carousel_arrow cart circleCheck behance dribbble dropbox facebook flickr github googleplus instagram linkedin paypal pinterest skype soundcloud spotify twitter vimeo submitError svg-defsnull Your business name HomeDonateAdoption ApplicationAboutHappy TailsHomeDonateAdoption ApplicationAboutHappy TailsAdoption Application Please fill out the application completely to prevent any delay in processing. Name of WAGS dog that you are applying for:Name*Email AddressPhone number*Street Address*City, State, Zip*Why do you want to rescue a dog?*Is the dog for you or a gift for someone else?*MyselfA Gift for someone elseWhat is your profession? What is your spouses profession?How many hours per day do you work?*How many days per week do you work?*List all people living in the household and their ages*List all pets in the household. (Include breed, age, sex, and if altered)*If you do not have a dog now, have you ever owned a dog for which you were the primary caregiver?*YesNoIf yes, what happened to the dog?Will your rescue dog come into contact with any children under 10 years old?*YesNoIf yes, how often? What are the ages of the children?Do you own or rent your home?*OwnRentHow long at your current residence?*Please provide your landlord's name and telephone numberDo you have a fenced yard*YesNoIf yes, what type?Who will care for, exercise, and train the Rescue dog?*How many hours per day will you exercise your Rescue dog?*Are you aware that a new dog will require time, training, and adjustments?*YesNoHow do you plan to train your rescue dog?*Are you prepared to hire a trainer of 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?*YesNoIf you move, what will you do with your dog?*Tell us why you think you would be a good adopter for our Rescue dog(s)*Please provide the name, number, and address of your current Veterinarian:*Please provide the name and number of your previous VeterinarianReference #1 (Name, Number, and Relationship required)*Reference #2 (Name, Number, and Relationship required)*Are you aware that routine costs for maintaining a dog can be as much as $500 per year?*YesNoIf filling out this application electronically, your name below consitutes written consent:*SUBMITThank you! Your message was sent successfully.© 2019 W.A.G.S. Rescue, Inc.