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Placement Questionnaire

You have chosen to adopt from a rescue. Lifeline does not receive city, state or federal financing. We do not own a facility or have a veterinarian on staff. Public donations and adoption fees pay for all rescue operations and vaccinations. We are a small group of volunteers who have dedicated a large portion of our lives to saving puppies. Our knowledge comes from 27 years of experience!  Any vet bills agreed to outside of adoption are the adopters responsibility.  NO VET BILLS WILL BE PAID BY LIFELINE AFTER ADOPTION!

Before we get started

You must be at least 18 years old to complete this placement questionnaire.
Puppies can not be gifted. Please consult with a Lifeline representative before continuing with this questionnaire.
You must be at least 18 years years old and puppies can not be gifted.
Please consult with a Lifeline representative before continuing with this questionnaire.

Personal Details

Household Questions

Adoption Information

Finishing up

How did you hear about Lifeline Puppy Rescue?

Time to confirm some things

Please read through each confirmation below and check the box only if you agree and understand.