Adoption Application

Agreement for Adoption

  • I am prepared to make a 10 to 15 year commitment to my dog.
  • I will keep my dog on a regular routine of heartworm preventative.
  • I will provide flea/tick control as needed.
  • I will work with my vet and agree on a regular schedule for wellness visits, inoculations, and any other tests we agree are necessary for the health and well-being of my dog.
  • I will not chain or tie-up my dog and leave it outside alone.  My dog will be an indoor dog and an important member of my family.
  • If, for any reason, I am unable or unwilling to keep this dog, I agree to return him/her to Wanda’s Little Rescues. I will not give this dog away, take it to a shelter, place him/her with another person or family member, or sell this dog to any other person without the express permission of Wanda’s Little Rescues.
  • I am financially able to provide routine and emergency care for this dog for his/her lifetime. This includes but is not limited to food, boarding (if necessary), regular vet care, heartworm preventative and flea and tick preventative.


I accept the terms for adoption.

Name of pet(s) you are interested in adopting:

Personal Information




City, State, Zip:

Home Phone:

Mobile Phone:

Work Phone:

How long have you lived at your current address?

Do you rent or own? RentOwn

If renting, provide contact information for Landlord:

Do you have permission from your landlord to get a dog?

Are you aware of any required pet deposit and monthly fees?

Do you have a fenced yard? YesNo

Type of fence and height:

If you do not have a fence, are you prepared to walk your dog multiple times daily in spite of weather conditions?

What is your family's lifestyle? (Check all that apply)
Active & on the goQuiet & relaxedEntertain frequentlyLots of kids in & outTravel frequently

Do you have children? YesNo

If you have children, please list names and ages:

Where do you work?

How many hours a day will you be away from your new pet?

You want a dog?

Why did you decide to get a dog?

What are you looking for in a pet?

Who will be responsible for taking care of the dog?

How many hours per day will the dog be alone?

Where will the dog stay when no one is home?

Where will the dog stay when you are home?

Where will the dog stay at night?

How and how often will you exercise your dog?

Who will care for your dog when you are out of town?

Under what conditions would you have to give up your dog?

What will you feed your dog?

Current and Previous Pet Information

Please list the name, breed, age and whether or not your current pets are spayed or neutered?

Please list the name and breed of any pets that you have had in the last 5 years. Also, list the reason the pet is no longer with you.

Vet Information

Vet Name:


City, State, Zip:

Phone Number:


Please list at least 3 references with phone numbers.


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