Adoption Form | Dog | Whatcom Humane Society

ADOPT a Dog

Thank you for choosing to adopt a shelter dog! We at the Whatcom Humane Society are committed to seeking a permanent,
loving, and responsible home in order to meet the needs of all the companion animals in our care. So that we can be assured
that the dog you wish to adopt is best suited for your home and lifestyle, we ask that you complete the application below.

In order to complete the adoption process, you may need to complete any or all of these steps:

- - - Be of the legal age (18) and possess valid identification.
    - Be able to financial provide for the dog’s needs; including food, supplies, licensing, and veterinary care.
    - Be able to provide for the dog’s social and exercise needs.
    - Have landlord permission (if applicable) to house a dog on the property; if an ESA letter is required by your landlord, you will need to have it on file before adopting.
    - Bring in other residents of the home to meet and approve the dog’s adoption.
    - Understand that this is an adoption, not a sale. WHS reserves the right to refuse an adoption.

Dog Adoption Application | Whatcom Humane Society

Primary Applicant First & Last Name *

First

Last

Age *

Residence Address *

Address Line 1

Address Line 2

City

State

Zip Code

Length Of Time At This Address *

Mailing Address (if different)

Address Line 1

Address Line 2

City

State

Zip Code

Primary Phone *

Alternate Phone

Email *

I (please check one) *

Rent
Own
Live with Parent

I live in a... *

House
Apartment
Condo
Mobile

Please list the residents in the home (i.e. adults, seniors, children) and include ages *

Landlord or Property Manager

Landlord/Property Manager Phone

Are there any dogs in the home now? *

Yes, my dog(s)
Yes, another resident's dog(s)
No, there are no dogs

Please tell us about any and all dogs in your home

Include: name, breed, age, sex, if they are spayed/neutered, if they are licensed, and how long you have had them.

Are there any cats in the home now? *

Yes, my cat(s)
Yes, another resident's cat(s)
No, there are no cats

Are there any other animals in the home/on the property now? (Small animals, livestock; please specify) *

Why are you interested in adopting a dog? (i.e. companionship, active buddy, family pet, etc.) *

What kind of dog did you have in mind? (i.e. size, breed, sex, energy level, etc.) *

Are there any traits you are specifically seeking in a dog? (Energy level, kid friendly, dog parks & brewery visits, etc.) *

Are there any behaviors you are worried about being too challenging? (Bite history, chewing, resource guarding, barking, medical concerns, special needs, etc.) *

Are you established with a veterinarian that the dog would see? *

If yes, who?

How many hours a day, on average, would the dog be alone? *

Do you have access to a fenced yard? *

Where would an adopted dog stay when no one is home? *

How important is it that an adoptable dog be affectionate? *

Very Important
Neutral
Not Important

How important is it that an adoptable dog interact with houseguests? *

Very Important
Neutral
Not Important

How important is it that an adoptable dog get along with children? *

Very Important
Neutral
Not Important

How important is it that an adoptable dog get along with other dogs? *

Very Important
Neutral
Not Important

How important is it that an adoptable dog be housebroken/potty-trained? *

Very Important
Neutral
Not Important

How important is it that an adoptable dog tolerate small animals? *

Very Important
Neutral
Not Important

How important is it that an adoptable dog interact with livestock? *

Very Important
Neutral
Not Important

How important is it that an adoptable dog be active? *

Very Important
Neutral
Not Important

How important is it that an adoptable dog be appropriate for visits to the dog park? *

Very Important
Neutral
Not Important

How important is it that an adoptable dog be a good home guardian? *

Very Important
Neutral
Not Important

How important is it that an adoptable dog be a training superstar? *

Very Important
Neutral
Not Important

How important is it that an adoptable dog be a couch potato? *

Very Important
Neutral
Not Important

Would you be able to commit to postive, reward-based training for an adopted dog? *

Yes
No
Unsure

Is there anything else you’d like to tell us about what you’re looking for in a dog? *

Is there anything in your history with dogs that we should be aware of? (Breed experience, training, etc.) *

Would you like to add anything else about your home or family that you think we should consider? *

Please read and check the boxes below to confirm you understand: *

As part of the commitment to having each adoption be a success, I understand that the Whatcom Humane Society may contact me for adoption follow-ups if I adopt a pet.
I hereby release, to the Whatcom Humane Society, all veterinary records pertaining to any/all animals I have had or currently have.
I certify that all the information provided in this application is true to the best of my knowledge, and I understand that false information may void this application. I also understand that failure to comply with future requirements, such as mandatory obedience training or failing to provide a follow-up veterinary exam could result in my inability to adopt other animals from the Whatcom Humane Society.

Name of Veterinary Clinic/Hospital *

Date *

Please enter your name below as a signature *

ADOPT a Dog

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