Animal Adoption Application

Who Rescued Who Adoption Application
- Who Rescued Who is an all-volunteer, non-profit, animal welfare organization dedicated to the rescue and placement of stray, neglected and abused animals. We are located in North Arlington, NJ . All of our pets are cared for by foster homes and receive medical care as needed
This questionnaire is designed to help Who Rescued Who and yourself determine if a specific dog/cat is the right one for you and your household. All adopting parties are required to complete this form prior to adoption. Who Rescued Who reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions!

*PLEASE ONLY FILL OUT APPLICATION IF YOU ARE SERIOUS AND READY TO MOVE FORWARD IMMEDIATELY *
Applicant Information
Your full name:*
Co applicant name
Street Address:*
City, State, Zip*
Phone Number:*

Phone Number
Phone Number

Area CodePhone Number
Your age: *
Co Adopters age
Are you interested in a Dog or Cat?*
Name of the Dog or Cat*
E-mail:
Preferred Method of Contact*

Phone callTextEmail
Facebook Name (s)
Employment
Are you employed?*

YesNo
Occupation
If you are not employed, please explain how you plan to provide for this animal
Household Information
Are all members of your household in agreement with this adoption?*

YesNoDon't Know
Who will be the pet's primary caregiver?*
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/cats?

YesNo
Are there any restrictions from your landlord or subdivision?

Number of petsSize or weight restrictionsBreed restrictionsNoneOther
Do you have a fully fenced yard ?*

YesNoN/A if applying for a cat
Height and type of fence*
Do you have any of the following?

Underground fenceKennelDog RunN/A for Cat
How many adults are in your household and what is their relation*
How many children are in your household?*
If children, what are their ages?*
Have your children been around animals before?

YesNo
Does anybody in the household have pet related allergies?*

YesNo
If yes, please explain
Household activity level

High EnergyModerate energyLow energy
Current/Previous Pet Information
List any pets you own or have owned in the past five years, and their ages*
How many of these pets are spayed/neutered?*
Are your pets up to date on vaccinations and preventatives?*
Where are these animals now?*
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
Would any of the following behaviors lead you to give up your new puppy?*

BarkingJumpingChewingFear/anxietyPotty related issuesHigh energyMovingNew jobNone, they are a Family MemberOther
Are you willing to work through your new pet's issues, if any?*

NoYesOther
If the dog has an "accident" in your home, what type of correction do you plan to use?*
Would any of the following behavior lead you to give up your new cat * IF APPLICABLE *

Biting/scratchingLitter box issuesScratching furnitureToo activeMovingChanged mindOther
How many hours each day will your new pet be home alone?*
Where will your new pet sleep at night?*
Where will your new dog stay when nobody is home or when you are on vacation?*
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?*

YesNo
Do you realize that dogs/cats are a 18yr commitment and cost at least $500-$800 per year to care for properly?*

YesNo
If you had to give up your dog/cat , what would you do with him/her?*
Who will care for your dog/cat if you become ill or are unable to do so?*
I attest everything is true and to the best of my knowledge

Yes
Signature

Clear
Should be Empty:

Who Rescued Who Adoption Application

Applicant Information

Employment

Household Information

Current/Previous Pet Information

New Pet Information