EmailMeForm
Adoption Application
By filling out this application you understand and agree that all information provided is correct and true to the best of my knowledge and I have not withheld any pertinant information. I also understand and agree that any misrepresentations of me or my family or any untruths of the information I have provided herein that are discovered may result in the immediate denial of my application and I may not be allowed to adopt a dog from Wolf Creek Dog Rescue. Submittal of this form provides my agreement to this adoption application.
** PLEASE NOTE **
Please keep in mind, we do not ask for any more private information than your local shelter would. Your private information will never be shared with anyone.
Failure to fill out this application in its entirety, in all applicable fields, may result in your application being disregarded entirely.
Name of dog you're interested in adopting?
Name
*
First
Last
Date of Birth
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
State ID/Driver's License #
*
Primary phone number
*
###
-
###
-
####
Secondary contact number
###
-
###
-
####
Email
*
What is your occupation?
*
How many hours a week do you work?
Do you live in?
*
Please select
House
Apartment
Condo
Townhouse
Live with parents
Other
Do you own, rent, or other?
*
Please select
Own
Rent
Lease
Live with parents
Other
If you RENT, Do you have the landlord's permission to adopt?
Please select
Yes
No
Please explain any restrictions (breeds, weight, etc) AND please provide direct contact information for your landlord.
How long have you lived at your current address?
*
Do you have plans to move?
*
Please select
Yes
No
If yes, when and where?
Do other adults live in the home? If yes, please list them.
*
Do children live at or visit the home? If so, please provide their ages.
*
Are the children experienced around dogs?
*
Yes
No
N/A
Is anyone in the home allergic to dogs?
*
Yes
No
Is anyone in the home afraid of dogs?
*
Yes
No
Do you have a yard?
If yes, who has access to your yard?
*
Do you have fencing?
If yes, PLEASE specify height and type! *
*
Do you have a pool?
*
Yes
No
Have you ever owned dog(s) before?
*
Yes
No
Have you ever relinquished a pet to a shelter or rescue?
*
Yes
No
Have you ever had an animal confiscated from you?
*
Yes
No
Have you ever had to euthanize a pet?
If so, please briefly explain.
*
Are there other pets currently living in the home?
*
Yes
No
Do you have any livestock?
*
Yes
No
If YES, list types of animals in home, including gender, age, if spayed/neutered, current on vacccines, and temperament.
If NO please write " N/A"
*
Do you anticipate any problems with current pets and a new dog?
Should any arise how would you deal with those problems?
*
PLEASE ANSWER THE FOLLOWING;
On average how many hours will the dog be left alone?
Where will the dog be kept during the day? At night? When not home?
Are there any rooms off limits to the dog?
*
Who will be primarily responsible for the dog?
*
Are you willing to update the rescue if contact information/address changes so their records can be updated?
*
Yes
No
Do you feel you are physically and financially able to care for a new dog for its lifetime?
*
Yes
No
Do you understand a new dog needs time to adjust and decompress at their new home?
*
Yes
No
If your new dog needs training would you seek the assistance of a trainer?
If so, who?
*
If gone for an extended period of time or in case of death, what is the long term plan for the dog? If relying on others please include Names and Phone numbers.
*
Do you currently have a veterinarion you use?
If so, please provide clinic name and number.
*
PLEASE ANSWER -EACH- OF THE FOLLOWING:
A) What are you looking for in the dog you're interested in adopting?
B) How much do you know about the breed(s) of the dog(s) you're interested in?
C) Would any behaviors cause you to return the dog to the rescue?
Any concerns you'd like to discuss?
*
Please feel free to add any other information you feel would be useful for us to know or make any comments that you would like to add.
Do you consent to a home visit by WCDR personnel upon request?
*
Yes
No
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