Dog Adoption Application | Wishbone Pet Rescue

If you're interested in adopting a dog or puppy through Wishbone Pet Rescue Alliance, which also operates the Allegan County Animal Shelter, please complete this form to get the process started! If you have any questions as you fill out the form, you're more than welcome to contact Wishbone's Adoptions Coordinator at (800) 475-0776. Please note that it may take several days before we're able to contact you back. Thank you for beginning the process!

Is this application for the Bissell Foundation "Empty the Shelter" campaign?

Yes
No
Not sure

How did you hear of us?

Other

Today's Date*

Animal's Name (answer if you know)

Animal's ID Number (answer if you know)

Is the animal spayed or neutered? (answer if you know)

Yes
No

Your Name*

First Last

Your Date of Birth

Your Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Best phone number to contact you at:*

Email

What is your place of employment, including address?

Please list two references other than family members.*

Please include full names, phone numbers and their relationship to you.

Do all members in your household agree with this adoption?

Yes
No

Does anyone in your household have allergies to dogs?

Yes
No

If yes, please explain the severity of the allergy and how you plan to cope with a dog in the house.*

How many children are in your household and what are their ages?*

Do you reside in a:*

Do you own or rent?*

Own
Rent

What is your landlord's name and phone number?*

Please notify your landlord that we will be calling.

Does your community have any breed restrictions?

Yes
No

Please explain:

Do you have a fenced yard?*

Yes
No

What is fence type and height?

How do you plan to keep your pet safe when outside? Please describe:

Are you planning to move in the next year?

Yes
No

If yes, where will this pet go?

Please list your current or previous veterinarian and notify their office that we will be calling.

Please include the vet's name and phone number including area code.

Do you currently have any pets?*

Yes
No

Please tell us about them.*

Please include the the kind of pet (for example, dog or cat), and each pet's breed, name, age and whether he or she is spayed or neutered.

If any of your pets are not spayed or neutered, please explain why not:

What kind of monthly heartworm prevention do you use?

If you do not use heartworm prevention, please explain why not:

If you have dogs, are the licensed in your county?

Yes
No

Please explain:

Have you ever surrendered an animal to a shelter?

Yes
No

Please explain why:

Have you ever had an animal control violation?*

Yes
No

If yes, please explain:*

What is your reason for wanting a pet?

Please check all that apply.

Hunting
Guard dog
Companionship
Other

If other, please explain:

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

0-4 hours
4-8 hours
8-12 hours
12+ hours

What do you estimate is the yearly cost to care for your new pet?

Have you ever taken a pet to a professional trainer?

Yes
No

Are you willing to take this pet to a trainer?

Yes
No

If you are adopting a puppy, how do you plan to train it?

How do you plan to confine your pet when you’re not home?

How do you plan to exercise this pet?

Who will be responsible for cleaning, feeding and exercising this pet?

Under what circumstances would you no longer keep this pet?

Where will this pet go if you move?

If we receive multiple applications on this pet, why would you make the best home?

If this pet doesn’t work out in your home, what will you do?

Agreement*

I certify that the above information is true, and that I have answered these questions. I understand that any false information will nullify this adoption and future adoptions from Wishbone Pet Rescue Alliance and the Allegan County Animal Shelter operated by Wishbone. I understand that Wishbone’s goal is to find the best home suited to a particular animal and may deny my application. I will not argue with this as the decision will be final. I give Wishbone Pet Rescue Alliance full rights to contact my veterinarian, landlord/property owners and references on this application. I understand adopting an animal is a very serious commitment, and I am willing to accept this responsibility.

Agree
Disagree