subject_line
Animal Interested in Adopting?
*
Animal Interested in Adopting?
Animal Interested in Adopting?
Please Upload a Photo of your family (pets included - BONUS POINTS!)
First Name
*
Last Name
*
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Email Address
*
Are you (or your spouse) Active Military, US Veteran, Police Officer, EMT, Fire Fighter? (check all that apply)
*
No
Active Military
US Veteran
Police Officer
EMT
Fire Fighter
APPLICANTS Employer Name:
Manager Name
Profession:
Business Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
Work Phone Number
CO APPLICANT: First Name
Last Name
Street Address
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
Phone Number
Email Address
How many hours per week do you work away from home?
*
I work from home everyday!
I am currently unemployed
I am retired
10-20 hours
20-30 hours
30-40 hours
40-50 hours
50+ hours a week
Does Co-Applicant Live with You?
Yes
No
Does Not Apply
Do you:
*
Own Home
Rent Home
Own Condo
Rent Condo
Rent Apartment
Own Trailer
Rent Trailer
Landlord or Association Contact Name:
*
Landlord Contact Phone:
*
Up Load Your Lease (Pet Rules / Agreement) Here:
Do you have a fully Fenced yard? (ALL 4 Sides?)
*
Yes
No
Upload Photo of Yard:
Please describe your yard:
Please List ALL current pets in the home here: (Pets Name l Type Of Pet l Age l Sex l Breed )
*
Have your animals been socialized? Can they be around other animals?
Yes
No
Does Not Apply
Are all pets spayed/neutered?
*
Yes
No
Are all CURRENT pets UTD on Rabies, DHPP (distemper), and annual heartworm testing?
*
Yes
No
Does not apply
Are CURRENT dogs/cats on heartworm preventative?
Yes
No
Upload Proof Of Vetting on YOUR CURRENT animals:
Do you have previous experience owning this type of pet?
Yes
No
Some adoptions require previous breed experience, if no prior experience describe why we should consider you for an adopter of this animal:
Current Vet Name
*
Street Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
Phone Number
Current Brand Of Pet Food You Use:
Are you open to new food suggestions?
Yes
No
Do you currently have OR will you be applying for CARECREDIT?
Yes
No
Don't Know
How much monthly are you willing to spend on routine vet care/meds?
*
Are there ANY behaviors you will not tolerate? (check any and all that apply)
*
Potty Training
Chewing
Drooling
Digging
Shyness
Separation Anxiety
Barking
Nipping/Mouthing
Running Away
Aggression towards people/kids/visitors
Aggression towards animals
Food/Toy possessive w Dogs
Food/Toy possessive w People
Medical Issues that may arise
I will tolerate ALL behaviors
Do you believe that training should be considered BEFORE returning an animal?
*
Yes
No
Does Not Apply
Do you know anyone who works or volunteers at Wags 2 Wishes Animal Rescue? If So WHO?
Have you ever adopted from a rescue or animal control before?
Yes
No
If yes, which one?
Have you ever returned an animal after adoption or rehomed an animal?
*
Yes
No
If yes, please describe the circumstance that led to the return:
Describe in DETAIL your plan should your job change, you have to move, you have a baby, you get married/divorced etc.
*
Please list EVERYONE who lives IN your home: (Name l Relationship l Age )
*
Please list (3) References NOT living with you: (Name l Relationship l Years Known l Phone Number)
*
By signing below you agree that all the information you provided is accurate and honest. You also agree to release all vetting paper work on your current animals. If chosen to adopt the animal(s) your are applying for you understand that your adoption fee IS A DONATION and is NOT refundable:
*
clear