Adoption Application

Thank you for your interest in adopting an Animal Lifeline pet. It is very important to us that our adoptable pets find their forever families. We use this application to help ensure that we match the right pet to your family. Once your application has been received, you will hear from us as soon as we review your application. Please fill out ALL questions. Incomplete applications will not be reviewed. If any question does not apply, write N/A. Completion of this application does not guarantee approval to adopt, nor does it in any way represent a contract.

PRIMARY APPLICANT INFORMATION

Please list all people (including you) who currently live at your residence. List name, age and relation to you.

Please list any cats, dogs, and other pets who currently live in your household. Include name, type/breed, age, sex, and how long owned.

Please list any other pets you owned in the past. Include name, type/breed, age, how long owned, and what happened to the pet?

Have you ever taken one of your pets to a shelter or given an animal away? If so, please describe circumstances.

REFERENCES

Please provide the contact information of a veterinarian you have used before for previously owned dogs. Please do not include family pets that you were not the primary owner. Vet references are checked.

First time dog owner?

Yes

Please provide the contact information of one personal reference who we may call.

Please list place(s) of employment for yourself, your spouse (if applicable), and all other working adults in your home. We do not call employers; this is for our records.

HOUSEHOLD INFORMATION

Do you:

Own

Rent

CARE OF THE DOG

CONTRIBUTIONS TO ANIMAL LIFELINE PITTSBURGH

We are an independent 501(c)3 nonprofit rescue. Our adoption fees range from $200 to $300 and cover part of the costs of rescuing, rehabilitation and rehoming dogs in need.

100% tax deductible contributions from our friends and community partners make up the difference and provide food and all the necessary veterinary care our dogs so desperately need.

The adoption process includes approval of this application, reference and vet check, a home check, meeting the dog(s) in-person, and signing a contract (which stipulates the dog MUST be returned to Animal Lifeline if you can no longer care for him/her). This is all to ensure the safety of the dog.

Please realize that dogs will need veterinary care after being adopted, including regular physical exams, vaccinations, heartworm and flea/tick preventative medicines, etc. Adopting a dog is a long-term commitment – please consider this before adopting.

By clicking submit, you are indicating that you agree to the above terms.

Missing information. Please complete all fields, marking N/A if not applicable.