Your Email (required)
Full Legal Name (required)
Name of Dog Applying For (required)
City, State, Zip Code(required)
Are you over 21?YesNo
How did you hear about Wise Animal Rescue?
When you have finished the application, please send as a word document to firstname.lastname@example.org
• Please read the adoption agreement. You must sign this in order to adopt a dog.
• All potential adopters must agree to a home visit before and after adoption process.
• We ask for a donation upon completion of adoption to defray cost of veterinary and foster care.
INFORMATION ON THE DOG YOU WOULD LIKE TO ADOPT
Name of dog you are interested in adopting
If you aren’t applying for a specific dog, please let us know what kind of dog you are looking for - ie. breed, gender, age, temperament, fur length, size etc.
Why are you interested in adopting this dog?
Who will be the primary caregiver of the dog?
PERSONAL & HOUSEHOLD INFORMATION
What is your place of employment (include full address & phone)
Work City, State, Zip Code(required)
How long have you worked there?
Briefly describe your residence (ie, 1 bedroom apt, townhouse etc)
Do you have a fenced in yard?YesNo
If no, do you plan on fencing it? YesNo
How long have you lived at this residence?
Do you: OwnDo you: Rent
(if renting you may be asked to provide Landlord's information and copy of lease)
Please list all persons living in your household, their ages and relationships.
Is anyone in household allergic to dogs? YesNo
Please list all current pets in your household including breed, age and gender
Have you had pets in the past? YesNo
Briefly describe what happened to pet(s)
Have you ever taken a pet to a shelter? YesNo
If yes, please expain why and when
Can you financially afford to care for your new pet? YesNo
Where will the pet stay during the day?
Where will the pet stay during the night?
How many hours per day will your dog be alone?
Who will exercise your dog?
Who will take care of your dog when you travel?
Who else will be spending time with your dog?
Will you use a crate? YesNo
If no, why not?
Are there any behaviors that you will not tolerate?
What sort of training do you plan on providing?
If we could help with your training, would you be interested?YesNo
Please include all animals (dog, cat, bird etc) who received medical attention (you may be required to give your Vet permission to give WISE your information)
If you do not have one, we are happy to provide recommendations
Who is your PAST veterinarian? Please include name, phone, address and animal(s) who received medical attention
Who is your CURRENT veterinarian? Please include name, phone, address and animal(s) who received medical attention
Please provide two references that are not family members:
By submitting this application, I certify that the above information is true and accurate to the best of my knowledge and I understand that my completion of this form in no way obligates W.A.R. to foster a dog to me. I further understand that in order to complete the adoption process, W.A.R. will conduct a home visit. I authorize W.A.R. to contact my veterinarian and contact anyone listed.
We ask for a donation upon completion of adoption to defray cost of veterinary and foster care.