Adoption Application

Your Email (required)

Full Legal Name (required)

Street Address(required)

City, State, Zip Code(required)

Home Phone(required)

Cell Phone(required)

Are you over 21?YesNo

How did you hear about Wise Animal Rescue?

FacebookInstagramPetfinderAdopt-A-PetFriendEventOther

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 (Company Name)

Work Address

Work City, State, Zip Code(required)

Work Phone(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

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.
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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

PET CARE

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?

How often?

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

VETERINARIAN INFORMATION

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

REFERENCES

Please provide two references that are not family members:
Name 1

Phone 1

Relationship 1

Name 2

Phone 2

Relationship 2

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.

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