Adoption Application - Washington Area Humane Society

Name *

First

Last

Co-Applicant Name

List cat/dog(s) that you are interested in adopting. *

Format: Kitten, Name; Cat, Name; Senior Cat, Name; Puppy, Name; Dog, Name; Senior Dog, Name

Phone *

Email *

Please check if you are currently involved with WAHS in any of these capacities.

Active volunteer of WAHS
Board member of WAHS
Staff Member of WAHS

Are you a veteran? *

Yes
No

What is your birthdate? *

Are you 21 years old? (Requirement for adoption) *

Yes
No

Animal will live at the Following Address: *

Address Line 1

Address Line 2

City

State

Zip Code

How long have you lived at this address? *

Days
Months
Years

If you rent we require a signed letter from your landlord. Please have at time of application to speed up process. Please email to info@washingtonpashelter.org or upload here. (jpg, gif, pdf accepted)

Click or drag a file to this area to upload.

Choose Type of Home *

Place of Employment *

Occupation

Annual Salary

Are you financially prepared to provide this pet with annual vet care? *

Yes
No

Are you financially prepared to provide veterinary care for accidents/health problems? *

Yes
No

HOUSEHOLD INFORMATION

How many people live in your home? *

How many children live in your home or visit regularly? *

Ages of children. Select all that apply. *

Is this your first pet? *

Yes
No

How many other pets are in your home? *

Please list the name and breed of all current pets in your home as they would show at your Vet's Office: *

Check type of animal(s) you have at your home. *

Are you adopting this animal for: *

A pet for myself and my household
As a gift for a friend
As a gift for another family member
Other

VET CARE QUESTIONS

Are your pets up-to-date on vaccinations? *

Yes
No
I don't have other pets.

Please Provide Current Veterinarian Name and Practice *

Veterinarian Phone *

Please Provide Current Veterinarian Name and Practice (If multiple vets)

Veterinarian Phone 2

Have you ever turned an animal into a shelter? *

Yes
No

Please explain why you turned an animal into a shelter. *

ANIMAL CARE QUESTIONS

Will you provide training for your pet? *

Yes
No

Are you familiar with introducing a new dog into a household? *

Yes
No
Doesn't Apply

MUST this dog/cat be house broken at time of adoption? *

Yes
No
Does not apply

Do you have a fenced in yard? *

Yes
No

Do you allow your pets on your furniture/bed? *

Yes
No

Do you have a crate or safe area for your pet during your absence? *

Yes
No

Are you or anyone in your family allergic to cats or dogs? *

Yes
No

How will you handle the pet urinating/defecating in your home? *

Train to go outside or use litter box
Lock in crate/carrier
Scold and keep outside
Other

Do you plan on declawing your pet? (Cat adoptions only) *

Yes
No
Does not apply - Interested in dog

How will you handle the pet keeping you up at night? *

How will you handle the pet shedding excessively? *

How will you handle the pet ruining personal belongings/furniture? *

How will you handle the pet biting or scratching? *

What provisions will you make if you can no longer care for your pet? *

How many hours a day will this pet spend outside? *

How many hours a day will this pet be home alone? *

Where will your pet spend most of his/her time? *

Are you aware of the animal ordinances, leash laws, and number or pets you may own? *

Yes
No

Are you prepared to love and care for this animal for his/her full life expectancy which could be 15+ years? *

Yes
No

REFERENCES

Provide a reference (no family members) *

Phone *

Provide a second reference (no family members) *

Phone *

I understand that WAHS receives many applications and that if I do not hear back from WAHS there is a chance they received to many applications for the animal I am interested in. I understand they do their best to respond to all applicants. I understand WAHS picks the best home for the animal and it is not first come first serve. *

Please check if you undertand our policy.

Final Signature

Sign in space below: I certify the above information is true and that false information will result in nullifying this adoption application/agreement. The Washington Area Humane Society has the right to refuse adoption to anyone. *

Submit an Adoption Application

HOUSEHOLD INFORMATION

VET CARE QUESTIONS

ANIMAL CARE QUESTIONS

REFERENCES

Final Signature