Dog Form

Wyandotte Animal Adoption Center

Dog Adoption Application

Wyandotte Animal Adoption Center Adoption Committee reviews this application before releasing any animal to a new home.The following questions will help us to place the animals into homes that match both the adopter’s and pet’s needs.

Wyandotte Animal Adoption Center reserves the right to decline the adoption of any pet for any reason if it feels the home will not be a good match.

Please allow 48 - 72 hours for application processing

PLEASE ANSWER ALL QUESTIONS COMPLETELY TO AVOID DELAYS IN PROCESSING.

YOU MUST BE 21 YEARS OF AGE TO APPLY

PLEASE ANSWER HONESTLY

PROVIDING FALSE INFORMATION MAY RESULT IN APPLICATION REJECTION
Name of the pet you are applying to adopt
Pet Name or Intake Number
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Cell Number*

Area CodePhone Number
E-mail*
Do you reside in a*
Do you*
Is the house or lease in your name? (THIS WILL BE VERIFIED)*

YesNo
If not, who is the homeowner/leasee? (THIS WILL BE VERIFIED)
Homeowner or Leasee Name
Landlord Contact Information (if renting/leasing)
Landlord Name and Contact Information
How long have you resided here?*
Do you plan on moving in the next six months*

YesNo
Household Members (INCLUDING YOURSELF)
What will happen to this dog if you move unexpectedly?*
What will happen to this pet when you go on vacation or in case of an emergency?*
How many hours during the average day will your pet be without a human?*
Will this pet be:*

Inside OnlyOutside OnlyInside/Outside
Who will be assuming responsibility for this dog?*
Are you adopting this dog for someone who does not reside in the household?*

YesNo
Why do you want this pet? Please check one or more of the following.*

CompanionGuard DogCompanion for KidsWatch DogHunting DogCompanion for another animalGiftFor breedingService dog
Where will this dog be kept during:
The Day

Inside onlyOutside onlyInside/Outside
The Night

Inside onlyOutside onlyInside/Outside
When you're not home

Inside onlyOutside onlyInside/Outside
Fenced yard*

I have a 6 foot fenceI have a 4 foot fenceI do not have a fenced yard
What activity level best suits your lifestyle?

Couch potato (low)Daily walks (medium)Daily runs (high)
List the activities you expect to use to exercise this dog
On average, how many hours a day will this dog be outside without supervision?
PET HISTORY
Please note previous pet ownership is a determining factor in adoption decisions
Do you have any pets now?*

YesNo
Are there any pets in the household?*

YesNo
Have you previously been physically and financially responsible for a pet?*

YesNo
List any LIVING or DECEASED pets you have personally owned (Please include Name, Breed, Age, Sex, How long you have owned them, living/deceased). PLEASE LIST MOST RECENT FIRST.
When were you last responsible for a pet?*
For the pets listed above, please list the veterinarian(s) or veterinary office(s) they were seen by. PLEASE LIST MOST RECENT FIRST.
How often do you feel a dog should see a veterinarian?*
Have you ever re-homed a pet or surrendered a pet?*

YesNo
If yes, why?
Is there any member of your household who are allergic to dogs?*
Who will care for your pets if you are no longer able, due to health, job loss, moving, etc?*
Are you aware of the financial commitment and responsibilities of owning a companion animal? (On average $400 per year for food and $200 - $300 per year on vaccinations and wellness)*

YesNo
Are you aware this dog should receive yearly rabies vaccinations, heartworm tests, and the importance of heartworm prevention?*

YesNo
What do you know about heartworm disease?*
Why are you interested in adopting a dog?*
List any traits you are expecting from your future dog*
What would you do if your dog develops a problem with:
Digging*
Excessive Barking*
Chewing*
Separation Anxiety*
Aggression*
Housebreaking*
Problems getting along with current pets*
Reasons I would surrender this pet:*

MovingAllergiesDivorceDoes not get along with other dog/catNot housebrokenToo expensiveNot enough timeRequires medical careExpecting a childRequires too much attention/exerciseToo bigI would never give up
By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.

I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any Downriver Central Adoption Center adoption by me.

I certify that the above information is correct, and I understand that the information will/can be verified.

I understand that by submitting this form electronically, I agree to release and covenant to hold harmless Downriver Central Adoption Center and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the animal.

I accept full responsibility for the animal(s) actions at all times, and release Downriver Central Adoption Center from any liabilities or damages that may be incurred because of adopting such animal(s).
Full Name*

First NameLast Name
You MUST be 21 years or older to adopt.
A valid driver's license or state ID will be required at the time of adoption.
Birth Date*

MonthDayYear
Date
WE RESERVE THE RIGHT TO REFUSE ANY ADOPTION!
Should be Empty:

PET HISTORY