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WHITE OAK ANIMAL SAFE HAVEN, INC. (NO KILL SHELTER)
2295 LINCOLN WAY
WHITE OAK, PA 15131
412-672-8901
www.woash.org

 

APPLICATION FOR ANIMAL ADOPTION
(PLEASE COMPLETE ALL FIELDS)


Name of Animal:    

Customer Name:   

Email Address:

Address:

City: State: Zip:

Phone: Other Phone:

Drivers License Number:

How did you find out about the White Oak Animal Safe Haven?:

Other:

What type of pet do you wish to adopt?

Customer Home Information



How long have you lived at this address? Do you?

If you rent, Does your landlord allow pets?

Rental Proof / Landlord Name, Address, Phone:

Pet will be living with:

Is your residence a:

Other:

Animal Information



Have you ever adopted a pet from us?

Date of Adoption/Animal:

Have you ever brought a pet into the shelter?

For What Reason?:

How many pets do you have at home?

Number of Dogs? Number of Cats? Gender
Male/Female Ratio:

Animal Care



Where will your pet spend most of its time?

What arrangement will you make for daily exercise for this animal?

Are you familiar with housebreaking/training procedures?
What method(s) do you use?

Are you financially prepared to provide your new pet with animal vet care as required by State Law?


Are you aware of your Community' Animal Ordinances concerning Leash Laws and number of owned animals?


Will you be the primary caregiver for your new pet?


Why do you want this animal?



Terms and Conditions






PLEASE BE ADVISED THAT THIS IS ONLY AN APPLICATION FOR ADOPTION. IT DOES NOT GUARANTEE THAT YOU WILL BE ELIGIBLE FOR APPROVAL. ALL APPLICANTS ARE INTERVIEWED AND SCREENED BEFORE A DETERMINATION IS MADE. UPON APPROVAL OF ADOPTION, THE SHELTER WILL NOTIFY YOU. THANK YOU FOR YOUR INTEREST IN ADOPTING.

 

INCLUDED IN ADOPTION ARE AS FOLLOWS:
SPAY/NEUTER FOR DOGS & CATS
RABIES FOR DOGS & CATS (3 MONTHS & OLDER WHILE IN THE SHELTER ONLY)
DEWORMING & FLEA TREATED FOR DOGS & CATS
1ST VACCINE ONLY OF DHLPP FOR DOGS
FELV-FIV TESTING FOR CATS
1ST VACCINE ONLY OF FELV - FVRCP-P



I accept:

By checking this checkbox I confirm that I have read and agree to all terms and conditions in this application. Furthermore, in the event that I do not comply with the terms and conditions that I have accepted I understand that I may be laible for any and all costs as well as a loss of any and costs associated.