WISH BONE CANINE RESCUE ADOPTION APPLICATION

2020 Bunn St, Bloomington, IL 61704
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If the dog you have applied for already has an application approved, is there another dog you are interested in adopting? If "yes", please enter dog's name. *
 
Preferred method of contact
 (check all that apply) *
I have submitted an application within the past 6 months to adopt from Wish Bone Canine Rescue. *
I was notified that my previous application was approved. *
 
Have you ever been investigated for, charged with or convicted of animal negligence, abuse or cruelty? *
Do you own or rent your place of residence?

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Type of residence *
 
Before you submit this application, verify with your landlord, homeowners association or management that you are permitted to have a dog.  Check breed and size restrictions.  Thank you!  
Are you a student? *
Which address did you enter on this application? *
Is there a cat in your family? *
Do you currently own any dogs? *
Are there dogs living in your home that do not belong to you? *
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Are all your dogs' shots current, including rabies?
(Any additional vaccinations your veterinarian has recommended,
 have been given and are up-to-date.) *
Are your pets on flea/tick prevention?  *
 
Are your dogs on heartworm prevention year round? *
 
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Have you had pets in the past? *
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For pets described above, how long ago was it that you owned these pets? *
Will your new pet live inside your home?

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Is there a child that lives in or visits your home? *
Do you have a fenced yard? If "yes", enter height of fence. *
 
Energy levels and exercise needs are important in matching dogs with families. Please indicate which of the following fit your family's life-style. The dog we adopt needs to: *
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Do you understand that adopting a pet is a commitment for the pet's entire lifetime?
Are you willing to make this type of commitment? *
Do all persons living in your home agree with adopting a dog at this time? *
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Please check box below if you would also like to become a foster home for Wish Bone. This application will serve as your foster application and a member of our foster team will contact you. However, please note that you must live within approximately 35 miles of Bloomington/Normal to become a foster.
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How did you hear about Wish Bone Canine Rescue? *
 
May we add you to our email list for distribution of our newsletter and other newsflashes about Wish Bone Rescue?  We do not share our email  list with others. *

Terms of Adoption

By checking the box below you are
(1) certifying that all information in this application is accurate and that you have not withheld pertinent information.
(2) authorizing Wish Bone Canine Rescue to contact your personal veterinarian to verify information you have submitted in this application as well as  to verify in the future that the adopted dog is receiving care as recommended by your personal veterinarian.
(3) certifying that you are 18 years of age or older.
(4)acknowledging you understand that Wish Bone Canine Rescue reserves the right to deny any application for any reason without stated cause.

After checking the box below, remember to click the submit button to finalize your application.  Thanks again for your interest in adopting one of our rescued animals.

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