Caring Hands Humane Society

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Adoption Application

APPLICATIONS RECEIVED IN PERSON AT OUR FACILITY WILL HAVE PRIORITY

All applications are subject to review before approval or denial. Not all applications are approved. You will be contacted at the email address or phone number you provide within 24 hours (excluding Sundays and Holidays) to confirm receipt of your application.

Companion animals will NOT be held during this review period.

In order to be considered as an adopter, you MUST be 18 years of age or older and you MUST be able and willing to spend time and money necessary to provide training, medical treatment and proper care for the pet.

You will need to show a valid driver's license at time of adoption.

If you rent your home, we will need to verify that you are allowed to have pets with your landlord prior to approval of your application.

Thank you for choosing Caring Hands Humane Society!

Name of the Companion Animal You Wish to Adopt:

Animal's I.D. Number: (See Description)

Type: (Dog, Cat, Etc...) Breed: (See Description)

First Name: Last Name:

Street Address:

Apt #: City: State: Zip Code:

Email Address:

Home Phone: Work Phone: Cell Phone:

Are you 18 years of age or older?

Yes.
No. (You must be 18 years or older to adopt a companion animal from CHHS.)

Do you:

Own?
Rent? (We will need to contact your landlord to verify you are allowed to have animals.)

Landlord's Name: Phone Number:

Do you live with parents?

Yes.
No.

Do you live in a:

House
Apartment
Duplex
Mobile Home

Length of time at current address:

Do you have a fenced yard?

Yes
No

Height: Type: Yard Size (approximately):

Do you have a dog run?

Yes
No

Height: Type: Run Size (approximate):

Do you have a dog house?

Yes
No

This pet would live (Primarily)

Inside.
Outside.
On A Chain.

Who will be responsible for this pet?

How many children are at this residence?

Level of training you are prepared to give this Dog:

(Applicants for feline adoption skip this question)

(1 = lowest & 5 = highest)

1 (None - I want a dog that is already trained & socialized)
2 (I don't want to train the dog, but will provide socialization and gentle guidance)
3 (I am prepared to housetrain and provide obedience training)
4 (I am prepared to housetrain and provide professional obedience training)
5 (I will provide extensive training and remedial socialization for a hard to handle dog)

Why do you want to adopt this pet? (Please check all that apply)

Watch Dog
Companion
Breeder
Hunting
Family Pet
Child's Pet
Guard Dog For Business
Companion For Pet
Other

Please list all animals currently in home:
(include type, breed, name, age, sex & whether spayed/neutered)

How many OTHER dogs have you had in the past 5 years?

How many OTHER cats have you had in the past 5 years?

What happened to those pets:

We try to be as thorough as possible in ensuring the companion animals here find good homes.

Accordingly, we may check veterinary records for current or previous pets. After submitting this form please contact your veterinarian and give him/her permission to discuss this with us. Failure to do so could delay your application.

We sincerely thank you for your cooperation with this.

Who is your veterinarian?

Veterinarian's phone number:

Last time your pets were at the veterinarian?

When did you decide to get a pet?

How much do you think you will spend monthly for the care of your animal?
(Food, Medical, Toys, Tags, Etc...

Do you have anything you would like to add?

Saving companion animals' lives by providing a foster home is easier than you think.
Would you consider it in the future?

Yes
No

We would like to thank you for choosing Caring Hands Humane Society, and for deciding to give a pet a second chance at life through adoption!

You will receive confirmation that we received your application within 24 hours (Not including Sundays). Feel free to call us anytime with any questions or to check on the status of your application.