DOG Adoption Application

Dog Adoption Application
Name(s) of animal(s) you wish to adopt
Tell us about you:
Applicant name
Age
Co-applicant name
Age
Phone
Format: (000) 000-0000.
Email
example@example.com
Street Address
City
State
Zip
Tell us about the living environment:
Is your name on the lease or deed?
How long have you lived here?
Renting: Landlord’s name & number
How many adults (18+) reside here?
Relationship to other adult(s)
How many children (under 18) reside here?
Ages of children
Do all residents agree with the adoption?
Any residents have allergies?
House type:

HouseApartmentCondoMobile homeOther
Is the yard fenced?

CompletelyPartiallyNot fencedNo yard
Fence is:

Chain linkPrivacyInvisibleOther
Fence height:
No Fence - Describe how you will keep the dog in the yard:
Describe life with your new pet:
Adopting for:

YourselfFamilyGift/SurpriseOther
Adopting for:

CompanionChild's petHuntingGiftGuard/watchOther
Who will be the primary care-taker of this pet?
What arrangements have been made in the event you can no longer care for the pet?
Will the dog routinely live inside or outside?
How much time will the dog spend outside?
How many hours per day will the dog be alone?
Where will the dog be when left alone?
Rescue animals require time to adjust to a new home/routine. What amount of time do you consider to be reasonable?
How will the dog be exercised?
How do you plan to discourage unwanted behavior?
Will you enroll in obedience training? If no, what is your plan for training?
What behaviors would you NOT tolerate from an adopted dog? Check all that apply:

potty accidentshiding from guests and family membersbarkingescapingshedding (furniture or clothes)jumping on furnituregetting into trash cansbitingfightingplaying in the early hoursgetting on counterchewingdiggingnot quickly adjusting to animals in homenot getting along with other animals

Tell us about your current pets:

Rows	Name	Age	Cat / Dog breed	Fixed?Y/N	Inside or outside?
Pet #1
Pet #2
Pet #3
Pet #4

Are your pets kept current on vaccines (cats/dogs) and heartworm preventative (dogs)?

YesNo
How much time do your current pets spend outside?
Please include any other information about your current pet(s).

Tel us about your previous pets in the last 10 years:

Rows	Name	Age	Cat / Dog breed	Fixed?Y/N	How long did you have pet?	Why is pet no longer with you?
Pet #1
Pet #2
Pet #3
Pet #4
Pet #5
Pet #6
Pet #7
Pet #8

Were previous pets kept current on vaccines (cats/dogs) and heartworm preventative (dogs)?

YesNo
Are current/previous pets listed under your name?

YesNo
If you answered No - Owner’s Name
Who is your current and/or previous primary veterinarian?
Please contact your vet clinic and give permission to release your pets information.
Clinic Name(s)
Phone Number(s)
Format: (000) 000-0000.
Please initial to acknowledge and agree to the following:
The average cost of preventative veterinary care is $400-800 annually, and additional expenses of food, toys, grooming boarding, emergency vet care etc to consider. My household budget allows me to comfortably cover these expenses.
I understand that rescue animals may have unknown medical history and/or problems.
I understand that rescue animals may have unknown behavior issues.
Additional information you’d like to provide to WAG Animal Rescue:
The above information that I have provided to WAG Animal Rescue for the purpose of adopting an animal is accurate and complete:
Date

MonthDayYear
Date
Where did you hear about WAG Animal Rescue
Should be Empty:

Dog Adoption Application