Dog Adoption Application | Wichita Animal Action League

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 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

How long will your new dog be left alone during the day while you're at work?

0-5 hours
5-10 hours
10+ hours

Describe where you live:

Do you rent or 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?*

What kind of fence is it?*

My house is*

Quiet and subdued
Active and loud
A little bit of both

Number of children in the home AND their ages

What is the age range for the individual who will be the primary caretaker of this animal? (The answer to this question will in no way be used to discriminate against a possible adopter. This information will simply be used to attempt to find the best possible match for your family and/or household as possible.)*

Household agreement

Agree

The other members of my household are 100% on board with adopting and I have talked about this decision with them.

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?

In your opinion, what would be a good reason for not keeping this animal after adoption?

I'm a committed adopter*

Agree

I have thoroughly thought this decision through and realize that by adopting I am committing the next 10-15 years of my life to this animal. I've considered how this will change my life and I'm dedicated to keeping my animal even if I move, get married/divorced, have children or change jobs. I realize this promise is for the rest of this animals life.

I agree to allow WAAL to perform vet and reference checks.*

Agree

Do you have a Facebook profile?*

Yes
No

WAAL may visit your Facebook profile to perform more checks. If your profile is Private, you may receive a friend request from someone at WAAL in order to view your profile.

Please provide a link to your profile*

How did you learn about this animal?

Read the statements below and check to 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 # D0013 and search
5. Select Wichita Animal Action League and click "Enroll"