Wildlife Care Center Online Adoption Application

Your Name:

Address:

City: Zip:

Home Phone: Work Phone:

Cell Phone:

E Mail Address:

State ID or Driver's License no.:

WCC Case No.:

In an effort to provide the best possible placement for each animal and ensure that every adoptor is educated on the responsibilities involved, WCC policy requires that an Adoption Counselor meets with you in your home prior to adoption. We may also make a follow-up contact to inquire as to the status of the animal up to a year after the animal has joined your family.

Do you agree to these conditions?
Yes
No

What type of animal would you like to adopt?

Why do you want to adopt this animal?

What type of home do you live in?
Single Family House
Condo
Mobile Home
Apartment
Other

Years at current address? Do you rent or own?

Landlord's name (if applicable) Landlord's phone number

If you rent are there any restrictions, please explain:

What kind of pets do you have already:

What other experience have you had caring for animals?

Do you have a veterinarian?
Yes
No

Name of veterinarian or clinic

Number of people in household?

Number of Adults? Number of children?

Have you ever had to give one of your pets away or surrender one to an animal shelter?
Yes
No

If YES, why?

If something should happen to you and you were no longer able to care for your pets, what provisions would be made for them?

Are you willing to accept the additional financial responsibility for food, toys and the cost of medical care for your pets?
Yes
No

Please note that rabbits, hamsters, guinea pigs are highly sensitive creatures. Over the counter flea control products may cause illness or death to these animals. ALWAYS consult a veterinarian regarding the best and safest flea/tick control product for individual species.

The care and medical attention given to our animals has been the very best possible; however, undected medical problems may arise after the adoption. Do you understand that once the adoption is finalized, you will be completely responsible for any and all costs associated with your new pet's medical care?
Yes
No

In the event of a disaster such as a flood or hurricane, what will you do with your pets, if you are required to evacuate?

PLEASE NOTE: Community shelters such as school gyms, churches etc. will not accept pets!

The Wildlife Care Center is a non-profit organization that relies upon donations from the community to continue our important work. We require an adoption fee to cover the costs of food and medical care provided to the animal(s) you are adopting and to contribute to the care of other animals we serve. Adoption fees vary by the type of animal you adopt. Your adoption counselor will discuss the fee with you when you select your new pet.

IMPORTANT: How did you learn about the Wildlife Care Center's adoption program?
Brochure
TV
Radio
Friend
Website
Vet
Newspaper
WCC Staff
Petfinders

Anything else you would like to tell us: