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 Form
For an approved adopter to submit updated information
- Step 1 of 2
Have you previously been approved to adopt from Lend A Helping Paw Shih Tzu Rescue? *
Yes
No
Date of approval, if known
Have you previously adopted a dog or more from us? *
Yes
No
Name *
First
Last
Email *
Email
Confirm Email
Phone *
Address *
Address Line 1
Address Line 2
City
State
Zip Code
Occupation *
Work Address *
Address Line 1
Address Line 2
City
State
Zip Code
Co-Applicant
Co-Applicant's Name
First
Last
Co-Applicant's Email
Email
Confirm Email
Co-Applicant's Phone
Is address same as above?
Yes
No
Co-Applicant's Address
Address Line 1
Address Line 2
City
State
Zip Code
Co-Applicant's Occupation
Co-Applicant's Work Address
Address Line 1
Address Line 2
City
State
Zip Code
Current Pets
How many pets (dogs, cats, other) currently live in the household? *
Pet 1
Name *
Type of Pet *
Dog
Cat
Other
LAHPSTR Alum? *
Yes
No
Male or Female? *
Male
Female
Neutered or Spayed? *
Yes
No
How long owned? *
Where kept? *
Pet 2
Name *
Type of Pet *
Dog
Cat
Other
LAHPSTR Alum? *
Yes
No
Male or Female? *
Male
Female
Neutered or Spayed? *
Yes
No
How long owned? *
Where kept? *
Additional Pets (# - Name - Type - Alum - Male/Female - Neutered/Spayed - How long owned - Where kept). *
Immediate Household Members and Regular Visitors
Person 1
Name
First
Last
Age
Relationship to you
Lives with you?
Yes
No
Person 2
Name
First
Last
Age
Relationship to you
Lives with you?
Yes
No
Person 3
Name
First
Last
Age
Relationship to you
Lives with you?
Yes
No
Person 4
Name
First
Last
Age
Relationship to you
Lives with you?
Yes
No
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