Pocket Pet Adoption Application - Wichita Animal Action League

Pocket pets include rabbits, guinea pigs and hedgehogs.

You must be at least 18 years old and rent or own your own home to adopt a pet.

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Enter Email Confirm Email

Phone*

What type of pocket pet are you interested in?*

Rabbit
Guinea Pig
Hedgehog

Are you interested in a specific pocket pet (could be the name of a specific one, or characteristics that you are looking for), or would you like some suggestions?*

Describe your home*

Quiet and subdued
Loud and active
A little of both

I am:*

First time pocket pet owner
Seasoned pro

I rent my home*

Yes
No

Renters Consent*

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 clarifying breed/size/quantity restrictions, etc.

Number of children in the home AND their ages

What is the age range of the individual who will be the primary caretaker for 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

I've talked to the other members of my household and they are 100% on board with adopting.

Pets I currently own (select all that apply)

Have you had other pets in the past 5 years?*

Yes
No

If yes, what happened to them?

Where do your current animals stay during the day and where do they sleep?

Veterinarian*

I already have a vet
I need a recommendation on a vet

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

How did you learn about this animal?

Is there anything else we should know to help find the purrrfect match for you?

Read the statements below and check to 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 # DD013 and search
5. Select Wichita Animal Action League and click "Enroll"

No member of our household has ever been convicted of cruelty to animals.*

Agree

I'm prepared adopter*

Agree

I have thoroughly thought this decision through and realize that by adopting I am committing the next 10-20 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.

Guinea Pig Policy*

Agree

I understand that WAAL requires that guinea pigs be adopted in pairs or to homes who already have another guinea pig of the same sex, as they are very social animals and require companionship.

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First Choice
Second Choice
Third Choice

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