Application for Adoption 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 this is a joint application, both applicants must sign.
  • Mail the signed signature page to the address shown.

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

Application type

Dog preferences (check all that apply)

Background information

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?
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

 By submitting this application, you are authorizing LRR, Inc. to check your personal and veterinarian references.