Dog Adoption Application
Thank you for your interest in adopting from our rescue! Please fill out the form below and you will be contacted by an adoption's representative within 24 hours to follow up on the next steps in our adoption's process.

Our goal is to set up the perfect match between your family and your new pet, so after you fill out our application we will recommend which of our dogs would be the best fit for your home. If you are interested in a specific dog you may make note of that in the application, however we ask that you keep an open mind to a dog who make have a better suited personality!
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Tell us a little about you!
Please provide us with a little information about your home environment to help us find your perfect match!
What Is Your Name? *
Street Address *
City *
State *
Zip Code *
What Phone Number Should We Use To Contact You? *
What Email Address Should We Use to Contact You? *
How old are you? *
Your Residence - Do You: *
What Kind Of Residence Do You Live In? *
If renting or living in a development, is there a weight limitation? If yes, how many pounds?
If renting, please include your landlord's name and contact information (either email or phone number). *
Does your residence have a yard? *
If you indicated your residence has a yard, is it fenced in?
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What type of fence does your yard have?
How tall is your fence?
Would you dog ever be unsupervised in the yard? If so for how long? *
Would you ever use a tie out for your dog (A leash secured in the ground to keep them on the property)? *
If yes, could you describe when you would use the tie-out?
What yard activities would you want your dog to do? (Check all that apply)
If you are interested in adopting a Bully Breed dog (Pit Bull, Staffordshire Bull Terrier, French Bulldog, American Bulldog, etc.), have you made sure they are allowed in your home or covered by your home insurance?
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Please list all members in your household. (Please indicate ages) *
Are there any other children (excluding immediate family) that would be around the dog frequently? *
Do any of your family members have allergies toward animals? *
Would you ever consider returning an adopted pet? If so please describe the circumstances. *
Financially, how have you budgeted annually towards adding a new dog to your family? Keep in mind cost of food, vet care, training, pet sitting, etc. *
Please list all current pets in your household. Please include Breed, Age, Gender, Spayed/Neutered, and Size. *
Do you currently have a veterinarian? If so, please include contact information. If not, please provide contact information for any vet you have used previously for your pets. *
How often and for what reasons would you consider bringing your new dog to the vet? *
Please indicate two personal references, with the contact information (phone number or email) we can use to contact them. No family members please! *
If you have temporary financial or health problems, who will care for the dog? *
Where did you hear about us?
How would you prefer to be contacted to set up an adoption appointment? *
Time to set you up with the best dog for your family!
We will do our best to match you with the right fit!
Which of our currently adoptable dogs are you applying to adopt? Please check all that apply. *
What age range are you looking to adopt? Please check all that would appeal to you. *
What size dog are you looking to adopt? Please check all that could apply. *
What energy level would you like your new dog to be? Please check all that would appeal to you. *
Which personality traits are you looking for in your new dog? Please check all that apply. *
Are you open to adopting a bully breed? *
If you are interested in adopting a "bully breed" dog please tell us a bit about why you are interested in this (AMAZING!!) type of dog.
What other qualities are you looking for in a dog that are not listed above?
Have you ever owned a dog before? Please explain. *
On an average day how many hours will your dog be left alone? *
Please describe how your dog will spend a typical day in your home. (Starting from waking up and going until bedtime) *
How do you plan to exercise your dog? *
Would you be willing  to work with a trainer if behavioral problems arise? If you already have a trainer that you use, please put their information in the "other" section. *
What experience have you had training a dog? Please explain the style of training you  are most comfortable using. *
Are you interested in pursuing training with your adopted dog? Please check all that apply. *
By submitting this form, you certify that all of the above information is accurate to the best of your knowledge, and you agree to allow confidential discussions with your veterinarian and other personal references regarding my potential adoption of any animal from WRAS. You also understand that omitting any information or including false information will lead to your application being rejected.
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