Woof Houze Canine Rescue Adoption Application

Woof Houze Canine Adoption Application
Woof Houze Canine Rescue is an all-volunteer, non-profit, animal welfare organization dedicated to the rescue and placement of surrenders, stray, neglected and abused animals. Woof Houze Canine Rescue is completely funded through fundraising efforts and public donations. All of our pets are cared for by foster homes and receive medical care, which includes worming & vaccinations, there is a $275 to $400 fee for the adoption and prepayment to their vet for spaying or neutering. Please keep in mind that this process can take one week to one month or more as we need to verify your application in its entirety. We also would need to schedule a home visit prior to approval. If anything is falsified your application will be denied. The application fee of $25 must be paid before processing can begin. You will be directed to the PayPal payment screen once application is signed and submitted.
Which pup are you inquiring about? If open minded please put open. *
Applicant Information
Your full name:*
Your age:*
Street Address:*
City, State, Zip*
Home Phone:*

Area CodePhone Number
Work Phone:*

Area CodePhone Number
Cell Phone:*

Area CodePhone Number
E-mail:*
Employer:*
Have you been convicted of a felony or misdemeanor? Please explain in detail.
Character reference and phone number:*
Character reference and phone number:*
Character reference and phone number:*
Do you understand you must hire a professional dog trainer approved by Woof Houze using positive reinforcement for at least 60 days also based off of the trainer recommendation. This must be set up and confirmed within 7 days of adoption. This is mandatory so if you chose no then please stop here.*

YesNo
If owned a pet previously please provide Vet reference and phone number: if doesn’t apply put N/A*
Household Information
Are all members of your household in agreement with this adoption?*

YesNoDon't Know
Who will be the pet's primary caregiver, please list all ?*
Do you live in a*

HouseApartmentCondoMobile HomeOther
Do you own or rent?*

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

YesNo
Are there any restrictions from your landlord or subdivision?*

Number of petsSize or weight restrictionsBreed restrictionsNone
Do you have a fully fenced yard? Please note you MUST have a fence and we don’t accept invisible fences*

YesNoPlanning to get one within 30days
Do you plan to move and if so what happens if you move and the dog isn’t accepted in your home or hoa?
Height and type of fence*
Do you have any of the following?*

Underground fenceKennelDog Run
How many adults are in your household?*
How many children are in your household?*
If children, what are their ages? Doesn’t apply place N/A*
Have your children been around animals before?

YesNo
Does anyone in your home have allergies to dogs or have asthma?*

YesNo
Current/Previous Pet Information

If doesn’t apply put N/A
List any pets you own or have owned in the past five years, and their ages*
How many of these pets are spayed/neutered?*
Where are these animals now?
Have you adopted from an animal welfare group before?*

YesNo
If yes, what group?*
Have you ever given up a pet?*

YesNo
If yes, what were the circumstances?*
Please provide the name and phone number of your current and/or previous veterinarian or clinic:*
New Pet Information
Which canine is this application for? *
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)*
Are you aware of crate training?*

YesNo
Have you ever house-broken a dog or puppy before?*

YesNo
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 new pet be home alone? When alone where is the canine going to be kept?*
Where will your new pet sleep at night?*
How will you supervise the dog's outdoor activity?*
Where will your new dog stay when nobody is home?*
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?*

YesNo
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior? Are you patient enough to give the canine time and work through it with our support?*

YesNo
Do you understand that a dog can be an 18 year commitment, and can cost $600 - $1500 per year to care for?*

YesNo
Do you understand you must take an obedience and or behavior training class with your dog?*

YesNo
If yes, where? A gentle reminder we must approve this.
Do you agree to periodic checks

YesNo
Do you understand that all current animals must meet the adoptive pet before your application is considered?

YesNo
Do you understand that the use of shock/e-collars, martingale and prong collars are prohibited for our adoptive canines? We recommend the use of a harness and not walking with a flat collar around the throat but a back clip harness.

YesI’d like to learn moreNot in agreement
Are you aware that a large breed dog takes about two years to mature? Is this something you're prepared for?*

YesNo
What circumstances would lead you to give up your new dog?*
If you had to give up your dog, what would you do with him/her?*
How did you find out about Woof Houze Canine Rescue?*

Adoptapet.comPetfinder.comFacebookFriend/Family MemberOther websitePetSmartOther
I understand that I assume full responsibility for the welfare of this pet from the date of adoption.
Do you understand there is a $275-$400 adoption fee depending on pet? You are in agreement with this fee?*

YesCan’t afford
Signature*

Clear
Should be Empty:

Woof Houze Canine Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information