Adoption Application
What type of animal are you interested in adopting?
*
Please Select
cat
dog
Which specific animal are you interested in adopting?
*
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Number of adults in home & ages
*
Number of children in home & ages
*
Current pets (include age and whether or not they have been spayed/neutered)
*
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Next
Rent or Own?
*
Please Select
Rent
Own
Ownership will be verified. Renters will need permission of landlord
Landlord Name
Landlord Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Please include personal references. References cannot be family members
Reference #1 Name
*
Reference #1 relationship
*
Reference #1 phone
Please enter a valid phone number.
Format: (000) 000-0000.
Reference #1 email
example@example.com
Reference #2 Name
*
Reference #2 relationship
*
Reference #2 Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Reference #2 Email
example@example.com
Do you currently have a veterinarian?
*
Yes
No
Veterinarian Name/Business
Veterinarian Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
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Have you every relinquished a pet to a rescue or a shelter? If yes, please explain.
*
If you have other pets, how will you make sure they all get along?
*
How will you handle training concerns like litter box accidents, jumping on the kitchen counters, etc.?
*
How will you train your cat to scratch appropriately? Do you have scratching posts and towers? Will you use nail caps? Are you able to trim nails?
*
How will you handle training concerns like potty accidents, barking, chewing, etc.?
*
What will you do with your dog when you’re away from home?
*
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By submitting this application, I certify that the information I have given is true, and I understand that any misrepresentation of the facts may result in my losing the privilege of adopting a pet. I understand that Waushara County Animal Shelter has the right to deny my request to adopt an animal for any reason. I understand that this information could be made available to other shelters. Incomplete applications will not be processed. I release any and all veterinary records to Waushara County Animal Shelter.
*
Date
-
Month
-
Day
Year
Date
Submit
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