Interest Sheet

Please mark all boxes that apply

Age preference:       

[ ] puppy, 8 weeks-1 year old

                             [ ] young, 1 year-3 years old

                             [ ] adult, 4 years-7 years old

                             [ ] senior, 8 years and older

          Is the age a deal breaker?

Meaning, if a dog meets all other requirements, will the age determine adoption?

          [ ] yes [ ] no

Color preference:

                             [ ] chocolate

                             [ ] yellow

                             [ ] black

                             [ ] no preference

          Is the color a deal breaker?

Meaning, if a dog meets all other requirements, will the color determine adoption?

          [ ] yes [ ] no

Sex preference:

                             [ ] male

                             [ ] female

                             [ ] no preference

          Is the sex of the dog a deal breaker?

Meaning, if a dog meets all other requirements, will the sex determine adoption?

          [ ] yes [ ] no

Contact information –

Name:

Address:

Phone number:

Email address:

Have you filled out an LVLR application? [ ] yes [ ] no