ADOPTION APPLICATION

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First Name

Do you rent or own?

Last Name

Phone

Email

Name of dog you would like to adopt

How long at current address?

0 - 6 months

6 months - 2 years

2 - 5 years

5 + years

If renting, please provide name and phone number of landlord

How many members in your household?

Do the adults in the household work outside the home? What are the work schedules?

How many hours a day will your new pet spend WITHOUT your companionship?

Less than 2 hours

2 - 4 hours

4 - 6 hours

More than 6 hours

Do you already have pets? Or have you had pets in the past? If yes, how many and what kind? How old are they and what are their names?

Do you have a fully fenced in yard? If no, when outside, will your pet be on a leash and/or supervised?

Where will your new pet spend most of his/her time?

Do you plan to crate your pet? If yes, for how many hours a day and how often will they be let out to potty?

Where will your new pet sleep at night?

What activities do you plan to do with your new pet?

Have you ever had to give up a pet or find another home for a pet in the past? If yes, please explain why.

Please provide name, address of phone number of your veterinarian

Please provide name, email address, and phone number of a personal reference not related to you or from the same household.

Pets usually require a minimum cost of $500 per year for veterinary care, food, and other ex- penses. Are you willing and able to accept these costs?

YES

NO

How did you hear about Luna Foundation Aruba, Inc.?

Thanks for applying! Please check your emails to find out about the next phase of the adoption application process. Love Luna xo

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