Animal League of Washington County Dog & Cat Adoption Application
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First Name *
Last Name *
Your Age *
Street Address *
City *
State *
Zip Code *
Home Phone
Cell Phone *
Email *
If you know which ALWC pet(s) you're interested in, list them here.
Which of the following best describes your home? *
Do you rent or own your home? *
If you rent, we may contact the owner to obtain permission for this animal to live in your home.
Are you willing to allow an ALWC representative come to see where the pet will be living? *
Are you planning to move in the next 2 years? *
How many children are in the household? *
Age of Children *
Have you adopted from a shelter or rescue before? *
List pets you currently own. *
Please add Type of pet, breed, Pet's name, Age, Sex, Spayed or Neutered for each pet.
Are your pets current on vaccines? *
If no, please explain why.
What kind of flea/tick preventative do you use? *
If none, please explain why.
Who is your veterinarian? *
Please include their phone number. If you do not have a vet, please explain why or put "N/A."
Describe in detail the kind of pet you're looking for: *
Why do you want a pet (or another pet)? *
What types of activities do you plan on doing with your new pet? *
Example: walking, hiking, camping, companionship
How many hours each day will the pet be without human companionship? *
Where will your new pet stay during the day while you are at work, errands, etc.? *
Where will your pet sleep at night? *
If you go away for a few days, or on vacation, who will take care of the pet? *
Is there anything else you would like us to know? *
How did you hear about us?
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Under penalty of law I swear/affirm that these answers are true and correct to the best of my knowledge. By signing below, I certify that all above information will be found true and any misrepresentation of any facts on my behalf may result in denial of adoption. I acknowledge and understand completely that all pets up for adoption are the sole property of the Animal League of Washington County. I understand that filling our this application does not guarantee me a pet. I understand the placement of the animals is at the discretion of the Animal League of Washington County. I authorize investigation of all statements I have provided on this application. I also understand an authorized representative of the Animal League of Washington County may contact me in the future to follow up on the success of this adoption. Any fees associated with adoption the non-refundable. *
Please type your name & the date below to acknowledge.
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