Dog Adoption Application



Woof River Animal Rescue Adoption Application

Name of pet(s) you are interested in adopting: ________________________________________________________

For general interest – Please provide a description of the type/breed/temperament of dog you are looking to adopt:

____________________________________________________________________________________________________________________________________________________________________________________________

Personal Information:

Name:_________________________________ Age: _______ Occupation: ___________________________

Address:_______________________________________________________________________________________

City, State, Zip: ____________________________________________________________________

Home Phone: (__ __ __) __ __ __ - __ __ __ __ Mobile Phone: (__ __ __) __ __ __ - __ __ __ __

Work Phone: (__ __ __) __ __ __ - __ __ __ __ Email Address: ________________________________

How long have you lived at your current address? ______ Years ______ Months

How many adults (over 18) live at your address? ________

Please list names, ages and contact information for all adults (over 18) other than yourself:

Do you rent or own? _______ Rent ______ Own

If you rent, provide Landlord name, address and phone: ____________________________________

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Do you have permission from your landlord to have a dog in your home? ______ Yes ______ No

Are you aware of pet deposit and monthly fees (if any) required? ______ Yes ______ No

Do you have a fenced yard? ______ Yes ______ No If so, what type/height? __________________________

If you do not have a fence are you prepared to walk your dog multiple times daily in spite of weather conditions (cold, hot, rain, snow, etc,)? ______ Yes ______ No

What is your family’s lifestyle like? ______ Active and on the go ______ Quiet and relaxed

______ Entertain frequently ______ Lots of kids in and out ______ Travel frequently

Do you have children? ______ Yes ______ No

If you have children (living at home), please list name(s) and age(s):

|Name |Age |

| | |

| | |

| | |

| | |

Questions about your future family member:

Why did you decide to adopt a dog? ________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

What are you looking for in a pet? __________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

Who will be responsible for taking care of the dog? ____________________________________________________

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How many hours per day will the dog be alone? _____________________

Where will the dog stay when no one is at home? _____________________________________________________

Where will he/she be when you are home? ______________________________________________________

At night? ________________________________________________________________________________

How and how often will you exercise your dog? ______________________________________________________

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Who will care for your dog when you are out of town (vacation, etc.)? _____________________________________

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Under what condition(s) would you give up your dog? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Current Pet Information:

|Name |Age |Breed |Spayed/Neutered |

| | | |_____Yes _____No |

| | | |_____Yes _____No |

| | | |_____Yes _____No |

| | | |_____Yes _____No |

Previous Pet Information:

If applicable, please provide the following information about any pets you have had in your home in the last 5 years who are no longer with you:

|Pet Name and Type (ie. dog, cat,|Reason pet is no longer with you: |Breed |Year deceased (if |

|hamster, etc.) | | |applicable): |

| | | | |

| | | | |

| | | | |

| | | | |

**Please list information for all vets your living and deceased pets have seen. (Use additional sheet, if necessary).

Current and/or Past Vet Name(s): ______________________________________________________________

Practice Name: _____________________________________________________________________________

Address: _________________________________________________________________________________

City, State, Zip: ___________________________________________________________________________

Phone Number: (_ _ _) _ _ _ - _ _ _ _

**Please be sure to give your vet(s) permission to release information to Woof River Animal Rescue. We will be calling each vet reference prior to any adoption decisions.

**If you have no previous pet ownership, please provide contact information for the vet your new dog will visit.

**If you are a first time dog owner, but your immediate family currently owns dogs this can help you!  Please provide their names, dogs names, and contact information for the veterinarian they visit. 

Family Vet Name(s): ______________________________________________________________

Practice Name: _____________________________________________________________________________

Address: _________________________________________________________________________________

City, State, Zip: ___________________________________________________________________________

Phone Number: (_ _ _) _ _ _ - _ _ _ _

**A family history of responsible pet ownership goes a long way in helping first time owners get approved.

Please provide name, email, AND phone number for 4 personal/professional references:

|Name |Email |Phone Number |

|1. | | |

|2. | | |

|3. | | |

|4. | | |

Agreements for Adoption (please initial):

I will keep my dog on a year round routine of heartworm preventative. Initial: _______

I will provide flea/tick control, as needed. Initial: ________

I will visit my vet no less than annually for wellness exam, inoculations, heartworm test, and any other tests we agree are necessary for the health and well-being of my dog. Initial: _______

I will not chain or tie-up my dog and leave it outside alone. My dog will be an indoor dog and an important member of my family. Initial: ________

If, for any reason, I am unable or unwilling to keep this dog, I agree to return him/her to Woof River Animal Rescue. I will not give this dog away, take it to a shelter, place him/her with another person or family member, or sell this dog to any other person without the express permission in writing of Woof River.

I am financially able to provide routine and emergency care for this dog for his/her lifetime. This includes but is not limited to food, boarding (if necessary), regular vet care, heartworm preventative and flea and tick preventative.

ADOPTION FEE IS DUE BEFORE TRANSPORT RESERVATIONS CAN BE MADE.

Signature: __________________________________________________________________________

Date: _______________________________________________________________________________

Print Name: _________________________________________________________________________

THANK YOU for your interest in adopting a Woof River pet!

Please LIKE us on Facebook and Follow us on Twitter and Instagram (@WoofRiver)

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