First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone*
Cell Phone
Are you over 18 years old?*
Why are you interested in adopting a pet at this time?*
What is the name of the animal are you interested in adopting?* Choose an animal: A Cat not listed CXXXX A Dog not listed DXXXX Bannon D5686 Bell D5888 Buddy D5835 Bueckers C4422 Chester C4412 Clove D5881 Coco D5920 Cormoran C4409 Elijah C4417 Elsie D5813 Ezra C4416 Falkor D5862 Fallon D5629 Frosty D5906 Hank C4411 Hilda C4410 Inky C4403 Jagger D5198 Juicy Lucy C4281 Kenai D5896 Kie D5916 Lila D5727 Lily D5904 Lucy D5926 Luna D5905 Magoo D5928 Maverick C4419 - ADOPTION BEING FINALIZED Moira C4390 Niko C4408 Patsy D5884 (Bonded to Holly D5883) Pixie D5922 & Oliver D5923 (Bonded Pair) Quince D5921 Reese C4423 Roo C1514 Silvia D5853 Teddy D5897 Tootsie D5863 Yogi D5898
If you are interested in an animal that is not yet listed for adoption above, please provide the name of the animal.
How did you find out about this animal?
Occupation:*
Veterinarian's name and phone number. Please note, we will be calling to verify the vetting status of your resident animals. Many vets require verbal authorization from you to release information to us so please be sure to do that do avoid any delay in processing your application.*
Type of home?* Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing
Do you own or rent your home? Only check "own" if you are the owner. * Choose one: Rent Own
If you rent, have you received the approval of your landlord to have an animal (Yes/No)? Please also enter your landlord's name and phone number.
How many people reside in your household? Please list ages of children.*
Are you planning to declaw?*
If you plan on declawing your new cat, please explain why.
Will the animal be kept inside or outside?* Choose one: Inside Only Outside Only Inside and Outside
Would you be able to tolerate a few accidents while your cat adjusts to its new home? (Please explain your answer)*
What are some solutions you would be willing to use if accidents occur after the first week?
Who will be the primary caregiver for general care and feeding?*
How much time will the animal spend alone during the day?* Choose one: 0-4 hrs 5-6 hrs 7-8 hrs 9-10 hrs 11-12 hrs
Where will the animal be kept during the day?* Choose one: Home, free roam Home, limited roam Kennel Garage Offsite
What traits or problems would you NOT be able to tolerate in your new cat?
How would you solve the above checked non-tolerable training/problems?
What traits do you want in your cat?
Under what circumstances would you return the cat back to Wags? (Per the agreement, if you choose to give up the cat, you MUST return it or discuss options with Wags & Whiskers).*
Please provide current # of animals in the household.* Choose one: none 1 2 3 4 5 6 7 8 9 10+
Please list the current animals in your home.*
Please list any additional animals you have cared for in the past five years.
Are all the animals currently in the household up-to-date on vaccines and spayed/neutered? Wags & Whiskers does verify this with your current vet. If you are unsure, please confirm with your vet and obtain copies of vetting records before completing this application. You are not eligible for adoption if your resident pets do not have the vaccines required by law or are not spayed/neutered. * Choose one: Yes, both vaccinations and spay/neuter Yes, vaccinations only Yes, spay/neuter only No, both vaccinations and spay/neuter N/A, no animals currently in home
To confirm vetting of current animals in household, please indicate the name the account is under at your current vet.*
Other information you wish to provide:
Please visit the "ADOPTION" section at www.wagsmn.org to familiarize yourself with our adoption procedures and fees.
Would you like your email address to be added to the monthly Wags & Whiskers newsletter? This is an easy and fun way to stay current with Wags & Whiskers news and events.* Choose one: Yes, add my email to newsletter mailing list! No thanks!
By typing my name below, I certify the information provided within this application is true and correct. I understand by completing this application, it is not a guarantee or promise of approval. I understand if I have given any false information or I have not completely answered all of the questions, my application will automatically be denied. I give permission to Wags & Whiskers Animal Rescue of Minnesota to contact my veterinarian, landlord, or any other persons to verify my disclosed information within this application.*
Today's Date: *