WAND Application
To be approved for adopting a Dog, you must first complete this detailed application form in its entirety.
Incomplete forms with unanswered questions will not be processed. You will hear from us within 2 days.
If an adoption contract is signed, we expect you to fulfill the requirements listed therein.
Email address *
Name of the dog you are interested in (if known): *
Your answer
Your Name: *
Your answer
Your Address? *
Your answer
City? *
Your answer
State? *
Your answer
Zip Code? *
Your answer
Phone? *
Your answer
Email Address? *
Your answer
Mate's Name and Phone? *
Your answer
Current profession/source of income? *
Your answer
How long have you worked/done this? *
Your answer
2 Personal references who are familiar with you as a pet owner. Not more than one relative. If your dog(s) requires(d) grooming please include your groomer as a reference. If you have adopted a dog from another rescue please use them as a reference. Name, phone, email addresses and the relationship to you please?
Your answer
Reference #1 Name, phone number and email? Relationship to you? *
Your answer
Reference #2 Name, phone number and email? Relationship to you? *
Your answer
Veterinarian’s Name and Phone *
Your answer
List each dog you have owned. Giving breed, where the dog is now or how did the dog die? *
Your answer
Please list other pets, their ages and what happened to each of them? *
Your answer
Do you live in a House? *
Required
If renting please give us landlord’s Name and Phone?
Your answer
Is there a limit on the number of dogs you are allowed where you live? *
Required
Please note the limit here? *
Your answer
How long have you lived at this address? *
Your answer
If less than 1 yr, how long at previous address?
Your answer
Do you have a fenced yard? *
Required
Type & height of fence? *
Your answer
If no fence, how will you exercise the dog & let the dog relieve him/herself? Examples, on a leash, on tie out, boundary training? Please explain? *
Your answer
How many adults in the household and their ages, please list? *
Your answer
How many children, their ages & sex? *
Your answer
Have children been raised with dogs? *
Required
Would you say they have a Gentle, Medium or Rough Touch? *
Required
If no children, do you plan on having children someday? *
Required
Do all members of the household wish to adopt this dog? *
Required
Is anyone in the home allergic to any types of animals? *
If yes, please explain?
Your answer
What do you feel is the most important responsibility in caring for a dog? *
Your answer
Who will take care of the dog? *
Your answer
Are there regular visitors to your home (human/animal) with which your new dog must get along? *
Your answer
Where will the dog spend the day? *
Your answer
Will dog be? *
Required
On an average, how many hours each day will the dog spend without human companionship? *
Your answer
Where will the dog sleep at night? *
Your answer
Will dog be? *
Required
What is your feeding plan? *
Your answer
Who will care for your dog when you are on vacations or emergencies? *
Your answer
Have you ever adopted an animal from a rescue or shelter before? *
Required
If yes, which rescue or shelter was it?
Your answer
Have you ever released an animal to a rescue or shelter? *
Required
If yes, please explain? *
Your answer
What is your housebreaking routine? *
Your answer
Please explain how you would correct your dog for getting in the trash? *
Your answer
If you were holding a little dog and he/she tried to bite someone while you were holding him/her, what would you do? *
Your answer
Please explain how would you teach your dog to come to you? *
Your answer
What will happen to the dog if you move? *
Your answer
Do you agree and promise to contact us if you can no longer keep this dog? *
Required
Please tell us why you think you will make a great home for a dog? *
Your answer
*Please forgive us if some of the questions seem personal, but we are trying to make sure that the dogs are matched to the right families & that those families will be committed to the dog for life. We understand things change, and in case a family is unable to keep the dog for life, we expect our dogs to be returned to us. . We do not want them to end up at a kill shelter or be passed around. We want them to be safe for life. Thank You
All the above information I have given is true and complete. *A typed signature will be accepted as a valid signature when application is completed online or through email. Please sign below. *
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