Home Animals In Need Adoption Form
Adoption Application

Pet ownership is a serious commitment that the entire household needs to consider and agree to before the animal is adopted.
We want to ensure that each adoptive household is aware of, and willing and able to accept the physical and financial responsibilities of pet ownership. Not everyone who desires to own a pet is ready to properly care for one. This questionnaire will assist both you and the NWAS in determining if your household is prepared to assume the role of responsible caretaker for a rescued animal.
HOMECHECKS MAY BE REQUIRED.


**Thank you for taking the time to thoroughly complete this application.**

Required *

 Yes   No 


 Yes   No 

Animals can be expensive to care for (for example the estimated average annual cost is $750 for one dog).

 Yes   No 

 Yes   No 

 Yes   No 

 Yes   No 


 Town   Country 

 Yes   No 

If you rent, you MUST provide proof of permission to have an animal on the premises.

(By giving us this information you are granting permission to have us contact them)


 Shed
 Dog House
 Covered Area (porch, etc)
 Shade Trees
 Other


 Busy active/noisy   Moderate comings/goings   Quiet/occasional guests 

 Yes   No 

(By giving us this information you are granting permission to have us contact them)


Individuals who adopt a NWAS animal are contacted periodically for an update to help ensure that the animal successfully adjusts to its new life.

 Yes   No 

If at any time an adopter cannot keep the animal, it must be returned to the NWAS. If the animal is not spayed or neutered at adoption, the adopter is required to alter the animal and provide a veterinary certification on request. Animals unaltered may be seized. In addition, each pet adoption is assessed a non-refundable fee to assist in paying the veterinary/other expenses incurred in the animal’s care.

I acknowledge that I completely read this questionnaire, comprehend it fully, know that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application or the adoption contract can result in the forfeiture of any NWAS animal adopted by me.


 Yes   No 

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