A Wish for Animals Adoption Application

A Wish for Animals Adoption Application

Thank you for your interest in our furry friends! Please read each question carefully and answer fully.
A Wish for Animals is an all-volunteer, non-profit, animal welfare organization dedicated to the rescue and placement of stray, neglected and abused animals. A Wish for Animals is completely funded through fundraising efforts and public donations. All of our pets are cared for by foster homes and receive comprehensive medical care prior to their adoption.
This questionnaire is designed to help A Wish for Animals Rescue and yourself determine if a specific dog is the right one for you and your household. All adopting parties are required to complete this form prior to adoption. A Wish For Animals reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions!
Applicant Information
Name of the Animal you are interested in: *
Your full name: *
Your age: *
Street Address: *
City, State, Zip *
Home Phone: *

Area Code Phone Number
Work Phone:

Area Code Phone Number
Cell Phone:

Area Code Phone Number
E-mail: *
Employer:
Character reference and phone number:
Household Information
Are all members of your household in agreement with this adoption? *

Yes No Don't Know
Who will be the pet's primary caregiver? *
Do you live in a *

House Apartment Condo Mobile Home
Do you own or rent? *

Own Rent
If rent, provide name and phone number of landlord:
Does your landlord allow dogs?

Yes No
Are there any restrictions from your landlord or subdivision? *

Number of pets Size or weight restrictions Breed restrictions None
Do you have a fully fenced yard? *

Yes No
Height and type of fence *
Do you have a pool? *

Yes No
If so, is it fenced?

Yes No
Do you have any of the following? *

Underground fence Kennel Dog Run None of the Above
How many adults are in your household? *
How many children are in your household? *
If children, what are their ages?
Have your children been around animals before?

Yes No
Does anyone in your home have allergies to dogs or have asthma? *

Yes No
Current/Previous Pet Information
List any pets you own or have owned in the past five years with ages and breeds. *
How many of these pets are spayed/neutered? *
Where are these animals now? *
Have you adopted from A Wish for Animals before? *

Yes No
Have you ever given up a pet? *

Yes No
If yes, what were the circumstances?
Please provide the name and phone number of your current and/or previous veterinarian or clinic: *
Do you have a limit for vet bills? If yes, please write. *
New Pet Information
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato) *
Are you aware of crate training? *

Yes No
Have you ever house-broken a dog or puppy before? *

Yes No
If the dog has an "accident" in your home, what type of correction do you plan to use? *
How many hours each day will your pet be home alone? *
What percentage of the time will your pet be inside? *
What percentage of the time will your pet be outside? *
What rooms in the house are off limits to your pet? *
Is your pet allowed on the furniture? *
Where will your new pet sleep at night? Please be specific *
How will you supervise your pet's outdoor activity? *
Where will your new pet stay when nobody is home? *
What brand of pet food do you plan to use? *
What brand of treat do you plan to use? *
What length of time will you allow your new pet to adjust to his new home? *
Are you willing to work through your new pet's issues, if any? *

Yes No
What will you do if your pet destroys a non-pet item? *
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior? *

Yes No
Do you understand that a dog can be an 18 year commitment, and can cost $300 - $500 per year to care for? *

Yes No
Do you plan to take an obedience class with your dog? *

Yes No Not sure
If yes, where?
Are you aware that a large breed dog takes about two years to mature? Is this something you're prepared for? *

Yes No
What circumstances would lead you to give up your new dog? *
Are you willing to consult a behavioral professional should your pet create any issue? *

Yes No
If you had to give up your dog, what would you do with him/her? *
How did you find out about A Wish for Animals? *

Adoptapet.com Petfinder.com AWFA @ UCLA ASPCA Friend/Family Member Other website Instagram
Is there anything else you want us to know?
I understand that I am responsible for my new pet from the time and date of adoption. I understand that the adoption process can take up to one to two hours depending on how many animals the organization must adopt and vaccinate that day. I understand that under any extreme circumstance, I will contact A Wish for Animals immediately.
Signature

Clear
Should be Empty:

A Wish for Animals Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information