Wise Animal Rescue Adoption Application
Adopters First Name
Adopters Last Name
Your Date of Birth
Street Address
Zip Code
Home Phone #
Cell Phone #
Work Phone #
Sometimes a phone call is necessary. What is your preferred method of communication?select your preferred choice
How did you hear about Wise Animal Rescue?pick one!
Information About Your Dog Adoption Choice
Name of Dog you wish to Adopt
Why are you interested in adopting the dog?any details that may help us find you the best dog for your home
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Who will be the primary caregiver of the dog?any details that may help me find your best home
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Personal & Household Information
Where do you work?
What is your Work Address?
How long have you worked at your current job?use slider to make selection
What type of residence do you have?pick one!
Do you own or rent?pick one!
Great, You Rent!Please provide full landlord info
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Do you have a fenced in yard?pick one!
You selected 'No', do you plan on fencing in the yard?pick one!
How long have you lived at this residence?use slider to make selection
Please list all persons living in your household?please list name, age & relationship on a separate lines
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Is anyone in the household allergic to dog?pick one!
Do you currently have any pets?pick one!
You selected 'Yes'Please list pets: Name, Type, Age, Breed, M/F, Altered, Up-To-Date Vaccinations, Familiar with Dogs
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Have you had any pets in the pastpick one!
Who was primarily responsible for your previous pet(s)?
In whose home did the pet(s) live?
Briefly describe what happened to the pet(s).
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Have you ever had to find a new home for your pet?pick one!
You selected 'Yes'Please explain When? & Why?
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Pet Care
Can you financially afford to care for your new pet?pick one!
Where will the pet stay during the day?
Where will the pet stay at night?
How many hours per day will your dog be alone?select hours below
Who will exercise your dog?enter full name
How often?enter times/day
Who will take care of your dog when you travel?
Who else will be spending time with your dog?
Will you be using a crate for your dog?pick one!
NoBriefly explain why you wouldn't use a crate?
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Are there any behaviors you will not tolerate?Please list below
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What sort of training do you plan on providing?Please list below
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What training experience do you have?Please select all that apply
Veterinarian Information

Please include all animals (dog, cat, bird etc.) who received medical attention (you may be required to give your Vet permission to give Wise your information)

If you do not have one, we are happy to provide recommendations

Current Veterinarian Name
Current Veterinarian Address
Current Veterinarian Phone #
Animal Breed at Current Veterinarian
Adopters References

Reference #1

Full Nameyour full name
Phone #please provide best number to contact
Relationshiphow do you know each other

Reference # 2

Full Nameyour full name
Phone #please provide the best number to contact
Relationshiphow do you know each other

By hitting SUBMIT APPLICATION, I certify that the above information is true and accurate to the best of my knowledge and I understand that my completion of this form is no way obligates W.A.R. to adopt a dog to me. By submitting this application, I authorize W.A.R. to contact my veterinarian and contact anyone listed.

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