Adoption Application
 

Please fill out the form completely. We cannot process incomplete applications or applications without a phone number.

* indicates a required field.

We reserve the right to refuse an applicant.
Personal Information
Home Information
   Own    Rent
   Yes    No
   House    Apartment    Trailer    Other
   Yes    No

 Chain Link
 Wooden
 Electric
 Brick/Cinder Block
 Other

 Yes  No
   Yes    No
   Yes    No
Pet History
   Yes    No
   Yes    No
   Yes    No
Adoption Information
   Yes    No
   Yes    No
   Yes    No
   Yes    No
   Pet    Guard    Herding    Obedience    Other
   Full Breed Only    Mixed Breed    No preference

   Loose indoors    Crate    Basement    Garage    Fenced yard    Kennel run    Tied up    Outdoors    Other

   Loose indoors    Crate    Basement    Garage    Fenced yard    Kennel run    Tied up    Outdoors    Other
   Yes    No
   Yes    No

 Yes    No
   Yes    No
   Yes    No

 Yes    No

 Yes    No
   Yes    No
Adoption fees are generally set as follows: $600 for purebreds under 1 year of age, $500 for purebreds 1-3 years of age, $300 for Wheatables (mixed breeds), Wheatens over 3 years of age or Wheatens with special needs or disabilities. All dogs will be up to date on shots and spayed or neutered prior to adoption. Any known health issues will be discussed prior to adoption.
   Yes    No
By submitting this application, I declare that all of the above information I have given is true and complete. I certify that I am applying to adopt this dog as a family pet for myself only and that the Wheaten will not now or at any time in the future be transferred to any other individual, research or rescue organization. I understand that any misrepresentation on this application constitutes fraud and the rescue Wheaten can and will be recovered by S'Wheat Rescues with no refund of the adoption fee.

 Yes  No
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If you would like a copy of this form for your records, please print the form now before submitting.