Adoption Form

* indicates required field

LFAW is committed to finding permanent, responsible, loving homes for all our animals. Please complete all questions below to help us find you the right pet for your home! The adoption process includes this survey, then an interview, and approval/denial. LFAW reserves the right to refuse an adoption to anyone for any reason. Thank you for your time and cooperation.

Adopter Information

Pet Information

Please list any pets currently living in your home

Pet #1

Pet #2

Pet #3

Pet #4

Residential Information

If You Rent

I Attest the Above Information Is True and Accurate