Thank you for your interest in our dogs for adoption. This application will help us gather the information needed for the adoption. No Wagging Tail Left Behind is an all volunteer organization, we try to respond to all applications within 3 days, we will email you as soon as possible.
First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone
Cell Phone*
Alt Email
What is your age? (Applicant must be over 18 years of age)*
Do you wish to Adopt or Foster a dog ?
What dog are in interested in ?* Choose an animal: Mohawk Shane Whiskey
If you are interested in several dogs, let us know the names of the others. (Only one application is needed.)
What Characteristics Are Most Important In The Dog You Adopt*
What Size Dog Will Fit Best for You?
What energy Level is Best for Your Home
What age of pup are you looking for?
Why do you want a dog?
Dwelling Type?
Do you Rent or Own:
If you rent, provide Landlord Name and Contact Number (Use N/A if you Own)*
Landlords best contact number, (Use N/A if you Own)
What is your Occupation and work hours?*
Please list all occupants in your household (Name, Age, Relationship)*
What is the Occupation and Work Hours of all adults in the household?*
If Children in the home, List names and Age(s)*
Are you or a household member active duty military?
(For Active Duty Military ONLY) How long have you been at your present duty station ?
(For Active Duty Military ONLY) When is your next move/PCS? Where will you be going?
Does everyone in the home know and agree about adopting a dog?
Does anyone in the home have allergies to dogs ?
Who will be the primary care giver for the dog ?*
Please describe your household activity level:
Is your yard completely fenced?
Is your home on a canyon, near a canyon or an open space?
May a NWLB Volunteer do an inspection of your home ?
Have you had a dog as a pet within the past 10 yrs?
What pets have you had in the previous 10 yrs, provide name, breed and where are they now. (Use N/A if none)*
Do you currently have a(any) dog(s) in the household?
If you have other dog(s), List name, age, breed type (Use N/A if none):*
Are your current dog(s) spayed or neutered ?
What other pets are in your home? (cat, rabbit, bird)
Please Provide a personal reference that we may contact:*
Personal Reference best contact number*
Do you have a regular Veterinarian ?
What is the Name of your Vet and contact number?
Have you had to surrender, give away or rehome a pet in the past ?
If yes, please explain circumstances that lead to this decision (Use N/A if none)?*
Where will this dog be kept during the day ?*
Where will this dog be kept during the night ?*
How many hours will this dog spend alone each day ?*
How will this dog be kept safe in your yard ?*
How will this dog get exercise each day? (walk, run, hike, dog park or beach?)*
How long do you feel a dog should be given for an adjustment period ?*
How and why would you discipline your pets ?*
What dog behaviors are unacceptable and what actions would you take to help correct these behaviors ?*
Are you willing to work with your new dog and a trainer on any issues this dog may have ?
What circumstances would cause you to give up this pet ?*
(ANSWER ONLY For puppies and under 1 year of age) How long have you been considering adding a puppy to your home?
Do you agree to contact NWTLB and return this dog if you can no longer keep this dog ?
(ANSWER ONLY For puppies and under 1 year of age) How much time and energy do you think you will need to spend working on this puppy's basic training and behavior?
(ANSWER ONLY For puppies and under 1 year of age) How do you plan to spend the first 72 hours with your new puppy?
(ANSWER ONLY For puppies and under 1 year of age) How much and what type of exercise do you believe this puppy will need the first year?
(ANSWER ONLY For puppies and under 1 year of age) What types of activities do you think will keep this high energy puppy busy, occupied and happy?
(ANSWER ONLY For puppies and under 1 year of age) What specific types of training do you plan on using - i.e classes, private instructor, your own experience, on line videos ?
(ANSWER ONLY For puppies and under 1 year of age) How will you puppy proof your home and yard?
(ANSWER ONLY For puppies and under 1 year of age) How long will you allow for potty training a puppy? Share with us your training methods.
Please provide us with any additional information you would like us to know when considering your application:
By filing this form, I understand this is an application and NWTLB has the sole discretion, with or without cause, to accept or decline this application. All information I have provided in this application is true and correct.*
Any dog in my care will reside in my home as a pet. I will provide them with quality dog food, plenty of fresh water, indoor shelter, affection, and annual physical examination and vaccinations under the supervision of a licensed veterinarian. *
Signature (print your full legal name)*
Date *
Date
