My name is Lucy-Pending!

Lucy is a very sweet girl. We were told she was around 4-6 years old. She was a house dog at one time. She was retired from a breeding kennel. She is doing well with adjusting to living her new life in a foster home. Some things she is timid with but will overcome that them more time she spends in a home. Lucy is a very smart girl. She likes to spend most of her days lounging around. She would do best in a home with older children because we do not have any history on her with young children. She gets along with other dogs but can be a little picky when she meets other female dogs. Lucy will be spayed, given a dental cleaning(with extractions if needed), updated on her 7-way vaccine, wormed, heart worm tested, on heart worm and flea prevention, micro chipped, and given her rabies vaccine before be placed in her forever home. The adoption fee covers all this vetting. Her adoption fee will be around 375.00-475.00 depending on her dental and spay surgeries. If you are interested in adopting Lucy please email changingheartsrescue@aol.com. A copy of our application is below. to speed up the process please copy and paste the application below into an email. Fill out all the information and email it to changingheartsrescue@aol.com. Lucy will not be shipped or transported. You must have an approved application before you can visit any of our adoptables.


Application:





Dog Adoption Application Form

Contact Information

Full name:



Occupation: ______________________________________________________________

Address: ______________________________________________________________



How long at this address:__________________________________________________



Daytime Phone: ___________________________________________________________



Evening Phone: __________________________________________________________



Best time to call: ___________________________________________________________



Email address: __________________________________________________________



Family & Housing

How many adults are there in your family (their relationship to you)?

_________________________________________________________________________



How many children (ages)?

_________________________________________________________________________



What type of home do you live in single family, town home, apartment, farm, etc.?

_________________________________________________________________________



Please describe your household: __ Active __ Noisy __ Quiet __ Average



If you rent, please give the rules governing pets and the landlord's name and number:



(by providing this information you are allowing CHR permission to contact your landlord please inform them of this call so they will speak with us)



Does anyone in the family have a known allergy to dogs? _________________________



Is everyone in agreement with the decision to adopt a dog? _________________________



Do you have time to provide adequate love and attention? _________________________

Other Pets



What other pets do you have (specify type and number)?





Are these pets up to date on vaccines? _________________________________________



Are these pets spayed/neutered? If not. Why?____________________________________



_________________________________________________________________________



Have you every surrendered a pet? If so, why?



_________________________________________________________________________



Have you ever had a pet euthanized? If so, why?



_________________________________________________________________________



Have you ever lost a pet to an accident?



_________________________________________________________________________



How do you discipline your pets and why?



_________________________________________________________________________

Veterinarian



Do you have a regular veterinarian? __ Yes __ No



Veterinarian's name: _______________________________________________________



Clinic Name: _______________________________________________________



Clinic Address: ________________________________________________________



Clinic Phone: ________________________________________________________



(Providing CHR with this information you are allowing CHR to call your vet. Please call your vet and ask them to authorize the release of information to CHR.)



















About the Dog You Wish to Adopt



What is your idea of an ideal dog and why?



Desired age: __________ Desired Size: _____________________________________



Desired breed: _______________________________________________________________



Breed you would not adopt:_____________________________________________________



Desired sex: _ Spayed Female _ Neutered Male _ No preference



Willing to adopt: __ outgoing/hyper dog __ shy dog

__ dog that needs regular medication __ dog that needs training

__ dog that needs grooming __ None of these









Where will the dog spend the day? (describe)

_________________________________________________________________________



Where will the dog spend the night? (describe)

_________________________________________________________________________



Number of hours (average) dog will spend alone? _________________________________



Who will have primary responsibility for this dog's daily care? _______________________



Who will have financial responsibility for this dog? ________________________________



Do you agree to provide regular health care by a Licensed Veterinarian? __ Yes __ No



Do you agree to keep the dog as an indoor dog? __Yes __No



When the dog goes out, how do you plan to supervise it? Fenced yard?



Do you agree to contact CHR if you can no longer keep this dog? __Yes __No



Are you be willing to let a representative of CHR visit your home by appointment?
__Yes __No



How did you hear about CHR? _____________________________________________________



Would you be interested in fostering? __Yes __No __Would like to know more















Personal References

Please list someone who is familiar with both you and your pets.



Name:

Address:

Phone:

Relationship (relative, neighbor, friend, etc.):



Name:

Address:

Phone:

Relationship (relative, neighbor, friend, etc.):



All of the information I have given is true and complete. This dog will reside in my home as a pet. I will provide it with quality dog food, plenty of fresh water, indoor shelter, affection, annual physical examination and vaccinations under the supervision of a licensed Veterinarian.



___________________________ _________

(Signature) (Date)