Adoption Application

Adoption Requirements

Please read and sign before filling out the application

You must be 21 years of age.
You must be willing to make a commitment to care for the pet for the duration of its lifetime.
We do not adopt to members of the military.
We do not adopt out dogs as gifts.
All dogs will be INDOOR companions. You must have a secure fenced yard or be committed to multiple daily leash walks in all kinds of weather (snow, heat, ice, pouring rain, etc.). Need not apply if you are looking for a pet to keep outdoors full time.
If you are living in a rental property you must provide written proof of landlord approval and payment of any pet deposit.
All current pets in the household MUST be spayed/neutered and current on all vaccinations. Veterinarian references are verified.
Our adoption contract legally binds you to provide the dog with proper veterinary care, including a yearly wellness exam, up-to-date required vaccinations and emergency care if necessary. You also agree to keep the dog on monthly heartworm preventative and flea/tick preventative.
Our adoption process intentionally takes several steps and cannot be completed in one day. Expect this process to take 1-2 weeks from the time you submit an application to the time the dog will be in your home. Please be patient, everyone associated with The Way Home Rescue Alliance is a volunteer.
We reserve the right to deny an application without explanation.

* I am interested in adopting:
(NAME OF DOG/CAT)
____________________________________

*

I have READ and AGREE that I meet the listed requirements above for adopting a pet.

(FULL NAME)
_________________________________

Adoption Application

* 1. Applicant's Name:

* 2. Applicant’s Date of Birth:

* 3. Applicant’s Home Address:

* 4. Primary and secondary (if applicable) phone and best time to call:

* 5. Email address where we may contact you:

* 6. Do you own or rent and how long have you lived there?

* 7. If you rent, please provide landlord’s name and phone number.

* 8. Are there any restrictions on pets where you live? If so, please explain.

* 9. Applicant’s Occupation/Place of Employment:

* 10. Please list all other household members. Be sure to include Full Name, Age, Male/Female, and if they have any animal allergies.

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* 11. If there are children in the home, have they ever been around pets before and do they interact well with them? (Please explain or put N/A if not applicable)

* 12. Please list all current household pets. Be sure to include Name of Pet, type of animal & breed, age, sex, weight, years owned, date of last vet check/vaccination.

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Note: All pets in home MUST be spayed or neutered with current vaccinations

13. If you have other dogs/cats, please describe flea/tick prevention methods and heartworm prevention methods you are using.

* 14. Please list previous animals you or your family have owned in the past 20 years. Be sure to include Name, Species/Breed, Years owned, How you acquired animal, Why you no longer own the animal, Where is said animal now, If deceased what was the cause of death.

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15 Veterinarian Information: Please list the vet that has treated your current or past animals. Be sure to include Veterinarian name, Clinic name, address, phone #. If you do not own any animals please list references in the next question.

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* List any personal references that you would like us to know about. Please include Name, Address, Phone #, years known, and relationship.

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* 16. How long have you been looking for a pet to adopt?

* 17. Please describe on the following page the “perfect” pet for you. What characteristics/traits are you looking for? As you answer this, please think about your lifestyle – are you active, in an out a lot, are there lots of people around, or are you more quiet and sedentary, with few visitors. What personality in a pet would best fit your family’s needs and lifestyle? Would your pet go with you everywhere or be at home most of the time? Are there other pets in the home that need to be considered?

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* 18. Do you have a fenced yard? If so, what type of fencing is it? Is the yard fully fenced? If not, what are your plans for exercising the dog?

* 19. Where will the dog be when no one is home?

* 20. Where will the dog sleep at night?

* 21. Approximately how many hours during weekdays and weekends will your dog be alone?

* 22. Who will care for your pet when you are out of town?

* 23. How would you respond given the following situations?

- Chewing on inappropriate items:

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* - Having accidents in the home:

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* - Barking excessively:

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* - Running away/escaping:

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* - Jumping on furniture/people:

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* 24. Have you ever done obedience training with a dog? If recommended, are you willing to take your dog to an obedience trainer?

* 25. Are you familiar with crate training?

26. Under what circumstances would you no longer be able to care for this dog/cat? Check all that may apply.

* 27. Have you ever adopted a pet before? If so, please supply the name and/or number of the shelter or rescue association you dealt with.

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We require that if, for any reason, you are unable to keep the pet, you contact us immediately and we will work with you to place the pet in another home. We further require that the adopter never take the adopted pet to a shelter or any sort of other establishment that may euthanize the pet.

We expect that all of the information supplied in this application is true and accurate and any misrepresentation of the facts may result in your losing the privilege of adopting a pet through us. We reserve the right to deny your request to adopt an animal from our rescue. A representative will be in touch soon. Please be patient, as we are all volunteers.

* Indicates Response Required