Mailing address only: 4400 N. Scottsdale Rd Ste. 9-319 | Scottsdale, AZ 85251
phone: 480-704-4628 | e-mail: info@luckydogrescue.org

Adoption Application

When completing the application please do not leave any fields blank. ALL fields must be filled in for the form to be successfully submitted. If a question does not apply to you, please note that in the space provided (i.e. N/A). Thank you!

Full Name

Street Address/Cross Roads

City, State, Zip

Daytime Phone

Evening Phone

Cell Phone

Email Address

Please list the names of every person who lives in the home, and the ages for anyone under 20 years old.

Please list the name of your current veterinarian/clinic.

The Companion Animal

Please list the name of the companion in whom you are interested.

If you do not have a specific animal in mind, are you looking for a puppy or an adult dog?

What personality are you seeking in a companion animal?

Animal Care

Which person will be the primary care giver for this animal, and what will their responsibilities be?

How many hours a week is the primary caregiver at work and away from the home?

Where will the animal stay at night?

Where will the animal stay when you are home? When you are away?

Do you have a doggy door?

Your Current Pets

To help us match animal personalities, please list 1) all of the animals currently in your home, 2) how long you have had these animals, 3) and the sexes and ages of the animals.

Previous Pets

Please list the animals you cared for in the past five years, how many years they lived with you and where they are now:

Have any of the above animals (past or present) ever been unaltered (not spayed or neutered)? If so, please explain:

Other Information

Is the animal to be a gift or surprise?

How long have you been thinking of adopting?

Have all adults in the home agreed to adopt?

What will you do if medical issues arise and how much are you willing to spend to keep your pet healthy

Under what circumstances would you determine that the adoption was not going to work out?

Before returning the animal, would you consult a Lucky Dog volunteer or seek the help of a behavioralist?

Have you ever surrendered an animal to the Humane Society, the Pound or Animal Care & Control? If yes, please explain?

Have you ever placed a pet with family, friend or acquaintance? If yes, please explain the circumstances:

Do you rent or own your place of residence?

Please list two references and their phone numbers:

If you were to move to a place that did not accept animals what would you do?

What would you do if you work hours were to increase?

About Us

How did you hear about our organization?

Have you adopted from us before? If so, please list the full name of the adopter, if different from above:

Please note: Answering the above questions in detail will help Lucky Dog Rescue determine if the cat or dog you would like to adopt is a good match for you based upon what you are looking for in a companion animal.