Adoption Application

Please complete this form to apply to adopt. Submissions are reviewed as quickly as we can. If you have questions, email walkinginthesunrescue@yahoo.com.

Animal Requested What dog/cat are you wanting to adopt? (description) Name of animal (if known) Altered? Date to be altered (if applicable)

Applicant Information Name Street City Phone No. Email Address

Living Accommodations Your living accommodations Do you own or rent? If you rent, are you allowed animals? Pet Deposit Amount ($) Landlord contact — Name Landlord contact — Phone Are any particular breeds banned by your landlord or insurance company?

Yard / Containment Do you have a yard? Is it fenced? What type of fencing? If adopting a dog and do not have a fence, how do you plan to contain the dog?

Current Pets Please list all pets and ages of pets currently in your home Date of last vaccination of your current pets Date of last heartworm test of your current pets Are your pets current on heartworm prevention? If not, why? Are all your pets altered? If no, why?

Household Do you have children? If yes, please list ages Does anyone in your home have allergies? Explain allergies (if any)

Care Plan Where will dog stay during the day? Where will dog stay at night? How many hours a day will your dog be left alone?

History Have you ever relinquished one of your pets to a shelter? If yes, explain Have you ever given away or sold one of your pets? If yes, explain

Veterinarian & References Please list family vet name/phone number Personal reference #1 (name + phone) Personal reference #2 (name + phone)

Agreement Initials

Please type your initials for each statement:

If my new pet is not altered at time of adoption due to age, I agree to have them altered (cost included in adoption fee). If I can no longer keep my adopted pet, I will contact WITS and never surrender to a shelter; I will try training/other measures first. I understand the 14-day return policy with full refund if returned within 14 days. I agree to a home visit prior to adoption and a home visit after adoption; WITS may reclaim if not properly cared for. I agree not to keep my new pet on a chain; kept fenced or walked on leash; will have an ID tag before taking home if not provided. I understand this is a legally binding contract.

Signature Date Adopter Signature (type full name)