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: ____________________________________
_____________________________________________________________________________
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? ____________________________________________________
______________________________________________________________________________________________
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? ______________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Who will care for your dog when you are out of town (vacation, etc.)? _____________________________________
______________________________________________________________________________________________
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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