carousel_arrow cart circleCheck behance dribbble dropbox facebook flickr github googleplus instagram linkedin paypal pinterest skype soundcloud spotify twitter vimeo submitError svg-defsnull WAGS Rescue HomeAboutDonate/Adoption Fees Available DogsAdoption ApplicationHospice/seniors/special needs dogsVolunteerFosterContactQUILT raffle/T-shirtsHomeAboutDonate/Adoption Fees Available DogsAdoption ApplicationHospice/seniors/special needs dogsVolunteerFosterContactQUILT raffle/T-shirts LEARN MORE Adoption Application Please fill out completely or your application could get delayed. Name of WAGS dog you are applying for.Name*Email AddressStreet Address*City, State, Zip*Phone*Why do you want a rescue dog? *Is the dog for you or is it a gift?*What is your profession? What is spouse profession?*How many hours a day do you work? How many days a week?*List all people living in household and their ages.*List all pets in household. Include breed, sex, age and if altered.If you do not have a dog now, have you ever owned a dog for which you were the primary caretaker?YesNoIf yes what happened to dog?Will your rescue dog come in any contact with children under 10yo?*YesNoIf yes how often and what are the ages?Do you own or rent your home?*OwnRentHow long at current residence?*Please provide your landlords name and phone number.Do you have a fenced in yard?*YesNoIf yes what type? Who will care for, train and exercise the Rescue dog?*How many hours a day will you exercise your Rescue Dog?*How will you train Rescue Dog?*Are you aware that a new dog will take time, professional training and adjustment?*YesNoAre you prepared to hire a trainer if your Rescue Dog requires it?*YesNoWhere will your Rescue Dog be kept during the day?*How many hours per day will your dog(s) be alone (without humans) on a regular basis?*Will the dog be allowed in the house?*YesNoWhen you move what will you do with your dog?*Why do you think you would be a good adopter for rescue dog(s)?*Who is your Veterinarian?Vet’s phone number & address (required)Please also provide us with your previous vet’s contact information.Reference #1 (name, phone & relationship)(required)*Reference #2 (name, phone & relationship)(required)*Are you aware that routine costs of maintaining a dog can be at least $500 a year.*YesNoWhich WAGS dog are you applying for:*If filling out the application electronically, your name below substitutes for a signature.Applicant’s signature *SUBMITThank you! Your message was sent successfully.HomeAboutDonate/Adoption Fees Available DogsAdoption ApplicationHospice/seniors/special needs dogsVolunteerFosterContactQUILT raffle/T-shirts © 2017 Wayne and Glynn Surroundings Rescue (WAGS) CloseShopping CartYour Cart is EmptyTotal: Proceed To CheckoutContinue Shopping
