Dog Adoption Application

Thank you for your interest in adopting a retired research animal.

Thank you for your interest in adopting a retired research animal from the Washington Adoption Center for Retired Research Animals (WACRRA)! This application must be filled out prior to adoption from our program. Completion does not guarantee the applicant will be approved for adoption, and does not constitute a hold on a specific pet. To schedule an adoption appointment, or check availability of a specific animal, please email Holly Nguyen at [email protected].

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hereby have in

Name *

First

Last

Home Address *

Single Line Text

City *

State / Province / Region *

Postal Code *

Email *

Phone Number *

Are you over the age of 18? *

• Yes
• No

I understand the following adoption fees are due at the time of adoption and are non-refundable- Dog $400 *

• Yes

If you have a specific dog or dogs in mind, please provide their name(s) or description(s): *

Please describe what characteristics you are hoping for in a dog (e.g. gender, age, energy level, personality, and socialization) *

What is your experience level with dogs? *

• Excited to start
• Some experience
• Intermediately experienced
• Advanced in experience
• Professional/Executive level of experience

What type of home do you live in (house, apartment, et cetera)? Do you own or rent your home? How long have you been at this address? *

If renting, please list the landlord or property manager name and phone number:

May WACRRA contact your landlord or property manager? *

• Yes
• No

Are dogs allowed? *

• Yes
• No

Are there breed or weight restrictions? *

• Yes
• No

Would you be willing to allow us to visit your home by appointment? *

What humans currently live in the home? Please provide the ages of all household members: *

Does any member of the household have allergies? If so, to what? *

What animals currently live in your home? (Please include species, breed, and age): *

Are current pets spayed/neutered?

• Yes
• No
• N/A

Are current pets up to date on vaccinations?

• Yes
• No
• N/A

Are you financially able and willing to provide annual checkups, vaccinations, and any medical care necessary? *

Do you have a regular veterinarian? If so, please provide clinic name: *

May WACRRA contact your veterinarian? *

• Yes
• No

Who will be responsible for the daily care of this pet? *

Approximately how many hours per day with the dog be left alone? *

• Less than 2
• 2-4
• 4-6
• 6-8
• More than 8

Where will the dog stay during the day? *

Where will the dog sleep at night? *

If you have a fenced yard, please describe the height and type of fencing (e.g. vinyl, chain link, wood, etc.): *

Having a fence is not a requirement to adopt a dog from us.

If you do not have a fenced yard, how will you safely contain your dog while outside?

How do you plan to exercise your dog and how often? *

Do you travel frequently? *

• Yes
• No

If yes, who will care for the dog?

If a disciplinary or behavior problem arises, what steps will you take to work on it? *

What will you do if your new dog doesn’t get along with your present pets? *

Have you or anyone in your household ever been (i) charged with, or convicted of, animal cruelty, neglect, or abandonment, (ii) the subject of a civil proceeding to terminate your ownership rights of a dog, cat, or other companion animal, (iii) ever surrendered an animal to, or had an animal seized by an animal control officer? *

Please indicate acknowledgement of the following statements: The animal(s) were previously housed at a regulated research institution and cared for by trained, dedicated, and loving veterinary and animal care professionals under strict ethical and welfare oversight. Their release is part of a responsible retirement and rehoming program. *

Do you agree not to publish, post, or communicate any false, misleading, defamatory, or materially disparaging statements concerning WACRRA, the originating research institution, or their personnel in connection with the adopted animal(s)? *

How did you hear about WACRRA? *

Provide any additional details.

Please include the name, phone number, email address and relationship of at least two people who can attest to your suitability as a pet owner. *

I hereby certify that all responses provided are truthful and completed to the best of my ability. I agree to abide by the terms and conditions outlined in this contract. I understand that if I fail to uphold these terms and am found in violation of any part of this agreement, WACRRA reserves the right to reclaim any animals adopted through their organization, and legal action may be taken against me. By typing my name below, I intend this typed name to be my legal signature for this document. *

Your typed name constitutes a legally binding signature.

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