LAKELAND ANIMAL SHELTER

DOG ADOPTION APPLICATION INFORMATION

Thank you for your interest in adopting from Lakeland Animal Shelter.  We hope we can be of assistance to you in finding a Dog suitable for your lifestyle.  In order to fill out our online application, you will need to have the following information with you:

Name and number of your landlord if you rent

Name and number of any veterinarians you have used in the past 5 years

 Before completing your application, please take the time to read the information below regarding our adoption policies and fees.  Information submitted to Lakeland Animal Shelter is used for processing of our application only and is not given or sold to any marketing agency.  Please allow some time to fill out this application and make sure that it is complete, as incomplete applications cannot be approved.

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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 while 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.  Sterilization and other veterinary services are included in our low adoption fee.  The following chart outlines the benefits of adopting a dog from the Lakeland Animal Shelter

*  Total Fees:  puppies 6 months and under $156.50 + license; 7 months to 7 years $131.50 +license;  8 years and older $106.50 + license

Staff and volunteers are available to answer questions about our current resident cats and dogs, specific breeds, obedience and crate training, and other areas of pet relationships.  Please contact us if you need additional information.

 Our Adoption process is very simple.  Our requirements include:

·       An adoption application completed and signed by a person over 18 years of age.  When applying online, your signature will be obtained and your identification will be verified at a later point in the adoption process.

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

·        Verification that animals are allowed in your home.

·        If you rent:  Your landlord’s name and address and a copy of your lease if available

·        If you own your home:  Proof of ownership (a deed, mortgage paper, payment book, etc.).

·        Proof that companion animals currently living in your home are up-to-date on rabies and distemper vaccinations or your veterinarian’s name and telephone number

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 accurate information on this adoption application.

ADOPTION PROCEDURE

 ·        Fill out adoption application and submit to Lakeland Animal Shelter

·         There is a mandatory 24 hour waiting period once an adoption application has been turned in.

·         Please call the Lakeland Animal Shelter at 723-1000 after 2:00 PM the next business day (Monday-Friday) after turning in your adoption application.  At that point a shelter staff member will get any additional information required of you in order to approve or deny your application.  Due to the number of incoming calls and the time spent in checking applications, we are unable to contact each person that has completed an adoption application.  It is your responsibility to call the shelter the next day.  If we do not hear from you, then it is assumed that you are no longer 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 adopting the dog.  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.)

·        Once your application has been approved, arrangements will be made to finalize the adoption. 

·      If the dog that you have chosen to adopt is not already altered, the spay or neuter will need to be completed before you can take the dog home.  The shelter will make arrangements to have the surgery performed as soon as possible and arrangements will be made for you to pick the animal up after surgery, either at the shelter or the veterinarian's office.  If picking up from the veterinarian's office,  you will need to return to Lakeland Animal Shelter to complete the adoption contract and pay the adoption fee.  You will be given a receipt that must be presented at the veterinarian's office in order for the dog to be released.

·        If the dog you have chosen is already spayed/neutered, then you will be able to complete the adoption contract and pay the adoption fee on the appointed day you pick up the dog at Lakeland Animal Shelter.

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.

Household Information

Full Name of Applicant

Full Name of Spouse/Other Household Adult Involved in Adoption

Street Address:

Mailing Address:

City State Zip Code

Town City Village of: County:

Home Phone How long have you lived at above address? Months Years

If less than 3 years, previous address:

Email address

This residence is a    House Apartment Condo Mobile Home Farm Other   

If Other, please explain

Do you   Rent Own Land Contract Live with parents/relatives/friends Other

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 #

Date of Birth

EMPLOYER(S)

Applicant Phone #

Spouse/Other  Phone #

HOUSEHOLD

How many adults in household?         Children?           Ages

Do all adults agree on adopting a pet?          Yes  No           If no, why not?

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:

Will this be your first experience owning a pet?  Yes   No       If yes, have you done any research on the breed(s) you’re interested in and the responsibilities involved?     Yes   No

Are you interested in information on

(check all that apply):  breed traits?   crate training?    obedience training? 

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?

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

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

How did you hear about us?    Visited Before Adopted Before Newspaper Radio Word of Mouth PetFinder Other Internet Other

Please list two non-related individuals who could verify that you are a responsible, caring pet owner.

Name    Phone 

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?

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About the dog you plan to adopt:

File #     Dog Name(s)    

Do you want the dog/puppy for a   House Pet Guard Dog Watch Dog Hunting Gift for Another Person Companion Companion For Another Pet For a Child Breeding Other

(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? Trolley System Walked Chained in Yard Fenced Yard to Run In Let Outdoors to Run Loose Other

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? Open Porch Enclosed Porch Barn Shed Garage Doghouse in Kennel Doghouse in fenced yard Chained to Doghouse Other Indoors Only

If Other, please explain 

Are you familiar with crate training?       Yes   No        Would you like info on housetraining?  Yes   No   

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? In House Garage Fenced Yard Chained in Yard Trolley System Patio/Deck Doghouse Other

If other, please explain:

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

Are you prepared to keep and care for the adopted pet for its entire life?      Yes   No 

Are you willing to take the adopted dog with you if you move?  Yes   No            If no, what would prevent you from taking it?

If new residence is a rental, what will you do if pets are not allowed?

Would you look for a rental that allows pets?    Yes   No            If no, why not?

If the adopted puppy/dog becomes ill and needs veterinary care, can you afford to pay for necessary medical treatment and are you willing to do so?

   Yes   No   If no, why not

If there is a behavior problem, are you willing to work with the shelter staff or professional behaviorist to eliminate the problem?  Yes   No 

 If no, why not?

It may take a dog or puppy weeks, possibly months, to adjust to its new home and/or other pets.  Are you willing to be patient and give it time to adjust?     Yes   No   If no, why not?

If your current circumstances should change for any reason, who would be responsible for this adopted pet?

Do you know the maximum number of pets allowed in your community?   Yes   No

Are you familiar with the licensing and leash laws in your community?      Yes   No

Do you understand the "leash law"?  Yes   No

Are you familiar with the heartworm disease?   Yes   Somewhat   Not at all

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:

      If the dog/puppy you have chosen is already altered or is too young to be altered at the time of adoption, you have seven days to take it to the veterinarian of your choice for a  complete physical exam and required shots, i.e., rabies vaccination.  The cost of the exam/shots is your responsibility.  You will be given a copy of the pet’s vaccination/medical records from the shelter to show your veterinarian.  If you fail to do so, the shelter will not be responsible for any  undetected health issues.

       ALL DOGS WILL BE ALTERED PRIOR TO ADOPTION UNLESS  TOO YOUNG.  IN THAT CASE, THE PET MUST BE ALTERED ON OR BEFORE THE DATE SPECIFIED IN THE ADOPTION CONTRACT

      According to Wisconsin Statute, and the statutes in many other states, 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

    Do you fully understand that any pet adopted from us cannot be sold or given to any person or agency?  If you are unable 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.

  IIt is illegal to allow a dog to run loose at any time in the State of Wisconsin (and in most other states), including in rural areas.  If your dog is caught running loose, you will receive a citation ticket and pay a fine.

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.