Adopt A Canine

Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I agree to present my driver’s license/ID for identity verification at time of adoption *

Yes

No

Date of Birth *

MM

DD

YYYY

Phone *

(###)

###

####

My pets will be kept: *

Indoor Only

Outdoor Only

Indoor/Outdoor

I certify that I live within a six (6) hour drive of Milwaukee, WI, and understand that my application will not be considered if I live outside the adoption radius

I live within six (6) hours of Milwaukee, WI

I do not live within six (6) hours of Milwaukee, WI

I understand that any cosmetic surgeries (cropping, docking) are strictly prohibited and that the puppy/dog will be removed from my care should I choose to violate this rule.

I Understand

I Decline

We truly appreciate you applying to adopt! Please be sure that you are ready to adopt within three (3) days of filling out an application. Our organization is very small, so we ask that you please be respectful of our time. If you are not able to adopt within 3 days of filling out an application, please wait to fill out the application until you are ready. Thank you for your understanding! By submitting this application, you guarantee that you are ready to adopt within 3 days if the animal is a good fit once you meet them. *

I Understand

I Decline