Adopt a Pet

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Please correct the field(s) marked in red below:

Animal I.D./Name
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Applicant's Name
 *
Email
Driver's License or I.D. Number
 *
Daytime Phone Number
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Physical Address
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City
 *
State
 *
Zip Code
 *
Do you...?
Do you...?
Landlord's Name (if renting)
Landlord's Phone Number (if renting)
Do you have a private yard?
Do you have a private yard?
Where will this pet be kept during the day?
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During the night?
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Are there other people living in the household?
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Are there other people living in the household?
Is anyone in your household allergic to animals?
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Is anyone in your household allergic to animals?
Have you ever adopted a pet from the Lafourche Parish Animal Shelter before?
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Have you ever adopted a pet from the Lafourche Parish Animal Shelter before?
If so, where is/are the pet(s) now?
Tell us about any pets you currently have. Be sure to include each pet's name, type of animal, name of the pet's vet clinic and responsible party (whose name is on the chart at the vet).

Application Agreement Terms

 I understand that the Lafourche Parish Animal Shelter (LPAS) can void this agreement if this application contains any false or misleading information. By checking the agreement box, I am giving my consent for the LPAS to perform a vet reference check on any of my animals. I hereby accept the terms of the LPAS Adoption Agreement. I understand that completion of this application does not guarantee that I will be allowed to adopt and that LPAS Staff reserve the right to refuse adoption to anyone.

I have read and agreed to these terms.
 *
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