Adoption Application

WAG Adoption Application

Thank you for your interest in a Walton Animal Guild adoptable pet. Please complete the questions below to submit your application and we'll be in contact with you soon!
Name of pet you're interested in adopting.*
Full Name*

First NameLast Name
Age*
E-mail*
Employer*
Job position*
Name of Spouse
Spouse's employer
Job position
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Primary Phone Number*

Area CodePhone Number
Phone Number - Cellular

Area CodePhone Number
Phone Number - Work

Area CodePhone Number
Type of residence you live in:*
Do you:*

OwnRentLive with Parents * Please note - Any potential adopters under 21 and live with parents, the parents will be consulted on adoption.Other
If Renting: please indicate landlord contact information and whether you've paid a pet deposit.
Size of Living Area*
How long have you lived in this home?*
Household Setting*

RuralSuburbanUrban
Describe your Homes Activity Level*

Busy/NoisyModerate Comings/GoingsQuiet with Occasional Guests
Please List all People Living in the Household (Include Name, Relationship, Gender and Age)*
Do you have a fenced yard?*

YesNoPartial (please explain below)
If fenced, please give details on height, material. Please explain partial fencing.
Does anyone in your household have allergies to animals?*

YesNo
Have you previously owned pets?*

YesNo
Please list all the pets you have owned in the last 5 years and where the pet is now. Be specific.
Are all members of your family agreeable to adopting a pet?*

YesNo
Do you have other pets in your home?*

YesNo
Please list all current pets in your home. (Please include Name, Breed, Age, Altered, Sex, UTD Vaccines, Heartworm Preventive)
Would you be willing to have a WAG Team Member call your veterinarian for a reference check? (Please authorize vet to speak with us)

YesNo
Veterinarian Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Why are you seeking a new pet?*

Family PetChild's PetWatchdogFor BusinessCompanion for current petOther
Will your pet be:*

Inside onlyInside and OutsideOutside only
What percentage of time will your pet be indoors?
What would be a typical day in your home for the dog, including how many hours a day the pet will be left alone while you're at work/school, and where will the pet be kept while alone?*
Depending on the size or energy level of the adoptable dog, a fence may be preferred. If you don't have a fence, how will you provide exercise and outdoor time for your new pet? Please list any parks near by or trails, how many walks a day, approximate length, activities such as agility or obedience.*
If your adoption application is for a puppy, do you have previous experience raising a puppy?
Which of the following reasons might cause you to give up your pet?*

MovingDivorceFinancialAllergiesAggressionNot getting along with other petsSheddingNot under any circumstances
Have you ever given away a pet or surrendered a pet to a shelter?*

YesNo
If yes, why was the pet given away/surrendered?
Some rescued pets have pre-existing health conditions that may require further care by the adopter (i.e. allergies, eye problems, arthritis, etc.) Are you willing to adopt a dog with existing health problems?*

YesNoUnsure
Are you aware of the costs of maintaining a healthy pet: food/ accessories, annual exams, vaccinations, monthly flea/heartworm preventive, unforseen medical conditions*

YesNo
Are you willing to use a crate for a dog if recommended?*

YesNo
We cannot guarantee behavior or housetraining of animals once they go to a new home. Are you prepared to train/work with your new pet with love and patience?*

YesNo
Are you willing to travel to pick up your new pet?*

YesNo
If you answered No to any of the above, please explain.
Anything else you'd like us to know?
By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.

I understand that applying does not ensure approval and that untruthful or incomplete answers or failure to comply with the requirements of this application can result in the denial of application.

I understand that the goal of Walton Animal Guild is to place the pet in the best suitable home and, in the case of multiple applications on the same animal, adoption approval will be granted to the best home for that particular pet, rather than first-in-line applicant.

I certify that the above information is correct, and I understand that the provided information will be verified.
Date*

MonthDayYearHourMinutesAM/PM Option
Your name*
Co-Applicant name (if applicable)
Should be Empty: