Application for Adoption | Lynn's Animal Rescue

Thank you for your application

Please note: As of 9-22-2021, there is a $5 application fee.

This fee is non-refundable.

Note 8-9-2020: This online form is live and ready for use. If you are concerned about, or have trouble using this form, you still have the option to use the original PDF, then scan-to-email or send the result to lynnsanimalrescue@gmail.com.

Please use this application form

* = Required field

Your Name *

0 of 50 characters

Your Email *

0 of 200 characters

Phone Mobile * Mobile Text Phone Street * Street City * State Zip * Years at current address Own or Rent Household House type Landlord's name Landlord's Phone

Interested in a particular animal? Animal's name Or What are you looking for? Color / breed Gender Declawed? Age Why do you want to adopt? *

0 of 500 characters

Have you ever owned a dog or cat? Do you plan to declaw? Will this animal go outside? What will you feed this animal? How long will this animal be alone each day? What will you do if you: are unable to care for your animal?

0 of 200 characters

move your residence?

0 of 200 characters

go on vacation?

0 of 200 characters

What pets do you have right now and/or the past 10 years? Have now? Species Pet's name Fixed? Declawed? Goes outside?

Have now? Species Pet's name Fixed? Declawed? Goes outside?

Have you ever surrendered and animal to a rescue or shelter? Do you have vet? Vet's name Vet's Phone How long?

Please list 2 references Name * Phone * Relationship Name Phone Relationship

Present place of employment * Phone How long? How did you hear about us? Are you okay with Lynn doing a home visit before or after adoption? When would you like to take your adopted pet home?

I would like to receive promotional emails from Lynn's Animal Rescue

I certify that all of the above info is true. I hereby authorize the release and disclosure of any records needed to process this application. I understand that any false info given will automatically disqualify me from adopting from Lynn's Animal Rescue.

Lynn's Animal Rescue reserves the right to deny any application it deems unsatisfactory.

If for any reason you cannot keep this animal, you legally must return him/her to Lynn's Animal Rescue. If you wish to place this animal into a new home, you must first notify Lynn's Animal Rescue for approval and change of information.