Lilac Groves Pampered Pups. Home of the rescues...

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Name: (Required)
Date of Birth - No animals will be adopted to people under the age of 21. (Required)
Email Address: (Required)
Home Phone Number: (Required)
Cell Phone Number:
Work Phone Number: (Required)
Physical Address, No PO Boxes! Please include Apartment Numbers, City, State and Zip Code
Mailing Address,only if diffrent from Physical Address. Please include City, State and Zip Code
Driver's License Number, State, and Expiration Date: (Required)
Where are you employed? Include Address and Phone Number: (Required)
If you are not employed, how will you provide for the animal?
Do you Rent or Own your home? (Required)	Rent Own
If you rent please list your landlord's name and phone number.
Please Select type of residence: (Required)	Apartment House Condo Mobile Home Dorm/Other
How long have you lived at this address? (Required)
Previous Address: (Required)
Are you planning on moving in the near future? (Required)	Yes No
If yes, what will you do with the animal?
Have you or anyone living in your household ever been accused or convicted of animal abuse or neglect? (Required)	Yes No
If Yes, please explain.
Have allergies ever been a problem in your household? (Required)	Yes No
What pets do you have now? (Required)
How many Dogs?
How many Cats?
How many other animals?
Are these pets spayed or neutered? (Required)	yes no
If not why?
Are they up to date on their vaccines?	Yes No
Please enter your Current Veterinarian's name, address and phone number. If you do not have a current vet, please provide your prior vet's information.
Please list 2 personal references, 1 must be a neighbor. Include name, address, and phone numbers. (Required)
I am interested in a: (Required)	Dog Cat Other
If you are interested in a specific animal from our website, please list their name(s).
Who will be the primary caretaker for this animal? (Required)
Why do you want this animal? (Required)
Where will this animal be kept during the day? (Required)
Where will this animal be kept during the night? (Required)
How many hours a day will the animal be left alone? (Required)
Will it be during the day or night or both? (Required)	Daytime Nighttime Both
How many adults live in the home?
How many children live in the home?
How old are the children?
If you cannot keep this animal for any reason, what will you do with them? (Required)
If you are interested in a Cat please check the the boxes that apply:	The cat will be allow outside The cat will wear a collar and ID tag The cat will be declawed
If interested in a Dog please check the boxes that apply:	The dog will be allowed outside without a leash The dog will be tied up outside The dog will be kept in the yard with an underground electric fence The dog will be in a fenced in yard The dog will live outside with adequate shelter
If interested in a small animal, have you ever cared for this species before?	Yes No
What kind of housing will this animal be kept in?
Will you allow LGPP to call or visit to check on the animal? If not why? (Required)
How did you hear about LGPP? (Required)

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Adoption Application

Please complete the following Adoption Application. Incomplete applications will not be processed. Application submission does not guarantee approval for adoption. We reserve the right to deny any application.