Adoption Application

Our goal is to provide loving, forever homes for wonderful dogs in order to ensure their well-being and lasting happiness.

Please complete all information – failing to complete in full will hold up your application status.

Name of Dog:
Phone Number:
Zip code:
Spouses/Significant Other Occupation:
Do you have children?
Names and Ages of Children:
Do you live in a house, apartment, trailer, other?
Do you own or rent?
If you rent do you have landlord's permission to have a dog?
Years at current address:
If less than a year - previous address:
Do you have a fenced yard?
How will you handle bathroom duties?
How many hours per day will your dog be alone?
Where will your dog be kept when you are not at home?
Are there any other pets in the household?
Are they up to date on vaccinations? Please note Little Feet Big Heart Rescue will check vet references.
Names and breeds of previous/current dogs:
Cause of death:
Name and Number of Vet: (Please note this is a mandatory field if you have or previously had pets)
Will you allow a representative of Little Feet Big Heart Rescue to visit your home?
Do you agree to contact Little Feet Big Heart Rescue if you no longer can keep or care for any dog you adopt?
Have you ever returned a dog to a pet store, breeder or another shelter?
If Yes, why?
Many of the rescue dogs that we receive are not fully housebroken. Are you willing to train them and work with them?
Are you willing to use positive reinforcement training?
Other information that might help us when placing a dog with you:

Little Feet Big Heart Rescue Animals are house dogs and are not to be housed outdoors or allowed to roam free.

The age requirements to adopt is 21 and over. You must be able to show proof of homeowners insurance and have landlord approval to adopt from LFBHR.

All of the information I have given is true and correct. I will provide this dog with proper and sufficient food, water, shelter, medical care, companionship and humane treatment at all times. I agree that Little Feet Big Heart Rescue is in no way liable or responsible for any damage, accident or injury resulting in the placement of a dog into my household.

We reserve the right to refuse any person or persons from fostering or adopting from Little Feet Big Heart Rescue.� Completing an application for adoption does not guarantee or promise a dog. The best possible match will be found for each dog based on their current needs.

Applicant Signature:
Co-applicant signature: