What is your activity level?[*]
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ACTIVITY AND PET INFORMATION

If you have other dogs, list breed, age and gender
What activities do you hope to share with your Leonberger? (select all that apply)
Other planned activities:
If you have other dogs, are they spayed or neutered?
Explain your above answer if necessary.
Name and Contact information for current / planned veterinarian or vet clinic.[*]
If you do not currently own a dog, have you ever had a dog in the past?
What happened to any previous dogs in the last 10 years. Be specific
List any other pets in your household.
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REFERENCES AND ASSURANCES

Use the next 3 questions to list persons unrelated to you who are familiar with you and your previous pets. (For example, neighbors, pet sitters, consulting veterinarians other than the one specified above, obedience instructors). At least 2 references are required in addition to the veterinarian listed previously.

Reference #1[*]
Reference #2[*]
Reference #3
Do you agree to have a representative of Leo Rescue Pals to visit your home by appointment?[*]
Explain why you want a Leonberger.[*]
I understand that as a Leonberger owner, I will be required to:
Any other information or comments you wish to share?

I understand that by submitting this form, I am electronically signing this application. I further understand that LeoPals may require a copy of an actual signed application prior to release of the dog for foster/adoption. *

Signature [*]
Date:[*]
Signature #2
Date:
To save us all from SPAM
State(1)[*]
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