|
Name of pet you are applying to adopt:
|
|
|
First and Last Name:
|
|
|
Address
|
|
|
Phone Number
|
|
|
Email Address:
|
|
|
Employment Status
|
|
|
Employer's name
|
|
|
Employer's Phone Number
|
|
|
Do you live in a:
|
|
|
Do you:
|
|
|
If you live in a mobile home park or rent, please provide the name of the landlord or property manager as well as their phone number
|
|
|
Are all adults in your household aware of your intent to get a pet?
|
Yes
No
|
|
Please list the pets you have had in the past FIVE years. Please tell us what TYPE of pet they were (cat/dog/bird/fish/etc and the BREED) where the animal was KEPT (inside/outside), it's AGE, it's SEX, whether it is FIXED, and if you STILL OWN this pet. Failing to provide any part of this info for any pet will slow the application process.
|
|
|
If you no longer have any of the above pets, please briefly explain why.
|
|
|
Have you ever adopted a pet before?
|
Yes
No
|
|
If yes, from where?
|
|
|
If you've had pets, what vet clinic do they go to?
|
|
|
What is your Vet Clinic's Phone Number?
|
|
|
If you are a new pet owner or new to this area, would you like info about area vet clinics?
|
Yes
No
|
|
When was your pet's last visit to a vet clinic?
|
|
|
If you had to move and had difficulty finding a place that allowed you to have pets, what would you do?
|
|
|
If you go away on vacation, what will you do with your pet(s)?
|
|
|
How much do you anticipate spending yearly to feed, vaccinate, license, and provide medical care for your new pet?
|
|
|
Who will be primarily responsible for the daily care of this pet?
|
|
|
Do any members of your family have allergies to animals? If so, what kinds of animals and how severe is that allergy?
|
|
|
Why are you interested in adopting this animal?
|
For Companionship
As a Gift
To Breed
For Hunting
Watchdog/Security
Guard Dog/Protection
For a Child
Companion for another pet
Other Reason
|
|
Have you ever brought an animal into a shelter? If so, why?
|
|
|
Are you aware of the pet responsibilities in your county?
|
Yes I am
No, please educate me
|
|
How many hours a day will this animal be left alone? (without humans)
|
|
|
It is typical for a new pet to take two weeks or longer to adjust to its new home and other pets. Are you prepared to allow this much time for everyone to adjust?
|
|
|
Would you like to receive further information on -
|
Crate Training
Alone Training
Introducing a new cat to my cats
Introducing a new dog to my dogs
Introducing cats and dogs
Child and Pet Safety Tips
Leash Training
Basic Obedience Training
House Training
|
|
Are you familiar with the needs of the breed/animal you have chosen?
|
|
|
Where will this animal be kept during the day?
|
|
|
Where will this animal be kept during the night?
|
|
|
Where will this animal be kept when left alone?
|
|
|
What type of ID do you plan on giving your pet?
|
|
|
Would you like more info on
|
ID that is provided with adoption
Buying an ID tag from us
Microchipping
Licensing your pet
|
|
What type/brand of food do you intend to feed your new pet?
|
|
|
If you are a new pet owner, would you like information/advice about what to feed your new pet?
|
Yes, please!
No thanks!
|
|
While many animals at the shelter have lived inside before, many have not. Even a seasoned indoor pet can become confused when it moves from one home to another. How do you intend to potty train/litter train/housebreak your new pet?
|
|
|
Are you aware of the state and county laws regarding vaccinating and licensing your pet?
|
|
|
Pets often live 15 years or longer. Are you prepared and willing to take responsibility for this animal for it's entire life?
|
|
|
How do you intend to prevent behavior problems such as barking, chewing, digging, scratching furniture, jumping on furniture, getting into unwanted items, trash digging, etc.
|
|
|
If you are adopting a cat, do you intend to declaw?
|
Yes
No
Maybe
N/A
|
|
If adopting a cat, do you plan to let it exercise outdoors?
|
Yes
No
Unsure
|
|
If adopting a dog, how do you plan on exercising your dog and what will you do to prevent it from roaming?
|
|
|
By checking the box 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 the priviledge to adopt a pet. I understand that the Humane Society of Barron County, Inc has the right to deny my request to adopt this animal and I also understand that my submitting this application is not a guarantee that I will get the pet I am applying for. I authorize the investigation of all statements in this application.
|
Read and agreed
|
|
Today's date
|
|
|
|
