Pet Adoption Application Form

Perspective Pet Parent*

First NameLast Name

Email Address*

example@example.com

Phone Number*

Name of Pet You Wish to Adopt*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Do you own any pets?

YesNo

Pet Name(s)

Pet Breed(s)

Pet's disposition and behavior towards other dogs?

Do you already have a vet you plan to use or are already using?

YesNo

Veterinarian Name (if appllicable)

First NameLast Name

Veterinarian Phone Number

Please enter a valid phone number.

Do you own or rent your home?*

OwnRent

Please provide your landlord's information here:*

Do you have a yard?*

YesNo

Is it fenced? please describe

What is your landlord's pet policy?*

Have you ever surrendered a pet you own to any animal shelter including a "low" or "no kill" shelter?*

YesNo

Are there children in the home? (If yes, please list ages)*

How many hours per day would the pet be alone?*

How often do you plan to take your pet for veterinary checkups?*

Will you crate your pet?*

If you have to leave town, emergently or planned, where would your pet stay?*

How would you deal with behavioral issues such as barking, chewing, destructive behavior, bathroom accidents indoors, unruly leash behaviors in your pet?*

3 Personal References

Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment?*

YesNo

If so, please provide a detailed description:

To ensure the best possible placement for our animals and their safety, we kindly request your consent to conduct a background check as part of the adoption process. This helps us verify that the environment is suitable for the animal and ensures their long-term well-being. Do you consent to a background check?*

YesNo

Do you have any additional comments or questions?

By submitting this application, I certify that the information I have provided is true and accurate to the best of my knowledge.
I understand that adopting a pet is a lifelong commitment, and I am ready to provide a safe, loving, and permanent home for the animal I adopt.
I agree to undergo the adoption process, including a home check and interview, and understand my references will be checked, including veterinary and personal.
I understand there is an adoption donation associated with adopting a pet, which is tax-deductible according to IRS 501(c)(3) guidelines. This donation will help Whisker's Way rescue other homeless pets.
I understand that if I can no longer care for the pet, I agree to notify Whisker's Way Animal Sanctuary and arrange for the pet to be returned to the sanctuary. I will not rehome the pet or surrender it to any other rescue or shelter without first informing and consulting with Whisker's Way.
I agree to indemnify and hold harmless Whisker's Way Animal Sanctuary against any losses, lawsuits, claims, injury, or damages incurred by me or to any persons or property by my adopted pet, once the adoption has been completed.
I understand that Whisker's Way Animal Sanctuary will disclose any known health or behavior issues about the pet before the adoption is finalized.
I verify that all of the above information is true and accurate.

Date*

Date

Signature of Potential Pet Parent*