DOG APPLICATION TO ADOPT FROM

"WAGS TO RICHES" ANIMAL RESCUE AND SANCTUARY

Applicants must be over 18 years of age.  Completion of the application does not guarantee adoption.

We require all questions to be answered in full, with as much information as possible.  Thank you.

Full Name:  Date: 

Address: 

City:    State:    Zip: 

Home Phone:    Work Phone: 

Email Address: 

Please give the name of the animal you wish to adopt: 

Why do you wish to adopt this animal?  Please answer this in detail: 

Have you owned a pet before?  Yes   No     Do you currently have animals  Yes   No

Number of cats:     Are your cats accustomed to having dogs near them?  Yes   No

Number of dogs:     If you have a dog, what breed do you own? 

Are your dogs socialized and friendly with other animals?  Yes   No

If they are not friendly, please explain what problems they display: 

Are your pets Spayed / Neutered?  Yes   No   If No, please explain why not: 

Are your pets up to date on all vaccinations?  Yes   No  If No, why not? 

Have you at any time had any pet related diseases in your household? Parvo, Distemper, Kennel Cough, etc. If so please explain and give year if possible:

Have you ever had an animal Euthanized?  Yes   No   If Yes, can you explain why: 

Have you ever given an animal away?  Yes   No  

If you have, please explain the circumstances: 

What type of animal are you wanting to adopt?  (Please explain in detail):

What age of animal do you prefer? 

Will the animal be used for:    Will you be training this animal for any of the previous?  Yes   No

Do you plan to take this animal through the basic Obedience Courses?  Yes   No

Do you understand that changing environments with a new pet, may cause the animal to have accidents for a time, in the early days of adoption, such as marking their territory?  Yes   No

Since this would be an accident (if this arises) what steps will you take to work on the problem? 

If the pet is not fully housetrained (as a puppy) will you take the time to work with the puppy on house training?  Yes   No

If Yes, how? 

Will this pet be a family pet, or senior citizen's companion? 

If a senior citizen's companion, please explain if the senior is able to care for the animal or will there be help available?

What will you do with the pet, if you travel? 

In the absence of the owner, at any time, and for an extended period of time, who will care for the animal? 

 

Will someone be home with the animal during the day?  Yes   No 

How many hours will the animal be left unattended? 

Where will the animal be kept when you are not at home?  (We require this to be answered in detail): 

Where will the animal sleep? (Inside, outside, kennel, etc?) Details please! 

Do you have children?  Yes   No    If Yes, number of children?    Ages of children? 

If your child is five years or under, are they accustom to being around puppies or older dogs?  Yes   No

Please explain this in detail:

(Often times we find puppies tend to take the backseat when young children are in the picture.  Puppies just do not know their boundaries and we find it is not fair to put them in that environment.  Puppies being puppies will jump, nip and get somewhat rough, so being with small children, there needs to be lots of supervision and training.  We like to take all of this into consideration before adopting to families  with infants or children ages 5 years and younger).

Do you  Rent   Own?   If you rent is the pet allowed in the rental?  Yes   No

Do you live in a condo, house, apartment, mobile home, etc? 

How long have you lived at your present address? 

If renting, please give the landlord's name and phone number: 

Do you have a fenced yard?  Yes   No   If No, do you live near a busy highway, or busy street?  Please explain in detail:

If you have a fence, what type and how high is it? 

Where will the new pet be kept most of the time? (Home, yard, kennel, inside, outside, etc) 

If you have no fence, what type of exercise and care will be given to your animal? 

Do you realize that it will take time for the animal to bond, it will not take place in just a few hours, a few days, or even possibly a few weeks.  Will you be willing to take the time to work with the animal, and make sure it is not traumatized by being returned in a short period of time?  Will you do your best, by being patient and try working with the animal, by consulting a trained specialist if necessary to help solve any problems that might arise?  Yes   No

Please list two personal references including your veterinarian.  (This is required)

Veterinarian: Phone Number:

Name:  Phone Number:

I authorize "Wags to Riches" Animal Rescue and Sanctuary to check my references: Yes   No

Be it understood if an animal is returned for any reason to "Wags to Riches" Animal Rescue and Sanctuary, according to our agreement, (which you will receive when adopting) the Adoption Donation is non-refundable.  If there is an exception, this will be decided on by the Board of Directors.  "Wags to Riches" Animal Rescue and Sanctuary reserves the right to refuse to adopt any pets to applicants we feel would not be in the best interest of the animal.  We also reserve the right to refuse any adoption, without justification, and NOT ALL APPLICATIONS OR INQUIRIES may receive a response.

I understand that "Wags to Riches" Animal Rescue and Sanctuary is not responsible for the accuracy of information received about temperament or habits of puppies / dogs available for adoption.  I understand completely that it is my responsibility to evaluate the dog for myself before agreeing to adopt it.  "Wags to Riches" Animal Rescue and Sanctuary is in no way liable or responsible for any damage, accident or injury resulting from the placement of a dog into a household agreed upon.

Application completed and signed by: (Typed signature is accepted) 

 

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Application review by:

2nd letter followup:

Adoption completed:

Other notes: