Adoption Application Form - Wags And Wishes Animal Rescue Page 4
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Have you ever applied for adoption at any other Humane Society, SPCA, Rescue etc?
Yes
No
If yes, please list the name(s), number(s) date(s) and outcome of the each place.
Organization Name
Location and Phone
Date and Outcome
Are you familiar with the leash and licensing laws in your community?
Yes
No
Have you or anyone in your immediate family or household ever been charged or cited with a violation of
any animal care and control laws in the past?
Yes
No
If yes, please explain……
______________________________________________________________________________________
______________________________________________________________________________________
Would you allow us to visit your home just to see how you and your new pet are adjusting?
Yes
No
Are you willing to sign an adoption contract? (You receive an adoption contract when you official adopt an
animal. In the contract, it states that if you are personally not able to take care of the animal, that you return
it to us)
Yes
No
I hereby authorize Wags and Wishes Animal Rescue to contact my landlord/property owner to verify
that the information on this form is correct and that animals are permitted on premises.
I further authorize Wags and Wishes Animal Rescue to contact my Veterinarian to obtain any
information needed to approve my application.
I understand that Wags and Wishes Animal Rescue may not be able to adopt the animal of my
choice due to health of the animal or background check. Wags and Wishes Animal Rescue also
reserves the right to choose the best qualified home for the animal. If in any of the information above
I have provided is false, I understand I will be denied.
Name of Applicant (s):
______________________________________Date____________
______________________________________Date____________
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