Name
*
First Name
Last Name
What dog are you interested in?
Email
*
Phone
*
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
How old are you?
*
Under 21
21 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 - 74
75 - 84
85+
What do you do for a living?
*
I'm a student
I'm a business owner
I'm self employed
I'm in sales or marketing
I'm in finance or operations
I'm a professional
I'm a stay at home parent
I'm retired and loving it!
What is the name of the company you work for?
How many children are in your home?
*
0
1
2
3
4
5+
How old are they? (Check all that apply)
Under 3
3 - 5
6 - 8
9 - 12
13 - 16
17+
Other than yourself, how many additional adults do you share your home with?
*
0
1
2
3
4
5+
How old are they?
Under 21
21 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 - 74
75 - 84
85+
What is their relationship to you?
Significant Other/Spouse
Parent
Child
Sibling
Other Family Member
Roommate
Are you or any other residents in your home allergic to dogs?
*
Yes
No
I don't know
What is your living arrangement?
*
House
Apartment
Condo/Townhouse
Duplex/Triplex
Mobile Home
Guest House
Other
Do you rent or own?
*
Own
Rent
If you rent or have an HOA, can you have a dog in your home? Are there any restrictions around size, breed or number of pets? Prior to adopting, please be prepared to show a copy of your rental or HOA policy or written confirmation that you are allowed to have a dog.
Do you currently have any pets at home?
*
Yes
No
Please list ALL pets that you CURRENTLY own. Include: type (dog/cat) breed, age, gender, length of time in your care:
Are your current pets spayed/neutered?
*
Yes
No
Do not have any pets
Have you ever owned a pet in the past that is no longer with you?
*
Yes
No
Please list ALL pets that you PREVIOUSLY owned. Include: breed, gender, indicate if they were or weren't spayed/neutered, length of time you owned them, what happened to them (if they died please indicate how, if you gave them away please indicate circumstances):
What is the name and phone number of your current or previous veterinarian/veterinary hospital?
Is your backyard securely enclosed with a fence or wall?
*
My home does not have a private backyard
Yes my fence/wall is under 4 feet tall
Yes my fence/wall is between 4-5 feet tall
Yes my fence/wall is over 5 feet tall
My backyard is not fully enclosed
Where will your dog be when you are not home?
*
My dog will be in the backyard
My dog will be inside only
My dog will have access to both inside & outside with a doggy door/open door
Where will your dog sleep during the night?
*
Nothing like sleeping under the stars outside
Curled up in bed with me
A crate inside the house
On a dog bed in the house
Wherever the dog wants in the house
How will your dog be cared for when you go out of town?
*
Pet sitter stays at my house
Dog will stay at friend/family members house
Dog will stay at a kennel
Dog will stay at the veterinary hospital
Dog will stay at cage free daycare
Neighbor/friend will stop in to feed/check on dog
How many hours a day will your dog be left without human companionship?
*
Very little, my dog will be right beside me always
My dog will spend most of the day alone while I am at work
My dog will only be alone for a couple hours a day
If you spend most of the day away from home, what would you do with your dog?
*
My dog can stay in a crate
My dog will be home alone
My dog will go to doggie daycare
My dog walker will come
Nothing, my other dogs have been fine
What is your primary reason for wanting a dog? Please check all that apply:
*
Companion for yourself
Companion for your current pet(s)
Companion for your kids
Gift for someone else
To be my watchdog/guard dog
Other
If other, please explain:
Describe the kind of dog you are looking for (age, size, fur type, energy level, personality, etc.):
*
What type of activity level are you looking for in a dog?
*
Couch potato
Hiking/running buddy
Somewhere in between
How would you rate your experience as a dog owner?
*
First time owner
Beginner
Intermediate
Advanced
When would you like to take your dog home?
*
I'm ready now!
I need a week or two to get ready
I need a month to get ready
2 or 3 months is perfect
Ideally, how much work would you like to put in with your new dog?
*
I'd prefer my dog to be fully trained
I'd prefer my dog is house-broken and knows the basics
I'd be willing to consult with a trainer, or take classes
I'd be willing to dedicate as much time as required for my new dog
How are you planning on training your dog?
*
Group classes
Private trainer
I'll teach him/her myself
I don't plan on training my new dog
Are you willing and able to take care of all expenses should your dog become sick or injured?
*
Yes
No
I don't know
What would cause you to return your dog to the rescue?
*
I wouldn't give my dog up for any foreseeable reason
Dog does not get along with current pet(s)
Dog barks a lot
Dog nips/is too mouthy
Dog is not trainable
Dog loses bladder/bowel control due to age or illness
Dog is not house-trained/has accidents in the house
Not the type of dog I was expecting
Neighbors complain about dog
High vet bills
Move to a place where animals are not allowed
Move out of state
Marry/dating someone with allergies
Planning to have/had a baby
Divorce/break-up
Other than quality or end of life decisions, would you euthanize your dog due to high vet bills?
*
Yes
No
Would you allow a home visit by a Wags & Walks representative if requested?
*
Yes
No
Is there anything else you would like to share that we haven't already covered?
How did you hear about us?
*
Friend
Web search like Google
Social Media like Instagram
Wags & Walks event
NKLA
A third party site like Petfinder or Adoptme
If someone referred you, please list their name here so we may thank them:
Your Instagram Handle:
Your Facebook URL:
I understand that Wags & Walks is a non-profit organization whose main goal is to help bring people and dogs together. The adoption donation starts at $450.
*
I understand.
I understand that any misrepresentation of the above information authorizes Wags & Walks to deny application, and/or reclaim the pet that is in my home. I acknowledge that Wags & Walks cannot guarantee any animals against parasites, diseases or destructive behavior. If I adopt a dog from Wags & Walks I will not hold Wags & Walks responsible, nor seek any compensation for damages, medical fees or other liabilities incurred by the pet I adopt.
*
I understand.
I understand that Wags & Walks is not liable for the behavior or actions of dogs that are in their care that I (or my family) choose to meet.
*
I understand.