Dog Adoption Application
Animal you are interested in adopting
Ash (Justus) (Cat - C2022265)
Ash (wchs) (Cat - C2022015)
Austin (hamilton) (Cat - C2022210)
Bailey (quality) (Cat - C20211765)
Baloo (Dog - D2020704)
Bandit (fremont) (Cat - C2022476)
Barbie (Watauga Rd) (Cat - C2022499)
Barney (Dog - D2022308)
Beauford (Dog - D2022342)
Bella (Dog - D2022347)
Binx (holston) (Cat - C2022095)
Biscuit (Matson Rd) (Cat - C2022269)
Biscuit/Zelda (cochran) (Cat - C20173414)
Bobbi (crawford) (Cat - C2021521)
Bones (Willow Tree Ct) (Cat - C2022456)
Booger/Boogie (Dog - D2022285)
Boots (Red Roof) (Cat - C2022318)
Bran (buffalo) (Cat - C2022274)
Buffalo (Buffalo) (Cat - C2022166)
Buzz Bait (ridgeview) (Cat - C20211769)
Casino (Dog - D2022163)
Casper (Dog - D20211146)
Chance (Dog - D2022280)
Charlie (Dog - D2022180)
Charlie (Justus) (Cat - C2022264)
Chipmunk (w watauga) (Cat - C2020519)
Clarice (Dog - D2020187)
Cocoa Cherokee Rd) (Cat - C2022286)
Daniel (W Maple) (Cat - C2022345)
Darcy (boones creek ext) (Cat - C2022437)
Dexter (Greenbriar) (Cat - C20211629)
Dobby (old turnpike) (Cat - C2022481)
Dolly (sliger) (Cat - C2022535)
Doodle (horseshoe) (Cat - C2022403)
Eden (oak grove village) (Cat - C2022539)
Elmer (Dog - D20211204)
Fancy (Dog - D2022337)
Fern (Dog - D2022369)
Fitz (Ridgecrest) (Cat - C2022309)
Flower (angeline) (Cat - C2021107)
Flubert (Buttermilk) (Cat - C20211902)
Fluffy (E main) (Cat - C2022268)
Frekie (Dog - D20211120)
Garfield (alan) (Cat - C2022393)
Gheera (Dog - D2022278)
Gizmo (Dog - D20201091)
Goldie (Dog - D2022365)
Henrietta (Greenwood) (Cat - C20211720)
Ireland (n roan) (Cat - C2022276)
Jabba The Mutt/Romeo (Dog - D20211199)
James (judith) (Cat - C2022138)
Jessabell (Dog - D2020398)
Juice (Dog - D2022384)
Kane (Dog - D20211011)
Kitty (Knox St) (Cat - D2022356)
Klaus (Holland View) (Cat - C2022366)
Kojak (Dog - D2020209)
Lava/Sadie (e mountainview) (Cat - C2020964)
Lemon (gray station/ss rd) (Cat - C20201355)
Lemon McGhee (Anderson Rd) (Cat - C2022205)
Lil Bit (Cherokee Rd) (Cat - C2022284)
Loki (Cat - C2022458)
Lucci (Dog - D2022363)
Lucy (Hawk Lane) (Cat - C20211823)
Mae (Dog - D2022325)
Maggie/Annie (Dog - D2018512)
Maia (forest) (Cat - C2022281)
Matty (Snyder Memorial) (Cat - C20211180)
Moe (LC McKee) (Cat - C2022290)
Moose (Dog - D2022312)
Mouse (n north) (Cat - C2022196)
Nala (Dog - D2022082)
Natasha (judith) (Cat - C2022139)
Neptune (Rabbit - M2022019)
Number 2 (mashburn) (Cat - C2022474)
Nyan (E Watauga) (Cat - C2022219)
Ophelia (Linkwood) (Cat - C20211531)
Pablo Pupcasso (Dog - D2022233)
Padfoot (old turnpike) (Cat - C2022479)
Percey (Dog - D2021291)
Persey (Suncrest Village) (Cat - C2022550)
Picasso (Dog - D2021785)
Pong (Rabbit - M2022018)
Potter (old turnpike) (Cat - C2022483)
Prince (Greenwood) (Cat - C20211716)
Puma (Miller Rd) (Cat - C2022348)
Ramona (s broadway) (Cat - C2022435)
Raven (central) (Cat - C2022251)
Razo (Watauga Rd) (Cat - C2022500)
Ricki (quality) (Cat - C20211778)
Rue (Colony Park) (Cat - C2022385)
Sabrina (S College St) (Cat - C2022295)
Sasha (Dog - D2015901)
Scout (Dog - D2022317)
Selma (Sand Ridge Cr) (Cat - C2022506)
Sirius (old turnpike) (Cat - C2022480)
Skunky (Dog - D2022283)
Slinky (Lynn Rd) (Cat - C2022363)
Smiley (Dog - D2021186)
Stripes (angeline) (Cat - C2021105)
Sunny (Dog - D2022326)
Sweetie (Dog - D2022324)
Sylvia (creek) (Cat - C20211926)
TK (Browns Mill) (Cat - C2022145)
Tiggy (Dog - D2022299)
Tips (Rebeccas ln) (Cat - C2022293)
Tulip (Dog - D2022392)
Tweet (Ridgecrest Rd) (Cat - C2022303)
Walter (Frog Level Rd) (Cat - C2022297)
Whistle (Dog - D2022375)
Zara (Dog - D2022088)
Zeus (Dog - D2022335)
Applicant's First Name
Applicant's Last Name
Apartment Number (if applicable)
Alternate Phone Number
Date of Birth
Do you own or rent your home?
Someone else owns the Home
Someone else rents the Home
Please select your current residence type.
If you answered "other" above, please explain here:
If you rent, provide your landlord name and phone number
How long have you lived at this address?
Less than one month
10 + years
Do you own other pets at the current time?
If yes, please list their names, breeds, and ages.
Are all of your pets spayed/neutered/fixed?
Are your pets current on their vaccinations?
Veterinarian's Address, City, State, and Zip Code
Veterinarian's Phone Number
Who will have primary responsibilty for the animal?
Including yourself, how many people live in your household?
Please list the ages & relationship of those who live in your home.
On average, how many hours per day will your pet be left alone?
Will this pet be predominantly living inside, outside, or both?
Please provide a description of this pet's living conditions.
Do you have a completely fenced-in yard? If so, what kind of fence?
Other (I do not have a fenced yard)
If you answered "other" above, please explain:
If you do not have a fenced yard, how will you let the animal out?
Are there times when the animal will be tied/chained up?
Where will the animal sleep?
In bed with me
In bed with my child
In a dog / cat bed
In a kennel / crate
Wherever he or she likes
If you answered "other" above, please explain:
Have you ever turned your dog or cat into a shelter or given a pet away?
If yes, please explain?
I certify that his information is true and accurate to the best of my knowledge. I agree not to keep this dog on a chain. I understand that the Washington County Johnson City Animal Shelter reserves the right to deny any application for any reason and that if I am unable to keep this animal for any reason I will return it to the WCJC Animal Shelter so that they can rehome the dog.