Dog/Puppy Adoption Application

Dog/Puppy Adoption Application

Apply to adopt a dog or puppy from Wings and Things Rescue and Rehab in Holland, MI. Please complete this form to help us match you with the perfect companion.
Applicant's Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
What type of home do you live in?

Other
Do you own or rent your home?
How many adults live in your household?
How many children live in your household?
Ages of children in the household (if any)
Do you currently have other pets?
Please list all current pets (species, breed, age, spayed/neutered status)
Have you previously owned a dog?
What happened to your previous pets?
Are you interested in adopting a puppy, an adult dog, or either?
Is there a specific dog or puppy you are interested in? (Name or description)
Why are you interested in adopting a dog/puppy?
How many hours per day will the dog/puppy be left alone?
Where will the dog/puppy stay when you are not home?
Do you have a fenced yard?
Veterinarian Name and Phone Number (if applicable)
Are you able and willing to provide veterinary care, proper diet, exercise, and love for the lifetime of the dog?
References
Reference 1 Full Name

First NameLast Name
Reference 1 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 1 Email Address
example@example.com
Reference 2 Full Name

First NameLast Name
Reference 2 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 2 Email Address
example@example.com
Photo ID Upload
Please upload a photo of your ID

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Additional comments or questions
Should be Empty:

Dog/Puppy Adoption Application

References

Photo ID Upload