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

First Name

Last Name

Select a date

Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

How did you hear about us?

Friends

Google Search

Social Media

Other

How many children do you have?

Children's Age/s

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

Own

Rent

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.