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WUWF Application for Canine Adoption
Part 1 of Adoption Application
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* Indicates required question
Email
*
Your email
Applicant Full Name:
*
Your answer
Mobile Phone Numbers:
*
Your answer
Your Street Address
*
Your answer
Your CITY
*
Your answer
Your STATE
*
Your answer
Your Zip Code
*
Your answer
Name of Dog You are Applying For:
*
Your answer
Where did you see their profile:
Petfinder
Waiting Under the Willow Website
Adopt a pet
rescue me
Other:
Age of dog you are looking to adopt:
*
Your answer
Applicant's
Date of Birth:
*
MM
/
DD
/
YYYY
Number of people in household:
*
Your answer
Ages of children in household:
Your answer
Are you or any member of your family allergic to animals/pets?
*
Yes
No
Maybe
Are you currently employed?
*
Yes
No
Employer:
*
Your answer
Select if applicable (select all that apply):
*
Retired
Unemployeed
Student
Work from home or hybrid
Work Part time
Work Full time
Other:
Required
Co-Applicant?
*
Yes
No
Co-Applicant information: name, mobile number or e-mail address, employment. Please type below.
Your answer
Type of Residence in which dog will live:
*
House
Apartment
Condo
Townhome
Mobile Home
Farm/Ranch
Other:
Do you have an HOA?
*
yes and I have pet restrictions
yes and I do not have pet restrictions
no
Rental Property?
*
Yes
No
If rental, are dogs allowed?
*
Yes
No
Not applicable
If rental, are there canine breed or size restrictions?
*
Yes
No
Not applicable
If rental, landlord's contact information and name: This is required if you rent. We may also ask for a copy of the lease.
Your answer
Where will the dog live?
*
Inside only
Outside only
Mostly inside
Mostly outside
Where will the dog spend nights?
*
Inside
Outside
Other:
Do you have a fenced yard?
*
Yes
No
If applicable- describe your fence type and height:
Your answer
How many hours per day will the dog be alone? How many days per week will the dog be alone this number of hours? (For instance- 6 hours 5 days per week)
*
Your answer
My adopted dog will be kept here when noone is home? (crate, outside, bedroom... etc)
*
Your answer
Under what circumstances would you return the dog to WUWF?
*
New Job
Divorce
New baby or change in family situation
Moving
Dog's illiness
My death or illness
Dog aggression/behavior issues
I would NEVER return my dog. My dog is considered family.
Other:
Required
Are you willing to take responsibility if this pet acquires an illness or tests positive for heartworms?
*
Yes
No
Maybe
Are you willing and able to pay the veterinary costs of caring for your new pet? Dogs require annual vaccinations and monthly heartworm and flea preventative. Dogs are expensive!
*
Yes
No
Are you willing to take the time to work with a dog on housebreaking or chewing, if such problems arise?
*
Yes
No
Maybe
Other:
Would you consider obedience training for your new dog, if necessary?
*
Yes
No
Are you willing to take the time to work with a dog on housebreaking or chewing, if such problems arise?
*
Your answer
Are you a first time dog owner?
*
Yes
No
Do you currently have other dogs/pets in your home?
*
yes
No
Yes
Other:
Please tell us about the pets you have had in the last 5 years.
Pet #1
*
Choose
Dog
Cat
Other
Not applicable. I have never owned a pet
Pet #2:
Choose
Dog
Cat
Other
Pet #3:
Choose
Dog
Cat
Other
Pet #4
Choose
Dog
Cat
Other
Pet #1:
*
Choose
Male - neuter
Female - spayed
Unaltered Male
Unaltered Female
Not applicable, I have never owned a pet
Pet #2
Choose
Male - neuter
Female - spayed
Unaltered Male
Unaltered Female
Pet #3
Choose
Male - neuter
Female - spayed
Unaltered Male
Unaltered Female
Pet #4
Choose
Male - neuter
Female - spayed
Unaltered Male
Unaltered Female
Pet #1:
*
Lives inside
Lives outside
Deceased
NA
Other:
Pet #2
Lives inside
Lives outside
Deceased
Other:
Clear selection
Pet #3
Lives inside
Lives outside
Deceased
Other:
Clear selection
Pet #4
Lives inside
Lives outside
Deceased
Other:
Clear selection
Current or past vet name and clinic:
*
Your answer
Vet phone number:
*
Your answer
My current pets are up to date on all their vaccinations/heartworm medications. This can be verified by contacting our vet.
*
yes
no
not applicable. I do not have pets
Other:
My adopted dog will be given heartworm prevention medication.
*
Yes
No
Are you aware that a dog is a large and lifelong commitment?
*
Yes
No
How did you hear about WUWF?
Your answer
Personal Reference #1 name, number, relationship:
*
Your answer
Comments and why should we consider you the best home for a WUWF dog?:
*
Your answer
A copy of your responses will be emailed to the address you provided.
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