Dog Adoption Application

Dog Adoption Application

It's a form that needs to be signed before legally adopting a dog or pet. Form Preview
qwerty2015
  • Dog Adoption Application

  • Please complete all the information on the following pages. Missing information may delay the adoption screening process. Completion of this application form does not guarantee that Jessica White will place one of our pets in your care. Completion of this questionnaire authorizes Jessica to verify any information contained herein, including verification of medical records of any present or prior pets treated by the veterinarians listed. Completion of this adoption process is an indication that you have read, understand and agree to abide by our Animal Adoption Agreement and that the information contained within this application is accurate and not misleading in any way.  All adoptions are at the sole discretion of Jessica White.

  • Please give careful consideration to adopting an animal.

    Animals are not toys or short-term commitments.

    Make sure your lifestyle allows the time, patience and expense this animal will need over the years.

  • All pets will be spayed/neutered, vaccinated, treated for parasites and microchipped prior to adoption. Approved local adopters are expected to travel to southwestern WV (vicinity of Williamson) to pick up their pets. Adopters in northeastern states, we may be able to work with a local rescue near you to facilitate an adoption.

  •  -




  • If you answered no to the question above, please contact your town/county/condo assoc and ask them what the regulations are.



  • If you rent, you must show us a written letter from your landlord or a copy of the section of your lease stating that you are allowed to have dogs and showing any limitations. Or you can provide us with your landlord's contact information below.

    If you live in a condo or townhome, you must show us written proof that you are allowed to have a dog there and show any restrictions.


  • We will be speaking to all household residents to confirm everyone is aware of this application process and wants to have a dog added to the family. Please do not submit this application if you are "trying to talk someone into" adopting this dog or think "once they meet the dog, they will want one" or "I'm getting this dog as a birthday present for them." In those scenarios, you are welcome to email us to discuss the dog, but we would like all adults in the home to be involved in that email discussion.




  •  -  - Pick a Date
  • Should be Empty: