Please complete this form only if you are previously approved and have been instructed to do so by LAHPSTR.Lend A Helping Paw Shih Tzu Rescue Adopter Update FormFor an approved adopter to submit updated informationPlease enable JavaScript in your browser to complete this form. - Step 1 of 2Have you previously been approved to adopt from Lend A Helping Paw Shih Tzu Rescue? *YesNoDate of approval, if knownHave you previously adopted a dog or more from us? *YesNoNextName *FirstLastEmail *EmailConfirm EmailPhone *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeOccupation *Work Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCo-ApplicantCo-Applicant's NameFirstLastCo-Applicant's EmailEmailConfirm EmailCo-Applicant's PhoneIs address same as above?YesNoCo-Applicant's AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCo-Applicant's Occupation Co-Applicant's Work Address Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCurrent PetsHow many pets (dogs, cats, other) currently live in the household? *Pet 1Name *Type of Pet *DogCatOtherLAHPSTR Alum? *YesNoMale or Female? *MaleFemaleNeutered or Spayed? *YesNoHow long owned? *Where kept? *Pet 2Name *Type of Pet *DogCatOtherLAHPSTR Alum? *YesNoMale or Female? *MaleFemaleNeutered or Spayed? *YesNoHow long owned? *Where kept? *Additional Pets (# - Name - Type - Alum - Male/Female - Neutered/Spayed - How long owned - Where kept). *Immediate Household Members and Regular VisitorsPerson 1NameFirstLastAgeRelationship to youLives with you?YesNoPerson 2Name FirstLastAge Relationship to you Lives with you? YesNoPerson 3Name FirstLastAge Relationship to you Lives with you? YesNoPerson 4Name FirstLastAge Relationship to you Lives with you? YesNoPreviousCommentSubmit