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: 

The name of the dog/puppy you wish to adopt: 

Why did you choose this dog/puppy? 

When choosing a dog/puppy, what characteristics are important to you?

Why are you adopting a dog? Click on all that apply.

Companionship for self      Companionship for dog
Companionship for senior  Companionship for children
Service/Aid Dog                  Guard/Security
Competition/Hunting
Other/Explain 

Please describe your lifestyle and how your dog will fit into it.

Briefly describe your teaching philosophy or style.

What do you believe is a reasonable amount of time to give your new friend to bond with you and acclimate to your household?

Give reasons you would feel it was necessary to return an adopted dog.

Would you seek professional help before returning an adopted dog?
YES NO

Are there children under the age of ten years in your household?
YES NO

If yes, have they had experience with dogs and have been taught how to interact with them?

If no, how will you handle introducing them to dog ownership?

Are all members of your household in agreement with adopting a dog?
YES NO

Are any members of the household allergic to dogs?
YES NO

If yes, how will you handle having a dog in the home?

Housebroken dogs will often mark their territory or have accidents, when first introduced to a new home.
Are you prepared to accept this?
YES NO

Do you understand that adopted puppies are not housebroken and that responsibility will fall on you and your family?

YES NO

What method do you use for housebreaking the adult dog or puppy?

Do you have other dogs in the home?
YES NO
If yes, will they accept a strange new dog into their territory without aggression?
YES NO
Do you have cats in your household?
YES NO
If yes, are they used to being around dogs, even strange ones that will want to investigate them?
YES NO

Please Note: We test incoming rescue dogs with our resident lobby cat Jo-Jo. Jo-Jo is confident around dogs and does not run from introductions. If we have indicated a dog is good with cats we are going by their reaction to Jo-Jo. A cat that runs can elicit a much different response and could create a situation where injury to one or both might occur.

Do you own your residence?
YES NO
If yes, for how long?

If no, please list the name and contact information for your landlord or property manager:

May we contact your landlord or property manager?
YES NO
Is the property where the rescue is to live, fenced?
YES NO
If yes, can you describe the fencing please?

If no, please indicate how your dog will receive sufficient outdoor time.

Is there a move in your near future (one year or less?)
YES NO

If yes, will a pet friendly residence be mandatory?

If no, what will you do with your dog?

Daily, will there be a time the dog is left alone for more than four hours?

YES NO

If yes, how long and how/where will the dog spend this time?

For extended periods away from the home (hospital stays, vacation, etc.) how will the dog be cared for?

Have you ever had to rehome a dog?

YES NO

If yes, what were the circumstances?

When do you consider euthanasia necessary?

What are your feelings on spay and neuter?

Do you believe it is important to keep a dog up to date on vaccinations?

YES NO

If there are animals currently residing in your home, are they all up to date on vaccinations and have they been spayed or neutered?

YES NO

If no, please indicate the reason.

What methods do you use to identify your dog?

Please list the name and number of your most utilized veterinarian:

May we call your veterinarian for a reference?

YES NO

WHILE WE DO OUR BEST TO INSURE ALL DOGS ARE HEALTHY AND OF GOOD TEMPERAMENT AND ANY KNOWN QUIRKS OR UNPLEASANT BEHAVIOR IS REVEALED, UNDERLYING ISSUES NOT READILY OBSERVABLE COULD OCCUR SUCH AS HIDDEN PARASITE INFESTATION, OBJECT SPECIFIC AGGRESSION OR ENVIRONMENTALLY TRIGGERED ANXIETY, ETC.

Are you equipped or prepared to handle such a situation, should it arise?

YES NO

Our rescue is located in South Central Washington State. Are you willing to travel to our rescue to bring home your new companion?

YES NO

Do you fully understand, if you are adopting a puppy under six months of age, that a pre paid receipt of spay or neuter will need to be obtained and provided to Wags to Riches Animal Rescue, before the underage pup will be allowed to go home with you?

YES NO

Are there any other comments or insights you would like to share with us?

By signing/submitting this adoption application, you give Wags to Riches Animal Rescue authority to contact and all references asked for and swear that all information is truthful and complete.

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

-------------------------------------------  The space below for Wags to Riches only ------------------------------------------

Application review by:

2nd letter followup:

Adoption completed:

Other notes: