Adoption Application - Wonder Paws Rescue

What type of pet are you applying to adopt? *

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Drivers License # *

How long have you lived at your address? *

Do you rent or own your home? *

Rent
Own
Live with parents

What is the full name of the individual or company listed as the property owner? *

Please provide landlord or property owner name & telephone number. *

What is the name of your apartment complex, condominium association, or HOA? If none, type NONE. *

Does anyone smoke inside your home? *

No, no one smokes inside the home
Yes, someone does smoke inside the home

Please provide two personal references here (name and phone number, please). *

Please list the other members of your household, including children. For adults 18+ please list full name. *

The next step in adopting this animal if your application is approved is a home visit, which is just a casual visit to get to know you & discuss pet ownership. Which is your preferred way to do the home visit? *

In-person visit
FaceTime or Skype visit using phone/computer

What pets do you currently have? *

Dog or Dogs
Cat or Cats
No current pets
Other

Check all that apply

Please list and tell us about your current pets. *

What is the name and phone number of your current veterinarian? *

If you do not currently have a vet, are you willing to visit one within 14 days of adopting your pet in order to establish a relationship with one? *

Have you had pets in the past? *

Please list any pets you have had in the past and why you no longer have them. *

Give names and types and why you no longer have them (e.g. deceased, gave away, ran away, etc.)

Have you ever turned a cat or dog into a shelter or given a cat or dog away? If yes, please explain. *

Have you ever had a pet euthanized? If yes, please explain. *

Under what circumstances would you give this pet away to a friend or family member? *

Expanding human family (e.g. having a baby)
Breakup/Divorce
Moving
Change in economic circumstances (being laid off, etc.)
Behavior problems (e.g. barking, scratching furniture, digging, potty accidents)
Pet getting sick with an expensive illness
Serious aggression issues
There are no circumstances which would make me give this dog away
Other (please explain below)

Check all that apply

Please make any comments you want to make about your answers to the two previous questions here. *

What is your plan if you experience an emergency, such as a hurricane? *

Do you agree to donate the appropriate adoption fee for this pet? The fee for adoption is indicated on the pet's adoption listing. While this donation does not cover the full medical expenses paid by the rescue, this is the amount agreed as a fair donation. *

Agree
Disagree

You consent to the rescue screening your adoption application, including some or all of the following: checking listed personal and veterinary references; HOA/landlord/complex; and any searchable public record. *

Agree
Disagree

Do you agree to seek prompt and quality veterinary for this pet as soon as the need arises? *

Agree
Disagree

Over-the-counter flea and tick preventatives (Hartz, Adams, etc.) can be extremely dangerous to cats and dogs. Reactions can cause problems such as skin inflammation, seizures, and death. Do you agree to only use veterinarian-approved products such as Revolution, Frontline, Advantage, Capstar, and Program? *

Agree
Disagree

Where did you hear about us? (e.g. Adopt-a-Pet, Craigslist, Facebook, etc)

Any additional questions or comments here, please.

[ELECTRONIC SIGNATURE] Please type your name here to certify that all of the information contained within this application is true to the best of your knowledge. *

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