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Adoption Application

Adoption Application Form
FAX TO: 954-784-8756

CONTACT INFORMATION
NOTE: The more complete your answers are, the more likely we will be able to find you a dog.

Name of Applicant(s): ____________________________________________ Date: _____________

Address: ______________________________________________

City, State: ____________________________________________ Zip _________

Home phone number: _____________________ Work phone number: _________________________

Cell phone _____________________ Email: _______________________________________________

Where did you hear about us? _____________________________________________________________

ADOPTION QUESTIONNAIRE
Please answer each question in detail. This helps us match you up with the right dog! If you see a dog you like on www.gigiandluca.com, please email us at info@gigiandluca.com (or call us at 954-784-8755 if you don't have email) AFTER you have submitted this form.

1. What KIND of dog are you looking for? (Please fill in all items.)
a. Size when full-grown: _______ lbs.
b. Hair Length: __Short __Medium __Long __Any
c. Color Preference (if any): ___________________________
d. Preferred Sex of Dog: __Male __Female __Either
e. If you are looking for a specific type(s), breed(s), or mix(es), please list your preference(s)here:
____________________________________________________________________________

2. AGE of dog desired:
q Under 6 months
q Young Adult
q 3 + years
q No Preference

3. WHY do you want a dog?
q Companion for existing dog
q Companion for you
q Playmate for kids
q Other _____________________________________________________________________

4. When was the LAST TIME you had a dog? _________________________________________

a. What kind of dog did you have? __________________________________________

b. Was s/he spayed or neutered? __Yes __ No
If not, Why Not? _____________________________________________________________

d. Where did you get the dog? _____________________________________________________________

e. What happened to the dog? _____________________________________________________________



Page 2 Applicant Name: _______________________


5. About Your Home:
a. Check your type of dwelling: __House __TownHouse or Condo __Apartment
b. Do you : __Own __ Rent
c. RENTERS: do you have written permission to have a dog of your choice live with you? __Yes __No
d. We have a: __ Secure Fenced Yard __Dog Run __Neither

6. How many people in your household? ____ If any children, what are their ages? __________________
Do other children or grandchildren visit? ________ What ages? __________________

7. This dog is desired for an: __Individual __Couple __Family
a. Who will ultimately be responsible for the dog? ________________________________________

8. Describe any other pets in the household. __________________________________________________

9. How much will the dog be alone?
Describe a Typical Day: _____________________________________________________________

10 Will your dog be allowed in the house? ___________
a. Where will your dog sleep at night? __________________________________________________

11. HOW, and how OFTEN, do you plan to exercise your dog? (e.g., dog parks, hiking trails, neighborhood
walks, etc.) ___________________________________________________________________________

12. HOW do you plan to Obedience Train the dog? ___________________________________________
_____________________________________________________________________________________

13. I understand an Adoption Fee/Donation is necessary to help offset costs incurred to rescue/care for each dog. The fee is approx. $300-400 OK? _____



Please return the completed Application to:

Gigi + Luca Pet Boutique, LLC
1825 NE 24th Street Lighthouse Point, FL 33064

OR, Fax both completed pages to 954-784-8755

For any questions: Email info@gigiandluca.com or Call 954-784-8755

Visit our website at www.gigiandluca.com for more information
or to download another copy of this application.

If you see a dog you are interested in on the web site, please email us at
info@gigiandluca.com and if the dog is still available and seems a good match to your
family, we WILL call you back. If you don't hear from us within a week, you can assume
that dog was already promised to someone else, so email us again when you see another dog
you like.

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