Wetzel County Animal Shelter

Adoption Application

Sorry.. We are currently having difficulty receiving applications...If you don't hear from us r/t your application within 24 hrs please call us @ 304-455-5348 or e mail us @ wcasrosy@frontier.com and we will send you an application.

What Pet or Pets are you interested in?
Where did you see our ad?
Are you willing to come to our Shelter to pick up this pet?

Would you be able to come on a weekday to pick up your pet?

NOTE: We do NOT fly animals
If you did NOT find the pet you are looking for, please let us know what your interests are?
Requirement for Adopter:

As adopter, you must be 18 years of age or older; Be willing/able to provide medical care and loving attention for your pet; Pay the adoption fee; Have your pet vaccinated against rabies; Have your pet spayed or neutered; Abide by city, county and state ordinances and laws; Make sure your dog wears a collar with rabies tag and identification; Abide by all rules of our adoption agreement/contract; Understand that the Wetzel County Animal Shelter, the Wetzel County Animal Shelter Supporters, Inc. and the County of Wetzel reserves the righ to deny any adoption application for any reason.
PERSONAL INFORMATION

This is for our use at the shelter only. You will not be contacted by anyone else.
Name First Last
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Home Phone - (###) - ### ####
Work Phone or Cell Phone - (###) - ### ####
We will NOT share your information.
Email
Do you OWN your home or RENT? House? or Apartment?
IF you rent, we need your Landlord's contact information.
DO you live in the City? Suburbs?
How long have you lived at this address? And do you plan to move soon?
IF so, what are your plans for your pet?
How many people reside in this home? Ages, please.
Does anyone have allergies to animals?
Does your family support your decision to adopt this pet?
How long will this pet be left alone during the day?
Are you willing to commit to the care of this pet for its expected lifespan of approx. 10-15 years?
PET HISTORY AND VET REFERENCE

List all pets that you have had in the past 5 years; Current vet and phone number. We will need to verify this information.
We would like the Name; Type or breed; Age; Spayed or Neutered; and do you still have them.
If you do NOT have any of the above listed pets, why?
Have you ever taken a pet to a Shelter or Rescue? If so, why?
Current Veterinary or clinic? Name and Phone number
Prior Veterinary or Clinic? Name and Phone number
If any of the above listed pets are under someone elses name at the Veterinarian, what name can be referenced?
Do you agree to have this pet spayed or neutered within 30 days of adoption or by the age of 6 months?
If this pet is unaltered I agree not to breed it prior to alteration surgery date; as agreed to by contract" Initials and yes or no required.
Are you willing and able to provide the necessary medical attention for this pet as long as you own it?
WHAT YOU ARE LOOKING FOR IN A PET

Why do you want to adopt a pet?
Check ALL that apply: Companion Guardian Mouser Gift For Children
What temperament are you looking for? Active Very Active Playful Protective Independent Intelligent Easy Going Affectionate Sedate Shy Lap Dog (or Cat)
I would like my new pet to get along well with other: (Check ALL that apply) Dogs Cats Birds Rabbits Farm Animals
Do you have any of the following? A fenced yard Pet door Outdoor Kennel or Run Overhead cable Dog House Tie-out
Where will your pet spend most of his/her time?
Where will your pet sleep?
Where will your pet stay when you are not at home?
What method (s) of housetraining do you plan to use? Crate Paper Litterbox Other
If OTHER, explain.
I agree not to let a female have a litter. Initials:
IF you are adopting a cat, Do you plan to have this pet declawed?
May we visit your home in the future to verify this pet's well being?
I hereby certify that all information in this application is true and correct to the best of my knowledge.

It is understood by and between Wetzel County Animal Shelter and (APPLICANT), that as a condition of adopting this dog/cat, Wetzel County will not reveal to any person, other than an authorized County, State, or Law Enforcement Official, any of our personal information from our application or the fact that we have adopted the dog or cat in this contract. The foregoing specifically includes prior owners or custodians of the dog or cat. This agreement shall be governed by and construed in accordance with West Virginia State Law, and all actions shall be filed in the Commonwealth of West Virginia. This Agreement constitutes the sole agreement between the parties and supercedes any and all prior agreements with respect hereto, and is severable, so that if any portion hereof is deemed invalid, the remainder hereof shall remain in full force and effect.
Electronic Signature

Please fill in your name as listed above.

Wetzel County Animal Shelter

Wetzel County Animal Shelter

Requirement for Adopter:

PERSONAL INFORMATION

PET HISTORY AND VET REFERENCE

WHAT YOU ARE LOOKING FOR IN A PET

I hereby certify that all information in this application is true and correct to the best of my knowledge.