Online Canine Pre-Adoption Application

Canine Pre-Adoption Application Form

 

Wallowa County Humane Society (WCHS) is thrilled you are considering adopting a rescue animal.  Please understand that we are an advocate for the rescue animal and that the animal's well-being is our #1 priority.

Keep in mind that completing an application is not a guarantee of adopting the animal. Our application process is designed to help us determine if a home matches a pet’s needs and assist in finding a pet that is most compatible with your lifestyle and expectations. ** Wallowa County Humane Society requires an applicant be 18 years or older to adopt.

What dog or puppy are you inquiring about? (Name on WCHS website if known)
What personality are you looking for in your new dog or puppy?

To be considered for adoption  ALL FORM FIELDS WITH AN ASTERISK (*) ARE REQUIRED

Name*
Physical Address:*
City and State*
Mailing Address (if different):
Email*
Primary Contact Phone:*
Adopter DOB (must be 18 years of age to adopt)*MM/YY/YYYY
Are you employed?:*Enter Yes or No
If employed, provide Name and contact information of your employer*
Is this your first experience with a pet? If no, please answer question below.*
How many pets have you had in the past two years and where are they now?*Required if this is not your first expereine with a pet.
Do you have pets living with you now?*
If Yes to above question, list other animals in the household. Please indicate age and if they are spayed or neutered:*Required if you have pets living with you now.
Names and ages of ALL adults in the home:*Adult humans
Number of children in home:*
Ages of children in home:Please enter the age of each child living in the home.
If no children living in home, do small children visit and how often?
Please describe your household (Active/Noisy/Quiet/Average):*Active, Noisy, Quiet, or Average

Why are you looking to adopt a dog or puppy? (choose from below and mark selection with an 'X'):

Companion for you/spouse
Companion for another pet
Companion for child/children
Replace lost/deceased dog
Need a travel companion
For emotional support
Looking for protection
As a gift
It's cute
Other

 

 

Living Conditions

Do you own or rent?*
If you rent, does your rental agreement allow pets?
If you rent, please provide the name of your landlord:
If you rent, please provide the address of your landlord:
If you rent, please provide the phone number of your landlord:

Do you live in a (see below and mark selection with an 'X'):

House
Apartment
Duplex
Mobile Home
Condo
How long have you lived at your residence?
Who are you adopting this pet for?
Do you or anyone in your household have any known allergy to pets? If yes, please explain:

 

 

DOG CARE QUESTIONS

Is everyone in your family in agreement with the decision to adopt this dog/puppy?*
Are you prepared to care for this dog for its entire life (10-15 years)?*
Who will be responsible for the care of the dog?
Do you have the time to provide adequate love and attention to your new dog?
Will your dog be an indoor or outdoor dog?*
How many hours a day will your dog be left alone?*

Where will the dog be kept while at home alone? (see below and mark selection with an "X"):

Outside Kennel
Indoor Kennel
Outside in Fenced Yard
Chained Outdoors
Designated Area Indoors
Other
Where will your dog sleep?*
Are there any areas of the house where the dog will not be allowed? If yes, how will you keep the dog out of them?
If your dog prefers a crate will you provide one?
Do you have a securely fenced yard?
If yes, what type of fence is it (wood, chain link, block wall, etc)? How high is the fence?
Is there a doggie door leading to the yard?
If you do NOT have a fenced yard, where and how often do you plan to take your dog to potty?
Under what circumstances would you allow your dog to be off leash?
How important is it to you that the dog is already house trained?
How will you house train your dog if not already?
What characteristics to you especially want and not want in your dog?
What will you do if your new dog has some unwanted behavior(s)?
Describe how you would discipline your dog for unwanted behavior (chewing, potty in house, excessive barking, etc.):
How many years did you have your last dog?
How long ago was that and what happened with your last dog?
Where have your previous pets lived? Indoors/outdoors?
Do you agree to spay/neuter this dog if not already done? If no, please explain why.

What circumstances might justify giving up your dog?

Illness
Divorce/breakup
Shedding
Other
Pregnancy/New Baby
Moving
Not getting along with other animals
I would not give up my dog for anything
New girlfriend/boyfriend/spouse/partner
Allergies
Lost interest
Who will become responsible for the animal if you are unable?

Please provide the names and phone numbers of two personal references who are not family members:

Personal reference 1:
Personal reference 2:
Do you agree to pay an adoption fee depending on the dog's age, health, and possible special needs?
Name and phone number of veterinarian:
List any other information that you feel would be important for Wallowa County Humane Society to know:

By marking the checkbox below (required), I agree to the following:

Provide adequate food, shelter, water, medical and humane treatment at all times. I understand the Wallowa County Humane Society reserves the right to investigate the care, treatment, and environment of adopted animals at any time and has the right to immediately remove any animal adopted through them if they feel it is in the best interest of the animal. Adoption fees include initial set of vaccines, worming, and parasite treatment, microchip, rabies vaccine and spay/neuter. Adoption fees will not be refunded after a period of two weeks. I understand that if at any time I can no longer care for the dog/puppy, I will contact WCHS for rehoming and will not re-home the animal through social media or other means. Adoption fees are  $250. Upon adoption, WCHS relinquishes all responsibilities . WCHS will not be held liable for any personal liabilities or damage to property or financial in debt news’s incurred for the care of the adopted animal after adoption. I agree to alter the animal adopted through WCHS within 2 weeks if animal is not already altered- Puppy (female) 6 months (male) 6 months.

I agree to the terms of this agreement.

Submit

ADOPTING A PET IS JUST THE BEGINNING OF A RELATIONSHIP THAT CAN PROVIDE YOU AND YOUR FAMILY WITH MANY BENEFITS AND A LIFETIME OF FOND MEMORIES. IT IS A DECISION THAT NEEDS CAREFUL CONSIDERATION AND 100% COMMITMENT.

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