We Want to Adopt Wally Bongo
To adopt Wally, you don't need to go to the vet, but you do need to be vetted. Please answer the questions below. 
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Wally is Eager to Meet You
Wonder Dog Wally Awaits His Forever Home
Know Your Local Laws: Before you proceed with filling in this adoption form for the love-bug Wally, please find out if there are any (misguided, ill-conceived) breed specific laws or regulations in your county or municipality. Wally is probably a Pit Bull/Boxer mix. If he is considered "illegal" in your jurisdiction, please don't apply. He could be seized and euthanized!  *
Applicant Full Name *
Your E-mail *
Your Phone Number (Cell and/or Landline)
Your Age *
Co-Applicant Full Name
Co-Applicant E-mail
Applicant Street Address *
Applicant Town or City, State, Zip Code *
How long have you lived at this address? *
Please list all other people residing in your home, including name, age, and relationship to you, the applicant:
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Are other people living in your home aware of your plan to adopt Wally? *
Are there any household members who need special consideration for any reason? Please explain:
Applicant's Employer *
Employer's Phone Number *
List Two Personal References (These would be non-family members). Please provide full name, telephone number, e-mail address, full address, and number of years acquainted for each references.
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Do you live in: *
If you listed "Other" above, please explain:
Do you: *
If you are renting, please provide landlord's name and phone number for verification:
Do you have a fenced yard? *
Do you have a kennel/run? *
If applicable, describe your fencing and/or kennel/run:
How will you handle exercising Wally and providing him potty breaks? *
Do you own any other dogs? If so please list each dog's name, sex, unaltered/spayed/neutered status, ages, and breeds. *
Any other pets or livestock? What type? How many?
Please list the name, address and phone number of your current veterinarian:  *
Please list of the name and phone number of any other vets you have taken your pets to in the last five years: *
Please list the name and phone number of any groomers you have taken your pets to in the last five years: *
How many dogs have you owned in the last five years, and what breeds have they been? *
What happened to the last dog that you owned but no longer have in your life? *
Where will Wally spend most of his day? *
Where will Wally sleep? *
How long will Wally be alone without humans around each day? *
When home alone, Wally will be: *
If you checked "Other" above, please explain.
Will Wally have other canine companions? If so, please describe the temperament of any of your dogs that will be his companions. Also please tell us if the dogs would be left together unsupervised or with a pet-competent human: *
Tell us why you want to adopt Wally: *
Do you have any experience owning and caring for a pit bull? *
Are you familiar with crate training, and would you be likely to crate train Wally? *
Would Wally ever be kept on a chain or a tie-down? If so, explain. *
Agreement: Are you open to a home visit by Wally's foster parents?  *
Agreement: If you adopt Wally, do you agree to obtain any local dog licenses required in your area?  *
Agreement: If you adopt Wally, do you agree to keep his vaccinations and flea/tick and heartworm medications updated, and to provide timely veterinarian care when needed?
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Agreement: If you adopt Wally, do you agree to keep his ID tags on him at all times?
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Agreement: If you adopt Wally, do you agree to properly and comfortably restrain Wally should he be riding in an open vehicle (i.e. pick up truck bed, convertible)?
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Agreement: If you adopt Wally, do you agree that he will  not be used in any illegal activities, nor will he be found at any time in a municipality where Pit Bull presence is illegal. *
Agreement: If you adopt Wally, do you agree that he is to  be kept as a house pet. He shall not be sold for medical or experimental purpose, and you understand that he is neutered and can not be used for breeding purposes.
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Agreement: If you adopt Wally and decide you cannot keep him, do you agree to return Wally to us, his foster parents, immediately? 
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Are you willing to pay an adoption fee for Wally?  *
If you will/can pay an adoption fee for Wally, what amount will you pay? *
If needed, would you pay for or assist with transportation/shipping expenses for Wally?  *
Signature Waiver: Do you agree that by typing your initials below, where indicated, it is the same as signing this legal document? *
Enter your initials here to indicate your understanding that typing your initials is the same as signing this legal document: *
Financial and Physical Verification: I hereby testify that I am financially and physically able to care for Wally. I understand that proper food, veterinary care, bedding, toys, etc. can be costly and I am able to afford to provide Wally with what he needs. I further testify that I am physically fit to provide all necessary activities that Wally needs and/or that dependable persons will assist me in making sure Wally gets plenty of exercise every day. To affirm these statements, I type my initials below: *
Truthfulness: By typing my initials below, I affirm that the information I have provided herein is truthful. I understand that if the information contained herein is in any way found to be false, my application can be refused or that Wally shall be relinquished to his foster parents without a refund of any adoption and/or transportation fees that may have been paid.  *
Acknowledgment: By entering my name and today's date below, I acknowledge that I have read and comprehend this adoption form. I further understand that my completion of the form does not assure that I will be approved to adopt Wally. I understand that, should I adopt Wally, untruthful answers or failure to comply with the requirements of this application can result in his return to his foster parents and the forfeiture of any fees that may have been paid. *
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