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Adoption Application

2. Please always call 770-267-1322 to confirm your application was received. Applications emailed on weekends are received on Monday. You may also apply in person on select Saturdays open to the public.

   Please always call 770-267-1322 to confirm your application was received. Applications emailed on weekends are received on Monday. You may also apply in person on select Saturdays open to the public.

4. Pet ID Number

5. Pet Name

9. Adopter Full Name*

   Please provide full first name and full last name.

10. Adopter Email*

12. Street Address*

14. City*

15. State / Province*

17. Postal / Zip Code*

18. Phone Number*

20. Type of Housing*
    -- Select One --ApartmentCondoSingle Family ResidenceMobileOther

21. Do you own / rent / other?*
    -- Select One --Own this homeRent this homeFamily member ownsOther

23. How long have you lived here?*

25. If renting, list Landlord's name and phone number

27. Where are you employed?*

29. Why are you interested in finding a new pet?*

    (i.e. companion, hunting dog, watchdog, breeding)

31. Do you want your new pet spayed / neutered?*
    -- Select One --Yes, I will have my vet spay/neuterNo, I don't want it spayed / neuteredI would like to breed this pet

33. Do you have other pets in the home?*
    -- Select One --YesNo

35. If yes, please list species breed and age of other pets:

37. Are your current pets indoors or outdoors?*
    -- Select One --I have no other petsIndoorsIndoors / OutdoorsOutdoors on chainOutdoors in fence

38. Are your current pets spayed/neutered?*
    -- Select One --I have no other petsYes, they are spayed / neuteredSome, but not all are fixedNone are spayed or neutered

40. Do you have a fenced yard?*
    -- Select One --YesNo, pet will be kept indoors No, the dog will be chainedNo, but we're getting oneNo, but we have a dog play area

41. How many adults in your home?*
    -- Select One --123 or more

43. How many minor children in your home?*
    -- Select One --0123 or more

44. How many children are under the age of two (2) years old?
    -- Select One --AllNone123

46. Will your pet be an inside or outside pet?*
    -- Select One --Mostly IndoorsMostly OutdoorsBoth

47. Where will your new pet sleep?
    -- Select One --IndoorsOutdoors in a dog houseBoth

49. How long will your pet be left on a chain?*
    -- Select One --I will not chain this petI will chain only a few hoursI will chain it all the time

50. Is this pet being adopted as a gift for someone outside your home?*
    -- Select One --NoYes

52. Have you or any one in your household been warned or cited by Animal Control?*
    -- Select One --NoYes, but it was corrected

53. Have you ever turned in an animal to Animal Control?*
    -- Select One --NoYes, it was a strayYes, it was my animal

55. Have you ever adopted from Animal Control?*
    -- Select One --No Yes, I still have that animalYes, but I no longer have that animal

57. Will you allow an authorized representative of Animal Control to inspect animal and premises where the animal is being kept?*
    -- Select One --YesYes, but please call firstNo

59. Do you understand that the shelter cannot fully know, nor be responsible for, any health, temperament, or other issues the animal may have and does not provide refunds of adoption fees?
    -- Select One --Yes, I understandNo, I do not agree with this policy

61. Do you understand that you must provide proof of spay/neuter for your adopted dog/cat by the adoption contract deadline and may face criminal charges for failing to do so?*
    -- Select One --Yes, I agree to the spay / neuter requirementsNo, I do not want this dog / cat spayed / neutered

63. Do you understand that adoptions are at the full discretion of the shelter and WCAC reserves the right to decline any application for any reason, and may also select the order of applicants, or may choose reputable rescues over adopters?*
    -- Select One --Yes, I understandNo, I don't agree with this

65. Please provide any other information you feel would assist us in considering your application

67. If your application is approved, when will you be able to come meet/adopt the pet?
    If your application is approved, when will you be able to come meet/adopt the pet?

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69. 1. Receive an email copy of this form.
70. Email address

    This field is not part of the form submission.

71. Submit

* indicates a required field