Application for Adoption and/or Volunteer Program

Before filling in this form, be sure you have read our Adoption Process page entirely, and have reviewed our Service Area. Applications from outside our service area can not be processed. Thank you!

Instructions

  • Fill out this online application completely and click the “Send Application” button at the bottom of the page.
  • Print the signature page that is displayed.
  • Sign and date where indicated on the signature page. If a joint application, both applicants must sign.
  • Mail the signed signature page to the address shown.

If you are unable to print an application, you may call (301) 868-3524 and request that an application be mailed to you.

If you experience any technical problems with the online application, you may send mail to webmaster@lrr.org for assistance. Note: our webmaster can not approve or provide status updates for applications.

Applicant and co-applicant information
Enter one address only
Application type
Are you interested in adopting a dog or becoming a volunteer?
If you are interested in volunteering, please identify your interests:
Dog preferences (check all that apply)
Sex:
Energy level:
Age:
Color:
Background information
Reason(s) for wanting to adopt an animal:
What type of home do you live in?
Do you rent or own your home?
Do you have a fenced yard?
Do you have any of the following (check all that apply):
Are you willing to take responsibility for this dog for the next 10 or more years?
Please list all of the pets you (and co-applicant) have owned in the past five years:
Pet's Name Type of Pet Sex Age Spayed/
neutered?
(yes/no)
Where is it now?
Please provide names and phone numbers of two references (neighbors, veterinarians, LRR volunteers, etc.) Relatives may not be used as references.
Reference name Phone number Relationship
Please list the contact information for your veterinarian:
Verification and printing
Note: By submitting this application, you are authorizing LRR, Inc. to check your personal and veterinarian references.