Wagglebottoms Adoption Application Wagglebottoms Adoption Application If you are human, leave this field blank. Name Address Phone Email Employment Were you referred? (Yes/No) I am interested in: Dog Cat Text Color DOB/Age Sex Neutered Male Intact Male Spayed Female Intact Female Vaccinations Comments Home information Rent Own Text Do you have a fenced in yard? Do you have any other pets in your home? (If so, please list) Veterinary Reference Albany Veterinary Clinic ARF's PAW Alexandria Animal Hospital Animal Medical Center Boyce Animal Hospital Care Animal Hospital Chesterfield Animal Hospital Eaton Veterinary Clinic Low Cost Spay and Neuter Clinic Maplewood Animal Hospital Muncie Animal Care & Services Parker Veterinary Clinic Redkey Veterinary Clinic Riverview Animal Hospital Westview Animal Clinic Other Other: Personal References Name, Address, Phone, Email Personal References Name, Address, Phone, Email Personal References Name, Address, Phone, Email AGREEMENT: There is no health or temperament guarantee on any of our animals. You are responsible for the wellbeing (this includes premium food, veterinary care, supplies, and housing) of the animal(s) in your home. We have the right to do home checks at any given time. If at any time you find you can no longer care for or keep your pet, you are to contact us immediately. You are not to sell, give away or surrender this pet to any other rescue or shelter. Adoption fee is non-refundable. I agree Text Submit
