Submit an Application

Submit an application to adopt a pet

All potential adopters must complete the following application. Complete and accurate information helps staff process your application more quickly. When you have finished completing the application, click SUBMIT. 

Once we have processed your application, we will call you to let you know you have been approved.

Once your application is approved, our staff and volunteers are available to help you find the pet that best suits you and your lifestyle. Our goal is the happiness and well-being of both you and your adopted animal!

Information about Your Home and Family

Please include your area code on all telephone numbers.





Spouse / Partner Contact Information



Street Address:


Mailing Address (if Different):


Household Information





Pet Ownership Plans







Pet History

If your vet is not listed in the above choices, please enter your vet's contact information below:



Tell us about the dogs and cats you have owned during the course of the past 5 years:

Type Name Gender Fixed? Owned From (Year) Owned To (Year) Current Status of Pet
Certification

By checking this box, I certify that the information I have given is true. I understand that WCHS has the right to delay or deny my request to adopt an animal. I authorize WCHS to contact my veterinarian and landlord (if applicable), and to investigate all statements in this application.

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