WOFAR Adoption Application

ADOPTION APPLICATION
By completing this application, you are agreeing to the following:

1. Please make sure your application is complete – all phone names and phone numbers provided

2. Once received your application will be logged and you will receive a "Thank You" page. If you do not receive this page the application was not submitted and you should check for errors or missing data.

3. Please be sure to call your vet and give permission to speak to us

4. Please call your personal references and let them know we will be calling

5. If you have pets vaccinated at someplace other than your vet please tell us and provide the documentation of the vaccinations

6. If you purchase your preventatives from someplace other than your vet please tell us where and be prepared to provide receipts.
NOTE: Heartworm prevention requires a veterinarian perscription or to be purchsed from a vet. Please do not say your dog is on heartworm prevention if you do not do one of the above.

7. If you have any questions about your application please address them to wofarapps@gmail.com

8. We will respond in 24 to 48 hours - you will be contacted via text message initially,

The adoption fee is $450.00. This covers spay/neuter, microchip, vaccines, vet and fecal exams, and preventatives while in our care.

A $25.00 deposit will be required (either for a pre-approval or for a specific dog) for your application to be processed. This $25.00 will be applied to the overall adoption fee of $450.00. When you are called for your interview you will be asked for the deposit. If you do not wish to provide a deposit we will not process your application. This step is necessary to ensure our volunteer time is spent on applications that are serious about adopting.
PERSONAL & HOUSEHOLD INFORMATION:
E-mail
Please run the wizard
Name of WOFAR Animal Applying For*
Type of Adoption Appliction*

DogCatRabbitOther Animal
Today's Date*

MonthDayYear
Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
Spouse/Partner's Name

First NameLast Name
Spouse / Partner's Date of Birth

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Type of Home*

HouseApartmentCondominumDuplexOther
How long have you lived here?*
Do you rent or own your dwelling?*

RentOwnOther
LandLord's or Co-Op/Condo Association Name:
Phone Number for LandLord or Co-Op/Condo Association Phone Number
Phone Number Cell

Area CodePhone Number
Best time to reach you at this number?*
Phone Number*

Area CodePhone Number
Best time to reach you at this number?
E-mail
Describe Your Household*

QuietAverageNoisy
Describe Your Neighborhood & Street*

Country/QuietTown/AverageCity/Busy
Do you agree to a home visit by a WOFAR Representative?

YesNo
Name of Employer
Name of Spouse's Employer
Do you have children in your home?

YesNoSometimes/visits
If Yes, please list ages of Children
Is there anyone else (not already listed) who lives with you in your home? Please describe and list any pets they have.
What is your Facebook Profile?
What is Your Instagram Profile
VETERINARIAN INFORMATION:
Do You have a past or current Veterinarian?

YesNo
Name of Veterinarian
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Veterinarian Phone

Area CodePhone Number
Who's name is the account listed under?
Do you agree to allow us to contact your vet for reference checks and medical record release prior to adoption and for 13 months post adoption?*

YesNo
Please list all animals in your home at present time. Please include breed, age and gender.
Are you aware the cost of taking care of this animal can be well approximately $1000.00 per year just for basic medical and food costs?*

YesNo
Are current pets up to date on vaccinations?*

YesNoNo pets in home.
Are current pets on heartworm prevention? *

YesNoWe have no pets at this time .
Are all your current pets spayed or neutered?*

YesNoWe have no pets at this time.
Do you agree to keep your adopted WOFAR animal current on vaccinations?*

YesNo
Do you agree to keep your adopted WOFAR animal on heartworm prevention and flea/tick prevention?*

YesNo
Have you ever surrendered an animal to a pound, shelter or rescue before?*

YesNo
If Yes, please explain:
Have you ever given an animal away to another person before? *

YesNo
If Yes, please explain:
Have you ever had to euthanize an animal or had an animal die before?*

YesNo
If Yes, please explain:
Have you ever lost an animal due to an accident before? (for example: hit by car, ran away, etc.)*

YesNo
If Yes, please explain:
ADOPTION SPECIFICS:
Do you agree that this animal will reside in your home as a pet and family member?*

YesNo
Are you interested in a specific breed, if the animal you applied for is no longer available? Please specify:*
Are there any breeds you would not like to own? Please specify:*
Why do you want to adopt an animal? (check all that apply) *

companion for mecompanion for my petcompanion for my childrenGuard/ SecurityGift
What age animal are you interested in? (check all that apply)*

Baby (3 - 6 months)Adolescent ( 6 months - 2 years)Adullt (2 - 7 years)Senior ( 8+ years)
Have you checked with your Landlord, Condo Association and/or Home Owners Insurance to see if there are breed or size restrictions you must abide by?*

YesNo
If there are restrictions (breed or size), please explain them here:
What size dog do you want when it's full grown? *

Small (20 lbs or less)Medium (20-50 lbs)Large (50-75 lbs)X-Large (80-100+ lbs)No preference or limitNot applicable - cat application
Do you prefer a specific gender of animal ?*

FemaleMaleNo preference
If this animal is a gift, who are you giving it to?
Who will take care of the animal in your absence? (vacation, emergencies, etc.)*
Is everyone in the household agreed upon adopting this animal?*

YesNo
Who will be primarily responsible for the care of this animal? *
Does anyone in the home have allergies or sensitivity around animals?*

YesNo
If yes, please describe:
What type of daily exercise will your dog get ? (check all that apply)*

Backyard playLeash walksOff-leash walksDog ParksTreadmillOther (you are a runer, biker, jogger & Plan to take the dog with you)Not applicable
What qualities are most important to you in a dog? (check all that apply)*

MellowEasy to trainLoves other dogsProtective of me & my propertyEngergetic/PlayfulCuddly Lap DogGood with ChildrenHousetrainedQuiet, doesn't bark a lotAlready knows basic commands & leash trainingNot applicable
What qualities are most important to you in a cat? (check all that apply)*

PlayfulLoves to be heldSocialGood with dogsGood with other catsGood with kidsLitter trainedindependentUses a Scratching postNot applicable
Would you adopt a special needs animal? *

YesNoMaybe, depends on the animal.
How long will the animal be alone each day? *
Where will the animal be when you are not home? Check those that apply:*

Free to roam the houseConfined to a roomIn the garageIn a crateCrated until trained to be trusted out of the crateIn the yardOther
Do you have a fenced in yard? *

Yes, physical fenceYes, invisible fenceNo
If you have a fence, please describe:
Where will the animal sleep at night? *
How long do you plan to provide a home for this animal? *
How did you hear about WOFAR?*
Have you applied to and are you pursuing an adoption from another rescue to adopt from at this time? *

YesNo
If yes, please provide details:
Have you adopted from WOFAR before?*

YesNoApplied but did not adopt.
If you've adopted from WOFAR before, please list the name of the dog:
References:

Please provide the name and contact information for 4 personal references who you have known for more than 1 year. Personal references should be either a work reference or a friend, who you have known and who has been to your home and met any animals you may have had. One reference may be a family member. It should not be any person you live with. Please contact your vet and your references to let them know we will be contacting them in the near future. We will contact your references in order and process until we complete 3 references.
Personal Reference #1

First NameLast Name
Relationship to you?
Phone Number*

Area CodePhone Number
Best time to contact*
How long have you known this person?*
Have they been to your home? *

YesNo
Personal Reference #2*

First NameLast Name
Relationship to you?
Phone Number*

Area CodePhone Number
Best time to contact*
How long have you known this person?*
Have they been to your home? *

YesNo
Personal Reference #3*

First NameLast Name
Relationship to you?
Phone Number*

Area CodePhone Number
Best time to contact
How long have you known this person?*
Have they been to your home? *

YesNo
Personal Reference #4

First NameLast Name
Relationship to you?
Phone Number*

Area CodePhone Number
Best time to contact*
How long have you known this person?*
Have they been to your home? *

YesNo
Have you or anyone residing in your household ever been accused, charged or convicted of animal neglect, abuse or cruelty? *

YesNo
Do you agree to contact WOFAR if you are no longer able to care for your animal?

YesNo
BY SIGNING YOUR NAME TO THIS APPLICATION, EITHER IN WRITING, OR VIA EMAIL OR OUR WEBSITE YOU ARE GIVING WOFAR PERMISSION TO CONTACT YOUR REFERENCES AND CHECK YOUR HOME OWNERSHIP WITH THE TOWN OR ANIMAL POLICIES WITH YOUR LANDLORD.

I HEREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT SIGNING THIS APPLICATION IN NO WAY MEANS THIS ANIMAL IS ON HOLD, NOR HAS IT BEEN ADOPTED.
Full Name

First NameLast Name
Phone Number

Area CodePhone Number
E-mail
Please add any additional information or message to WOFAR here:
Should be Empty:

ADOPTION APPLICATION