Fields marked with an * are required HTML Lending Paws A Hand, Inc.Adoption ApplicationPO Box 765, Sanford, NC 27331Email: lpah.application@gmail.com HTML Thank you for your interest in adopting a dog or cat from Lending Paws A Hand, Inc. Please note we only adopt out to the states of NC, SC, and VA. Our adoption fees are $200 for adult dogs, $275 for puppies (under 5 months), $100 for adult cats, and $175 for kittens (under 5 months). To ensure that each of our animals finds an appropriate home, our application asks several detailed questions that are necessary for the screening process.All information will be kept completely confidential. First Name * Last Name * Are you 21 or older? * Yes No Spouse/Domestic Partner Name * (please put N/A if not applicable) Address * City * State * Zip * Cell Phone * Home Phone Work Phone Email Address * Please add lpah.application@gmail.com to your safe sender list. This is our main way of communicating. Place of Employment * Occupation * Do you have reliable transportation? * Yes No If unemployed or retired, do you attest to have the financial ability to properly care for, feed, house, and get yearly vetting for an animal? * Yes No N/A Do you live in a... * House Condo/Townhome/Duplex Apartment Farm Other Do you... * Own Rent If you rent, does your landlord allow pets? * Yes No N/A Landlord Name and Phone Number (please put N/A if you own your home) * Please contact your landlord to authorize Lending Paws A Hand to obtain information. Landlord Email Address (if available) Are there any restrictions where you own or rent? (including breed restrictions, fencing restrictions, etc.) * Yes No If so, please explain. List number and ages of children under 18 living in or frequently at your home. * (please put N/A if not applicable) HTML Outdoor accommodations for dogs must be approved by Lending Paws A Hand during a home visit (in-person or virtually).Please note Lending Paws A Hand only adopts/fosters cats to indoor homes, and we do NOT allow declawing of any cats. Type of pet you are interested in adopting. * Dog Cat Name of dog or cat you are wishing to adopt. * If not requesting a specific animal, please include any details about the type of pet you are interested in adopting. If you are interested in adopting a cat, will the cat be kept indoors at all times? * Yes No N/A If you are interested in adopting a dog, will the dog be kept primarily indoors? * Yes No N/A If you are interested in adopting a dog, please describe the area where the dog will spend time when outdoors. * Size of enclosures, type and height of fencing, shelter for inclement weather, etc. Approximately how many hours will the pet be left alone? * Where will the pet be kept during the day? * Where will the pet be kept at night? * What method of training are you willing to use to train the pet or correct behavior? * Are all members of the household in agreement about adopting a pet? * Yes No Are there any known allergies to pets in the home? * Yes No If you were to move, will the pet go with you? * Yes No Have you ever had to surrender or rehome a pet? * Yes No If so, please explain. HTML Lending Paws A Hand is a licensed rescue under the NC Department of Agriculture.Current pets in the home must be up-to-date on vaccinations. We will contact your veterinarian for proof of vetting. Do you currently have any pets? * Yes No List all pets on your property, whether yours or belonging to other people. * Please include name, age, breed, gender, microchipped, spayed/neutered, up-to-date on vaccinations. If you have any cats, are your cats declawed? * Yes No N/A If so, please describe why your cat was declawed. If no pets currently, have you had pets before? * Yes No If so, please describe all other pets you have had in the past 10 years. * Where are they now/what happened to them. Veterinarian Name and Phone Number * Please contact your vet office to authorize Lending Paws A Hand to obtain information. HTML It is Lending Paws A Hand policy to contact personal references. Please provide two references, preferably NOT family members. Make sure to notify your references that we will be contacting them. Reference 1: Name and Cell Phone (please include Email Address if available) * Reference 2: Name and Cell Phone (please include Email Address if available) * Please provide an additional contact in case we are not able to reach Reference 1 or 2. Provide any additional information you feel is relevant regarding your desire to adopt a dog or cat. To help us know what is working, we would love to know how you heard about us! (please list/explain briefly) * By checking this box and submitting this Adoption Application, I agree to permit a home visit (in-person or virtually) prior to the dog or cat being placed in my home. If approved for adopting, I understand an Adoption Agreement must then be executed as well as the Verification of Government Issued Photo Identification. * By checking this box and submitting this Adoption Application, I agree to the Adoption Returns Refund Guidelines (https://lpah.org/adoption-returns/). * By checking this box, I understand that if I live outside of a 25 mile radius from the foster of the pet I'm interested in adopting, a $20 fee will be required prior to a meet and greet to cover expenses involved with transportation. * If you are a human seeing this field, please leave it empty.
