WAGGYTAIL RESCUE
DOG ADOPTION APPLICATION

There is a pet for almost every loving home, and our goal is to find the most compatible matches possible!

Please Copy and Paste this application, fill it out and email to waggyadopt@gmail.com.

Please put the name of the dog in the subject of your email.

Please fill out this form completely.

Name:
Address:
City :
State:
Zip Code:
Email:
Home Phone:
Work Phone:
Cell Phone:

Which dog are you interested in adopting? :
Why do you want to adopt a dog?
How did you hear about us?
Why did you choose this dog?
If the dog you've chosen has already been adopted, would you like to hear about others that may be compatible with what you're looking for?

Are you over 21 years old?
Do you own or rent?
Dwelling Type:
If renting, have you checked and made sure your apartment building will permit new pets?

List all members of household and ages (including yourself):

Does everyone in the household want a dog?

Do you have children or plan on having children anytime in the future?

If you have children, have they been taught how to interact with a dog?

Do you have any companion animals currently?
(Please list name, species, and ages, spay/neuter status):

List any previous pets owned and what happened to them:

Name of Vet:
Vet's Phone:

What are you looking for in a dog? (breed, personality, energy level, grooming, size, etc.)

Where will this dog spend the day?
How many hours will this dog be alone a day?
How will the dog be exercised?
Where will this dog sleep?
Do you or does anyone in your household have any limitations that may prevent you from owning a particular kind of pet? (allergies, etc.)

Are you financially secure enough to responsibly care for a dog’s care, including unforeseen health problems?  The average life span of a small dog that is given proper food and veterinary care is 14 years or longer.  Can you provide for your dog's well-being for that life span?

In the event you cannot care for your dog, what provisions will you make for the dog's future? Please explain:

Are you adopting the dog for yourself or someone else? (Waggytail Rescue does not allow gift adoptions.  The gift recipient must visit with the dog and submit an application.)

Please provide three (3) personal references who can attest to your ability to care for a pet:

Name:
Phone No:

Name:
Phone No:

Name:
Phone No:

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We are a non-profit organization.
Your adoption donation allows us to continue to rescue, rehabilitate, and place animals in happy, permanent homes.