Adoption Application
Full name *
Your answer
Address *
Your answer
City, State, Zip Code *
Your answer
Have you ever used any other names(i.e. maiden, religious, professional etc) If so , please list. By submitting this application you agree to a basic criminal history check and calls to your specified references.
Your answer
County *
Your answer
Phone number (with area code) *
Your answer
Cell Phone Number (with area code) *
Your answer
Email Address *
Your answer
Date of Birth *
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Have you been convicted of any felonies in the past 5 years? By submitting this application you agree to a basic criminal background check. If yes for what reason? This doesn't exclude the applicant from adopting a dog if answering yes. *
Your answer
How many hour a day do you work? *
Your answer
Will your work hours change *
I live in a *
Do you rent or own *
If you rent please enter your landlords name and phone number with area code. *
Your answer
Describe your household
If you rent have you received the approval of your landlord to have a dog? By clicking yes you are acknowledging that you are aware of and in compliance with your rental property's animal policies (i.e. breed restrictions, weight limits etc)
Length of time at present address *
Your answer
How long have you been a MN resident?
Your answer
Are you aware of your city's pet ordinance?
Is your yard fenced *
If yes how high is the fence?
Your answer
If no how will you exercise your dog?
Your answer
Are you willing to let a volunteer of Wags and Kisses Rescue visit your home by appointment? *
Would you be interested in short term fostering? If yes, please also submit a foster application.
How many people reside in your household? *
Your answer
Please list the following information for any adults over 18 living in the household. First and last name(maiden name), Date of birth, and cell phone number
Your answer
How many children reside in the household?
If there are children in the home please list their ages
Your answer
Please list your current pets along with breed, age, and name(for doing the vet check). *
Your answer
If you currently have pets are they spayed/neutered? *
If you currently have pets are they all up to date on vaccinations? We require distemper and rabies shots. If not please explain why not. *
Your answer
Providing Wags and Kisses with this information you are allowing us to call your vet. Please call your vet, in advance, and authorize the release of your vet records to Wags and Kisses Rescue. Please list the name of vet you use. *
Your answer
Please provide the rescue with the phone number of the vet you use(include the area code) *
Your answer
Do you agree to provide regular veterinary care by a licensed Veterinarian?
Do you have a specific breed you are interested in ?
Your answer
What traits are you looking for in a dog?
Are you interested in a specific dog? If so what is the dogs name? *
Your answer
Who in the household will care for the dog?
Your answer
Will the dog be kept inside or outside? Please explain. *
Your answer
How much time will the dog spend home alone during the day? *
Your answer
List at least 3 references including their full name, phone number and email address. Please make sure at least two are NOT family members. *
Your answer
I certify that the information on this application is true. Enter your full name and the date. *
Your answer
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