top of page
Use tab to navigate through the menu items.
Adopt a Dog
LaMancha Animal Rescue Dog Adoption Application
Completing an application is not a commitment to adopt, simply a way for us to help determine if there is a good match.
Dog you are inquiring about
Select a date
Street Address Line 2
Postal / Zip code
How did you hear about us?
How many children do you have?
Number of Adults Living at Home Address
How many dogs do you already have?
Do you own any other pets? If so, please provide breed, sex, age and name for each (including dogs)
Do you own or rent? A home check may be required either prior to or after bringing the dog home
Please provide landlord's name
Please provide landlord's phone number
For any previous dogs, please describe them and why they are no longer living with you or are deceased
Where will the dog spend most of their time?
Where will the dog sleep?
Is your yard fenced?
Yes, it is fenced
No, it is not fenced
Please describe the type of fence, its height, and area enclosed
Since your yard is not fenced, how will you exercise the dog?
Why have you chosen this breed?
Please describe your experience with dogs
Please provide your veterinarian's name here
Please provide your veterinarian's phone number here
Please make certain that the vet has your pet listed under the name on this application (this could be either a husband/wife’s first name or a prior to marriage/divorce name) the vet’s office may not be able to find it if we don’t have the correct first and last name. If your vet requires your permission prior to providing information, please call & tell them we will be calling.
Please provide two non-family references with a name and phone number for each
First non-family reference name
First non-family reference phone number
Second non-family reference name
Second non-family reference phone number
If your application is approved, a home visit may be scheduled at your convenience. You will need to bring payment for the adoption donation. This adoption fee is tax deductible, and helps to pay for the neutering, health care and food for the rescued dogs, horses, and cats that live at the rescue.
The donation for a puppy is $400, adult is $300, senior is $50.
bottom of page