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Dog Adoption Application
You must be at least 18 years old and rent or own your own home to adopt a pet.
This application is for dogs only. If you're interested in getting matched with a cat, please apply here https://waalrescue.org/adopt/cat-matchmaker-questionnaire/.
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
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
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
*
Enter Email
Confirm Email
Phone
*
Animal's name you're interested in?
*
I am interested in:
Special needs- medical
Special needs- behaviorial
Bonded pairs
All of the above
Place of Employment?
Describe where you live:
House
Apartment
Trailer
Condo
Other
Do you rent or own?
*
Rent
Own
Renters Agreement
*
I am a responsible adult/renter and can have a new pet
I have talked to my landlord and have done what is required of me to bring a new pet home. This includes paying any deposits and I have clarified with my landlord any restrictions they have for breeds, size or number of animals.
Is your yard fenced?
*
Yes
No
How tall is your fence?
*
4 feet or less
5-6 feet
more than 6 feet
What kind of fence is it?
*
Barbed wire
Chain link
Wood
Wrought iron
Other
My house is
*
Quiet and subdued
Active and loud
A little bit of both
Number of children in the home AND their ages
Number of pets currently in the household & types?
Have you had other pets in the past 5 years?
*
Yes
No
If yes, what happened to them?
*
Are your other pets current on vaccinations?
Yes
No
No, but scheduled
If you have dogs in the home, are they on heartworm preventatives?
Yes
No
Where will your new dog spend the majority of their time?
Vet Clinic Name
*
Clinic Phone
*
Name vet records are under if different than applicant
You MUST call your vet office and release your records for us to verify. Not authorizing their release will result in your application review being delayed.
Is there anything else we should know to help find you a new pet?
Provide a reference (not a family member):
First
Last
Reference phone number
In your opinion, what would be a good reason for not keeping this animal after adoption?
How did you learn about this animal?
Adoptapet.com
Facebook
Friend/Relative
Instagram
PetAlert
Petfinder.com
Rescueme.org
Towne West Adoption Center
TV/Radio ad
WAAL website
YouTube
Read the statements below and check to agree.
We agree to provide professional vet care, a nutritious diet, and a loving home.
*
Agree
We also agree that we will return the pet if we can no longer keep it.
*
Agree
No member of our household has ever been convicted of cruelty to animals.
*
Agree
Please consider registering WAAL on Dillon’s Community Rewards program. It just take a couple of minutes, then every time you shop, our animals get a percentage of what you spend! To enroll:
1. Visit http://www.dillons.com/communityrewards 2. Sign in
3. Click "Enroll Now" 4. Enter WAAL's ID # 39850 and search
5. Select Wichita Animal Action League and click "Enroll"