Lakeland Animal Shelter Dog Adoption Application

PLEASE READ CAREFULLY

Thank you for coming to the Lakeland Animal Shelter. We hope we can be of assistance to you in finding a dog suitable for your lifestyle.

The pets available for adoption came here from a variety of sources, both stray and unwanted. They are examined by a staff member upon entry and their health is routinely monitored white at the shelter. However, there is always a chance that a cat or dog is incubating a disease without showing any clinical signs. This is true of any pet anywhere, whether breeder, private owner or animal shelter.

The benefits of adopting a dog from the Lakeland Animal Shelter are numerous. Spaying, neutering and other veterinary services are included in our competitive adoption fee. Please see the attached sheet for a comparative cost chart.

Staff and volunteers are available to answer questions about our current pets such as specific breeds and other areas of pet relationships.

Text Box: All Applicants are subject to a background check using the Wisconsin Circuit Court Access Program

 Our adoption process is very simple and our requirements include, but are not restricted to:

1.       A completed adoption application.

2.       Photo identification with an address that matches the address on your application.

3.       Verification that animals are permitted in your residential area:

a.       If you rent, your landlord’s name, address, and phone number.

b.      If you own your home, proof of ownership (deed, mortgage, payment book)

4.       Proof that pets currently living in your home are up to date on the distemper vaccination and the rabies vaccination if it is required in your municipality.

5.       Your veterinarian’s name and phone number, we will call your veterinary to verify your animals are current on vaccinations.

We do not discriminate on the grounds of nationality, race, gender, sexual orientation, age, disability, religion or social status. However, we will not knowingly place a pet in a situation where its well-being is questionable. Therefore, we reserve the right to refuse an adoption application for any reason. No pet will be adopted to prospective owners who mislead or fail to provide accurate information on the application.

ADOPTION PROCEDURE

1.       Fill out the adoption application for the chosen pet(s) and turn application into a staff member at the Reception Desk .

2.       There is a MANDATORY 24 HOUR WAITING PERIOD once the application has been received.

3.       Please call the shelter at 262-723-1000 after 2:00 PM THE NEXT BUSINESS DAY (Monday thru Friday) after turning in your application. If you submit your application on a Friday or a Saturday, please call the following Monday after 2:00 PM.  At this time, a staff member will ask for any additional information required of you in order to approve or deny your application.

IT IS YOUR RESPONSIBILITY TO CALL THE SHELTER. IF WE DO NOT HEAR FROM YOU, IT IS ASSUMED THAT YOU ARE NOT INTERESTED IN ADOPTING AND YOUR APPLICATION WILL BE FILED. PLEASE REALIZE THAT AT TIMES WE DO RECEIVE SEVERAL ADOPTION APPLICATIONS ON A SINGLE DOG. WHEN THIS HAPPENS WE MAY EVENTUALLY APPROVE ALL OF THE APPLICATIONS ON THE DOG, BUT THE PROSPECTIVE ADOPTERS WITH THE FIRST APPROVED APPLICATION ON THE DOG WILL BE GIVEN FIRST CHOICE ON THE ADOPTION. PLEASE UNDERSTAND THAT THIS TYPE OF SITUATION IS DIFFICULT FOR EVERYONE INVOLVED AND WE TRY TO MAKE A FAIR DECISION BASED ON GIVING PREFERENCE TO THE ADOPTION APPLICATION THAT FIRST MEETS THE ADOPTION REQUIREMENTS LISTED ON THE PREVIOUS PAGE.

·         If your application is approved, arrangements will be made for a specific date and time for pick up of the chosen dog or dogs.

·         At this time, the contracts will be signed and adoption fee will be paid (Cash, Check, Visa, Mastercard or Discover) are accepted. Please bring a leash with you and a new collar if you wish, but the dog will have a collar to go home with.

Don’t be shy about asking questions! This is a major commitment on your part and we want to assist you in every way possible.

By submitting the application below you agree that you have read and understand the above information concerning the adoption procedures of the Lakeland Animal Shelter. You also agree that the Lakeland Animal Shelter has your permission to contact the veterinarian who has provided services for your current and past pets. Said veterinarian has your permission to release any and all information to the Lakeland Animal Shelter.

 

 

Household Information

Full Name of Applicant    Date of Birth

Full Name of Spouse/Other Household Adult Involved in Adoption   Date of Birth

Street Address:

Mailing Address:

City State Zip Code

of: County:

Home Phone How long have you lived at above address?

If less than 3 years, previous address:

Email address

This residence is a      

If Other, please explain

Do you  

If Other, please explain

If owned, under whose name is property listed?

If rental or mobile home park, you must list landlord/owner’s name/address/phone #

 

EMPLOYER(S)

Applicant Phone #

Spouse/Other  Phone #

HOUSEHOLD

How many adults in household?         Children?           Ages

Is anyone in the household allergic to animals?           Yes    No             If yes, what type of animals and how severe is the allergy?

Do you have a preference as to breed type, sex, age, size, length of coat, etc.?          Yes   No

If yes, please list preferences:

Who will be responsible for the care of the pet?

Where will the pet be kept daytime?Nighttime?

Approximately how many hours per day will the pet be left alone?          

What pets do you currently have in your household?

NAME & BREED

 TYPE SEX     Spayed/ Neutered     KEPT WHERE?  Current Age
 If you do not currently own any animals, check here

PLEASE LIST BELOW ALL PETS OWNED IN THE PAST 5 YEARS OTHER THAN THE ABOVE:

NAME & BREED

 TYPE SEX     Spayed/ Neutered     KEPT WHERE?   WHERE IS  PET NOW?
 If you do have not owned any other animals in the past 5 years, check here

Name/address or phone number of past & present veterinarians:

How did you hear about us?   

Please list an individual who could verify that you are a responsible, caring pet owner.

Name    Phone 

Have you ever taken any animal to a shelter?             Yes   No             If yes, please explain:

Have you previously adopted a pet from an animal shelter?    Yes   No           Year         

Name/location of other shelter

If yes, do you still have the pet?     Yes   No           If no, why not, and where is the pet now?

Have you ever redeemed a pet from our shelter?    Yes   No             When?

-------------------------------------------------------------------------------

About the dog you plan to adopt:

File #     Dog Name(s)    

Do you want the dog/puppy for a  

(Select all that apply.  To make more than one selection, hold down the Control key while making additional choices.)

If other:  please explain: 

Do you have a fenced yard?   Yes   No  If so, how high? How many sides? 

How will the dog be exercised?

If other, please explain:

(Select all that apply.  To make more than one selection, hold down the Control key while making additional choices.)

Where will the dog be housed?

If Other, please explain   

Do you plan on taking your puppy/dog to obedience classes? Yes   No    If No, why not?

What will you do if your puppy/dog exhibits destructive behavior?

How will you keep the dog confined to your property?

If other, please explain:

Do you have any questions, or is there anything else you would like to tell us about yourself or your family?

PLEASE READ THE FOLLOWING VERY CAREFULLY & ENTER YOUR INITIALS IN THE BOX  IF YOU UNDERSTAND & AGREE TO ABIDE BY THEM:

     The dog you are adopting has been altered, heartworm tested (if over 6 months of age), vaccinated against Distemper and Bordetella, checked for parasites, and micro-chipped, but the Shelter still recommends you take the pet to see a veterinarian within 7 working days for a physical exam and rabies vaccination.  The cost of the exam and any other vaccinations or tests you choose to have done is your responsibility.

      According to Wisconsin Statute, all dogs are required to be vaccinated against rabies and licensed. They must wear proof of vaccination and licensing on their collars at all times. There are also annual shots that must be given. Please talk to your veterinarian and show him/her the medical records from the shelter. It is illegal to allow a dog to run loose at any time in the State of Wisconsin, including rural areas. If your dog is caught running loose, you may receive a citation ticket and have to pay a fine.

    Do you fully understand that any pet adopted from the Lakeland Animal Shelter cannot be sold or given away to any person or other agency? If you are no longer able to keep the adopted pet, it must be returned to this shelter. The only exception to this policy is if the pet is humanely euthanized by a licensed veterinarian if the situation requires this procedure. *if you have a close friend or family member willing to take the adopted pet if this situation arises, just contact the shelter before giving the pet to them.

  Based on the age of the dog or the results of the Behavior Assessment, some dogs will be placed with an obedience training requirement.  If the dog you are adopting requires obedience training, you will be given a time period of 6 months to take the adopted dog for the obedience to a certified pet trainer. After completion of the class, either mail or bring in a copy of the completion certificate.

WE WILL NOT KNOWINGLY PLACE A PET IN A SITUATION WHERE ITS WELL BEING IS QUESTIONABLE.  THEREFORE, WE RESERVE THE RIGHT TO REFUSE AN ADOPTION APPLICATION.  NO PET WILL BE ADOPTED TO PROSPECTIVE OWNERS WHO MISLEAD OR FAIL TO PROVIDE COMPLETE AND ACCURATE INFORMATION ON THIS ADOPTION APPLICATION.