Create Account or Log In:
Creating an account or logging in via facebook/email will let you save your application, and allow you to access your pets medical records and other important information after you adopt or foster.
Please fill out the following information honestly to assist us in making a suitable match for your surrendered pet.
What type of pet are you surrendering?
How old is your pet?
What breed is your pet? Please describe.
Is your pet spayed or neutered?
Please explain why you are relinquishing this pet.
Name and phone number of your veterinarian.
Does your pet have medical issues? If so, please explain and include plan of treatment or medications.
Has your pet received Flea/Tick and Heartworm prevention in the last 30 days?
What does a normal 24 hour period look like for your pet?
Has your pet ever escaped from your yard or house? If yes, please explain.
For how many hours is your pet comfortable being left alone?
Has your pet ever been introduced to a crate/kennel? If yes, please explain how their behavior is with the crate/kennel.
Is your pet house trained/litter box trained?
What is your pet's favorite game or activity?
Who is your pet's favorite person to be with?
How does your pet generally show affection?
How does your pet greet strangers/animals outside of the home?
How does your pet behave at the vet?
How does your pet generally greet strangers in the home?
What commands does your pet know?
Has your pet had experience with children?
If you answered yes to the previous question, please explain what ages of children and how your pet responds to them.
Would you recommend that your pet be placed in a home with children? If no, please explain.
Does your pet display any behaviors that the new adopters will need to be aware of? If yes, please explain.
Has your pet ever shown any signs of aggression? If so, please explain.
Select all of the behaviors that your pet has exhibited to your or anyone else.
Does your pet have any fears? If so, what are they?
What does your pet do when he/she is frightened?
Is your pet sensitive about being handled in any way? If yes, please explain.
Has your pet lived with other animals? If so, what kinds, how old, how many?
If your pet has lived with other animals, was it successful? Please explain.
Has your pet ever fought with another animal? If yes, please describe the situation (were toys, food, or rawhides involved?)
Has your pet ever injured another animal? If yes, please explain and include where the other animal injured and how severe was the injury?
How long have you owned this pet?
Please use this box for any additional information you would like to share about your pet.
How did you hear about us?
Signature/Agreement: I understand that by selecting "I Accept" it constitutes a legal signature confirming that the above information is truthful to your knowledge. You also agree to give permission to the Wellington Humane Society to contact my veterinarian and obtain my pet's medical history. I also understand that my pet is now under the care of WHS.