JWC Waitlist Name * First Name Last Name Date * MM DD YYYY Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Preferred method for us to contact you * Text Message Phone Call Email I am 18 years old or older. * Yes No What type of adoption are you interested in? Select as many options as you like. Puppy - Standard Adoption Puppy - Guardian Home Adoption Adult - Standard Adoption Adult - Guardian Home Adoption Adult - Retired Undecided When do you hope to add a new dog to your family? * Are you interested in a specific type or breed of dog? If so please provide details as to which one. * What kind of dog/dog personality traits are you looking for in your new pet? * I understand that if I am to adopt a dog from JWC that I will be required to fill out and sign a contract at time of pickup. * Agree What is your budget for adoption cost? * Thank you for your interest in our dogs! We will be in contact with you as soon as we can. More Adoption Info Thanks for your interest in our dogs!
