ADOPTION APPLICATION

How did you hear about us?
 Adopt-A-Pet 
 Petfinder 
 Craigslist 
 Internet Search 
Interested in a Specific dog? Enter name here
Name *
Prefix
First *
Last *
Suffix
Address *
Street Address *
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country *
Phone Number *

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Email *
Do you: *
 Own 
 Rent 
If Renting, do you have permission from the landlord to have a dog?
 Yes 
 No 
Landlord's Name and Phone Number
Do you have a yard? *
 Yes 
 No 
If you have a yard, please indicate if it's enclosed and the height of the fence surrounding it *
Where would your new dog spend his/her time majority of the day? *
How many hours do you spend away from home? *
  1 to 4 hours  
 5 to 8 hours 
 9 to 12 hours  
 12 plus hours 
Majority of our rescue dogs are puppies 6 months and under; Have you done the proper research on all the care a puppy requires? *
 Yes 
 No 
Do you have any other pets? If so, how many and what kind? *
Would you oppose a house check prior to adoption?
I certify that I am an adult (18 yrs & over) and primary home owner/renter and that all information in this application is true. I understand that false information will void this application. I agree that upon adopting a pet from Wholesome K9 Rescue & Adoption Inc., I will agree and abide by their adoption agreement. *
 Yes, I certify that this is true. 
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