WOOFTOWN RESCUE INC. ADOPTION APPLICATION

PLEASE FILL OUT THIS FORM ONLY IF ALL MEMBERS OF THE HOUSEHOLD ARE IN AGREEMENT ABOUT ADOPTING! IF YOU ARE UNDER THE AGE OF 18, A PARENT OR GUARDIAN MUST FILL OUT THIS APPLICATION.

Form Login Account (optional)

New Users / Returning Users CLICK HERE to setup or return to your account for this form. Creating an account enables you to return to this form and your submitted results. An account will also enable you to partially complete this form and return later to finish the form. The account you establish is only for this form.

What is the name of the dog your applying for? *

If this dog is no longer available, who is your second choice? *

Where did you see this dog listed for adoption? *

Your First and Last name *

Your age *

Your Occupation *

Spouses name ( if applicable)

Spouses age

Spouse's Occupation

Are you Married? *

Yes

Do you have children residing in your home? *

Yes (if yes, please provide the ages of the children) Yes (if yes, please provide the ages of the children)

How many people live in your home? *

Please list the name's, age's and relationship of everyone living in your home *

Street Address *

City, State and Zip *

Do you own or rent this home? *

Own

Rent (Please provide your landlords name and number) Rent (Please provide your landlords name and number)

Home Phone: *

Cell Phone

Primary Email address: *

Confirm email: *

Secondary Email:

Who will be responsible for this dog? *

Why are you considering adopting? *

Do you currently own any animals? *

YES ( Please provide Breed and Age) YES ( Please provide Breed and Age)

Do your animals visit your vet regularly?

Yes

No No

Vets Name and Phone Number

Are they spayed/neutered and up to date on vaccinations? *PLEASE NOTE, WE WILL CALL YOUR VET TO VERIFY THIS INFORMATION*

Yes

No (Please explain) No (Please explain)

Are your animals on heartworm preventative?

Yes

Are your current pets microchipped? If so, with what company?

If you do not have a vet please call and establish an account with the vets office you plan on using. Please also call and let your vet know that Wooftown Rescue Inc. will be calling them because you applied to adopt an animal. Failure to do this could result in immediate denial of your application.

Do you completely understand that adopting an animal is a full time commitment? Are you also aware it will take a while for a new animal to adjust to you and your family? *

Have you ever given away or rehomed any animals you have had in the past? If yes, please explain. *

Please provide us with 3 personal references names and phone numbers and relationship to you *

How do you plan on housetraining this animal? *

Where will this adopted animal stay? *

Where will the animal be kept while you are away or overnight? *

Have you adopted before? If so, from who and when? *

How long will the animal be left alone daily? *

What would you do if you had to move and could not take any of your animals with you? *

Have you or anyone in your home ever been convicted of any crimes involving or against animals? Do you also give us permission to contact the proper officials to verify this? *

Do you have a fenced in yard? *

Yes (if so, what type of fence?) Yes (if so, what type of fence?)

Have you ever bred any animals? If so, how long ago? What animals? *

Do you have experience in pet ownership? *

Have you ever worked with any local rescues or dog pounds? If yes please list the rescue or pound and provide us with contact info for each person or rescue listed. *

Have you ever owned any animals that you tied outside? If so, why and when? *

Have you ever had to euthanize an animal for non medical reasons? If yes, please explain *

What do you plan on doing if you have issues with this animal? Housetraining, aggression, leg lifting, chewing, etc? *

We require a homevisit for all of our adopters. Are you willing to let us visit your home and see that it is fit to place one of our animals in? *

OUR ADOPTION FEE IS $350. PLEASE DO NOT APPLY FOR A DOG, IF YOU CANNOT AFFORD THE ADOPTION FEE AND/OR THE EXPENSES NEEDED TO PROPERLY CARE FOR A DOG

Can you financially and emotionally take care of an animal if you are granted the opportunity to adopt from us? Dogs and cats can live several years, do you have the time to commit to this? Medical care can be expensive and sometimes quite costly. Will you be able to provide an animal with all the proper care if needed. *

How do you plan on exercising this animal? *

We recommend walking a dog/puppy for at least an hour a day are you able to do this? *

If you adopt an animal from us and for some reason you can not keep it what would you do with that animal? *

Is this animal going to be a gift? If so, to who and why? *

Have you ever owned a dog solely for "protection"? if so, please explain. *

What types of activities will you do with your adopted dog? *

Please tell us about yourself and why you think you would be a great home for one of our adoptable animals *

Do you agree that all the information you provided us, to your knowledge is truthful and accurate? *

Do you give us permission to contact everyone listed on this application?

Yes

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