Adoption Application

Please complete all the fields on the form below to apply.

 

Warrior Application

*Required
*Name:
*Address:
Address 2:
*City:
*State:
*Zip:
*Email:
*Phone:
*Employer:
*Employer Phone:
*Position:
*Working hours per day:
*What Branch of the Military did you serve?:
*Where did you serve?:
*What is your start date of service? :
*What is your end date of service? :

HOME INFORMATION:

*House or Apartment?:


Fenced Yard? (If House):


Landlord's Name (If Apartment):
Landlord's Phone (If Apartment):
What kind of fence and how high?:
*Number of people in the household:
*Ages of adults in the home:
*# of children in household and their ages:
*Activity level in the home:

ANIMAL HOUSING & CARE INFORMATION

*Woofs For Warriors provides free training for you and the dog, are you able to commit to the training requirement and able to get to classes? (n/a for cats):
*Current Veterinarian (Must establish relationship pre-adoption):
Veterinarian Phone:
*Are you willing/able to keep the dog or cat current on vaccinations, heart worm medications and flea and tick sprays or meds?:
Veterinarian Address:
*Where will the dog or cat sleep?:
*Under what conditions would you no longer wish to keep a dog or cat?:
*Have you ever had a dog before, and when?:
*What happened to your last dog?:
*Is there any specific qualities you would like your dog to have? (n/a for cats):
*What types of breeds (and mixes) to you prefer? (see Knowledge Base for exclusions):
*What size dog to you prefer?:



*Male or female preference:


*Up to what age of dog will you accept?:
*Do you require the assistance of an aid or family member for daily living skills? If so, what are that person’s responsibilities and number of hours worked?:
*Have you ever been convicted of a misdemeanor, summary offense, or felony related to the abuse, mistreatment, neglect or harm to a person or animals?:


If yes, describe in detail including the state and date in which the conviction was made:

REFERENCES

No family members.

*1) Name:
*1) Address:
*1) City:
*1) State:
*1) Zip:
*1) Phone:
*2) Name:
*2) Address:
*2) City:
*2) State:
*2) Zip:
*2) Phone:
*3) Name:
*3) Address:
*3) City:
*3) State:
*3) Zip:
*3) Phone:

All references will be checked.

*Signature:
*Date:

Your signature above constitutes consent to release veterinarian treatment information to the Woofs for Warriors Program and permission to contact all references provided for the purposes of dog adoption and any follow up care. We request that your information with Woofs For Warriors remain current for purposes of follow up between you and your dog.

All liability with your dog or cat will be ultimately the responsibility of the signee. Woofs For Warriors DOES NOT assume superior title of any adopted animal. If a veteran wishes to surrender the dog, arrangements must be made with the originating adoption agency.




Veterans Crisis Line Dial 988 then press 1