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!
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? *
Your answer
Where Do You Live? (Please provide full address, Including City, State and Zip Code) *
Your answer
What Phone Number Should We Use To Contact You? *
Your answer
What Email Address Should We Use to Contact You? *
Your answer
How old are you? *
Your answer
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?
Your answer
If renting, please include your landlord's name and contact information (either email or phone number). *
Your answer
Does your residence have a yard? *
If you indicated your residence has a yard, is it fenced in?
What type of fence does your yard have?
How tall is your fence?
Your answer
Would you dog ever be unsupervised in the yard? If so for how long? *
Your answer
Would you ever use a tie out for your dog (A leash secured in the ground to keep them on the property)? *
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?
Please list all members in your household. (Please indicate ages) *
Your answer
Do any of your family members have allergies toward animals? *
Your answer
Would you ever consider returning an adopted pet? If so please describe the circumstances. *
Your answer
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. *
Your answer
Please list all current pets in your household. Please include Breed, Age, Gender, Spayed/Neutered, and Size. *
Your answer
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. *
Your answer
How often and for what reasons would you consider bringing your new dog to the vet? *
Your answer
Please indicate two personal references, with the contact information (phone number or email) we can use to contact them. No family members please! *
Your answer
If you have temporary financial or health problems, who will care for the dog? *
Your answer
Where did you hear about us?
Your answer
How would you prefer to be contacted to set up an adoption appointment? *
Required
Time to set you up with the best dog for your family!
We will do our best to match you with the right fit!
Are there particular dogs that you are interested in meeting?
Your answer
What age range are you looking to adopt? Please check all that would appeal to you. *
Required
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. *
Required
Which personality traits are you looking for in your new dog? Please check all that apply. *
Required
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.
Your answer
What other qualities are you looking for in a dog that are not listed above?
Your answer
Have you ever owned a dog before? Please explain. *
Your answer
On an average day how many hours will your dog be left alone? *
Your answer
Please describe how your dog will spend a typical day in your home. (Starting from waking up and going until bedtime) *
Your answer
How do you plan to exercise your dog? *
Your answer
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. *
Your answer
Are you interested in pursuing training with your adopted dog? Please check all that apply. *
Required
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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