Adoption Application Thank you for your interest in adopting from HELP Humane. Applicant Info How did you hear about us? Name(required) Address(required) City(required) State(required) Zip(required) Phone(required) What is the best time to contact you? Email(required) Name of pet you wish to adopt: (leave blank if unsure) Description of the pet applying for (or looking for): Where will the pet be kept during the day?(required) Where will your pet be kept during the night?(required) If adopting a cat, do you plan to let it outdoors? Yes No Housing Where do you live?(required) House Townhouse Apartment Duplex Mobile Home Do you:(required) Rent Own If you rent, please provide contact information for your landlord: If you rent, does your landlord allow pets? Yes No If you are adopting a dog, do you have a fenced yard? Yes No If yes, please give the type and height of fence Household Names of people along with ages of children who will be living with the animal:(required) Do ALL members of the family want this pet? Yes No If you were forced to move and would not be allowed to take your pet, what would you do? May a HELP Humane officer visit your home for approvals or follow-ups? Yes No Other pets in the home (name and breed) What other pets have you had in the past and what has happened to them? Are your pets spayed and neutered? Are your dogs up to date on rabies vaccincations? If adopting a cat, would it live: Indoors Outdoors Both Inquiring about a cat, please answer below question: In your opinion, what is the best way to train your cat to use a scratching post? If you are unsure, please state that you will need information on training or if you plan to declaw: Wanting to adopt a puppy, please answer below question: In your opinion, what is the best way to housetrain your puppy? Veterinarian Information Who is (was) your veterinarian for the above pets? Veterinarian Clinic or Veterinarian's Name Address: Phone: General Info When would you be ready to bring your new pet home if approved?(required) By signing below, I certify that the information I have given is true and that I recognize that any misrepresentation of the facts may result in my losing privilege of adopting a pet from HELP Humane. I authorize investigation of all statements on this application. Application Signature:(required) Date:(required) Co-Application Signatures: Date: Submit Δ
