Adoption Application Name * First Name Last Name Date * MM DD YYYY Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country I am 18 years old or older. * Yes No Have you already been in contact with us prior to filling out this application? * Yes No If yes, which method? What is your preferred method for us to contact you? * Facebook messenger (only select if you have already used this method to contact us) Text Message Phone Call Email How did you hear about us? What type of home do you live in? * House Apartment Townhouse Other Do you own or rent your home? If you rent, what does your rental agreement state about having pets/dogs? * Please provide details on your previous dog experience/ownership. * Do you have a fenced in yard? If not, how will ensure the safety of your new dog when outside? * How will you ensure the dog gets an appropriate amount of exercise and enrichment? * Do you have small children that live with you or are in your home on a regular basis? How are they with dogs? * Do you live alone? With others? * I live alone I live with family/partner/significant other I live with a roommate(s) If you live with other people, are they on board with the addition of a new dog? * Yes No I still have to discuss it with them N/A Do you have other pets/dogs? If so, please list them. Please also provide details of how they are with other dogs/pets in general and what types of interactions will be allowed with the new dog? * Where will you keep the dog when you are not home? At night? Are you planning to crate train? * What veterinarian will you use for the new dog? Do you have a current account with this vet? Please provide Name, Phone Number, Address. * When do you hope to add a new dog to your family? * Are you interested in a specific dog? If so please provide details as to which one. What kind of dog/dog personality traits are you looking for in your new pet? * Why are you intersted in adopting a new dog? * Are you looking to breed the dog you adopt from us? * Yes No Undecided I understand that if I am to adopt a dog from JWC that I will be required to fill out and sign a contract at time of pickup. * Agree Thank you for your interest in our dogs! We will be in contact with you as soon as we can. More Adoption Info Thanks for your interest in our dogs!