WFAHS Adoption Application

Who are you interested in adopting? *

*

Dog Cat

Name *

First Name Last Name

Age *

Your Physical Address *

Street Address

Street Address Line 2

City State

Zip Code

Your Email *

Phone numbers where we may contact you *

Area Code Phone Number

The following questions will help us determine which pet is a good fit for your home. Some of our animals are not good with other animals, kids, etc. Some dogs require fenced in yards. Some animals have special circumstances that we must consider before placing them in a home. Thank you for being thorough in your answers, as the more we know, the better we can find the right fit for your family!!

Why are you interested in adopting this pet? *

Number of adults in the home and ages *

Number of children in the home and ages *

Do you live with your parents? *

Is this your first pet? *

Please list any pets currently living in your home. Please include the following: ages, breeds, spayed/neutered *

Where will the animal be living? *

Inside Outside Both

Approximately how many hours a day will the pet be left home alone? *

Where will the pet be kept when you are not home? *

Do you have a yard? *

No yard (apartment/condo/townhome) Yard, Fenced Yard, Not fenced

What type of fence do you have? (If no fence, just type "no fence") *

If you do not have a fenced in yard, how will the pet be contained? (If you have a fence, please put N/A) *

Please understand that our animals are coming from a shelter environment where they may not be housetrained, have basic "manners", and will require patience while they learn to adjust to a new home. It takes approximately 3 days to 3 months for the average shelter pet to settle into their new home.

Are there any behaviors you are not willing to work with that would make you rehome or return the dog? *

Vet Information

Name of your Veterinarian (If you do not have one, please list the one you intend to use) *

Are your pets up to date on vaccinations? *

Yes No

We require that all of our adopted dogs continue heartworm prevention in their new homes. Heartworm prevention can only be purchased through a veterinarian. To learn more about heartworms, please visit heartwormsociety.org! (If you are adopting a cat and this does not apply to you, please put N/A)

Are your current pets on heartworm prevention? *

Yes No

What is the name of the heartworm prevention you use? *

Is your pet on flea prevention? *

Yes No

What is the name of the flea prevention you use? *

Many renters and apartment complexes have breed and pet restrictions. Please check with your landlord to confirm that you are allowed to have a pet before adopting. Please also make sure the renter will allow certain breeds.

You live in a: *

Single Family Home Duplex/Twin Condo/Townhome Trailer Apartment

Do you rent or own this property? *

Rent Own

If you rent, does your landlord approve of you having a pet on the property? *

Yes No I own my home

Does your municipality or place you live have certain pet/breed restrictions? *

Yes No

If yes, please explain

Are you applying to adopt a "Barn Cat"?

Yes No

When will you be ready to adopt this animal? *

Today This weekend Within a week Within a month

Have you adopted from us before? If so, which pet? *

Have you adopted from other area shelters before? If yes, where? *

How did you hear about us?

I live local Facebook Newspaper Friend/Family Road Sign

If Friend/Family, list the name of the person who referred you:

Do you have any additional comments, questions or concerns? *

Applicant's Signature *

Signature date *

Adoption Fees: $140-Dogs $100-Cats

Adoption fee includes spay/neuter, up to date on vaccinations and preventions, heartworm treatment (if applicable), and microchip (dogs only)

Please bring exact cash or check for payment.

Thank you for taking the time to submit this form. Someone will be in contact with you soon!