CANINE ANIMAL ADOPTION APPLICATION
Date: Name of pet(s) you would like to adopt (list in order of preference)?
Please note that we may receive multiple applications for pets posted on our website Indicating your interest in a specific pet(s) does not guarantee you adoption rights to that specific pet.
I am interested in: (√ all that apply)
Street Address: Apartment Number:
City: State: Zip Code:
Other Phone You Wish To Be Contacted At:
Driver’s License Number:
Date of Birth:
If 21 or under, Parent Name: Home Phone:
Who do you live with?
Number of Children in household:
List children’s ages:
Number of Pets in household:
Types of pets:
Any family members suffer from pet allergies?
►If so, allergic to:
Home Ownership Status:
Landlord's Name & Phone #:
Extra Security Deposit for pets?
►If so, how much?
►If so, place of employment:
Position: Length of Employment:
How many pets do you currently own?
How many pets have you owned in the past and what happened to them?
Will the animal live with you?
►If not, with whom will the animal live:
Have you ever adopted an animal from us?
►If so, approximate date(s):
Have you ever surrendered an animal to us or another shelter?
►If so, explain:
Reason(s) for wanting dog (check all that apply):
Where will this pet be kept during the day?
Where will this pet be kept at night?
How do you plan to confine this pet to your property?
Who will have primary care of this dog?
Who will care for this dog when you leave for vacation?
Do you intend to have this dog spayed/neutered?
►If not, why:
How do you plan to exercise your dog?
Have you ever housetrained a dog?
Have you ever obedience-trained a dog?
Would you like information about Wright-Way Rescue's Dog Training Academy?
Name and phone number of current veterinarian:
►If none, veterinarian you plan to use:
If you currently have a dog, is it current on all vaccinations? Current vaccinations are reccomended before bringing a new animal into your home.
If you currently have a dog, are you using heartworm preventative?
►If so, what kind:
If you currently have a dog or cat, are you using flea and tick preventative?
►If so, what kind:
Are you aware of the current related laws that pertain to owning a pet where you reside?
Often times pets coming from a shelter environment will require continued medical care to treat and/or prevent intestinal parasites. Are you prepared to provide this needed care for an adopted pet?
Puppies under the age of four months require a series of three to four vaccines before being considered fully immunized. Adult pets will require yearly booster vaccines. Are you prepared to provide this needed care for an adopted puppy?
Dogs who are in shelters have a higher risk of exposure to illness due to the amount of animals they are potentially exposed to. Wright-Way Rescue makes every effort possible to ensure the health and well being of it's adoptable pets. Once in a while, despite best efforts, a pet will become ill post adoption. Pet insurance is provided that typically helps to cover the cost of minor health issues. Adopters are responsible for the deductible and signing up for this insurance offer after adoption. If a life threatening illness occurs within two weeks of adoption Wright-Way Rescue will take back the pet and treat him or her at our partner veterinarian. As a not for profit organization, any bills you incur at your private veterinary clinic will not be repayed. Do you understand the health and treatment policies of Wright-Way Rescue?
**NOTE** Application must be completed in its entirety. If you leave any items incomplete, you must call
the shelter with the information before your application will be considered. Please help us speed up the
adoption process and ensure all items are complete before you submit this application.
Many factors go into determining which applicant will be matched with a particular animal. If you are not
chosen for this pet, it does not mean that you are not considered a good pet owner or that your home is
not acceptable. Our goal is to place every animal in the home that will best suit its needs.
I hereby swear that the answers given by me on this application are true and complete to the best of
my knowledge and I understand the application process.
Signature (type name):
*Please add any comments you would like to make here that will help us make a good decision for you
and for your new companion.