Wolf River Veterinary Clinic
Adoption Application
Fax: 920-982-3112
Welcome to the Wolf River Vet Clinic. Our clinic contracts
with the City of New London, WI to take care of stray animals. Unclaimed
animals become part of our adoption program. We sincerely hope we can be
of service to you.
Please fill out this application completely. The
application is designed to help us determine if the adoption is in the
animal's best interest and to assist you in finding the animal most
compatible for your lifestyle. We hope you will agree that the
animal's welfare must be our foremost consideration.
In order to be considered as an adopter today you must meet
the following requirements:
Agree to prepay
for the spay/neuter of the animal.
Be at least 18 years of age and
have proof of residence.
Be willing to spend an average
of two hours in the adoption process in
exchange for a lifetime of love and friendship from the
pet you adopt.
Have consent for adoption from
all adults living in your house.
Understand that WRVC has the
right to accept or deny your application
and will follow up on adoptions.
Understand that your new dog or
cat and all pets in your household
must be properly vaccinated and licensed with the proper
authorities.
Understand that all current
pets (dogs/cats) in your household
must be spayed/neutered, BEFORE bringing your new pet home.
Realize that although we will
give your Pet Owner's Profile full
consideration we do not approve adoptions on a first-come-first
serve
basis. Adoption approval is based on the animal's best interest.
Understand there is a waiting
period of approximately 36 to 48 hours
between the time a pet adoption application is approved and
time the
pet may be picked up.
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ANIMAL YOU WISH TO ADOPT
Today's Date
Adopter's Name
Cat
Dog
Cat/Dog's Name
------------------------------------------------------------------------------------- TELL US ABOUT YOU!
Last Name First Name Middle Initial
Spouse's First, Middle & Last names / Other Adult living in Household
Birthdate
Social Security Number
Current Address (Not a P.O. Box)
City State
Zip Code
Home Phone
Work Phone
How long have you been at this present address?
Previous Address, if less than 2 year
City State
Zip Code
Employer
Position held
How Long with your Employer?
Supervisor
Please list types of pets you now own or have owned in
the past:
Name
Breed
Kept Where
Age
Altered
Sex
Still own
If you no longer have the above pet(s), explain what
happened to it (them) and when it happened.
Have you ever applied to adopt a pet before? Yes
No
When? From Where
Number of adults in your household?
Number of Children and ages
Please tell us why you would like to adopt an animal. Check all that
apply:
Gift
Companion
Breeding
Hunting
Mouser
For a child
Protection
Watchdog
Companion for another pet
Other
Would you object to a representative of WRVC coming to your
home to check on the animal's well being?
No
Yes If Yes, why?
If you rent, provide landlord's name
Landlord's phone number
Please provide three non-related references (must be 18
years or older)
Name
Daytime Phone
Please provide a
veterinarian reference*
Name
Daytime Phone
*You may have to contact your
veterinarian's office to release your pet's records.
Please be aware that we do follow-up with your references,
landlord, employers and veterinarians. We also follow-up with you to
check on the animal's health and condition and for compliance with the
adoption contract.
The adoption Contract requires licensing, vaccinations and
sterilization of the animal. We will use all available legal means to
enforce the Adoption Agreement and Contract and if necessary collect damages
and/or repossess the animal.
Your Signature ______________________________________ Date
______________
Signature of Staff/Volunteer___________________________