Hardeman County Humane Society

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Adoption Application

The adoption process includes filling out this Adoption Application and signing an Adoption Agreement. Although we do not require it, we do prefer that your new family member be kept inside. We do require a fenced area for outside play. These requirements help us to find the the best home possible for our adoptable pets, ensuring that they do not return to the streets or end up in the shelters, at risk for euthanasia. We appreciate your understanding. First and foremost, we have the animals' best interest in mind.

We check Vet and personal references and conduct home visits to check fence requirements.

Adoption Fees
Our adoption fee varies depending on expenses incurred by the rescue organization.

You should also keep in mind that the average cost to care for a large breed pet per year is approximately $1500. This is for food, annual check-ups and things like that. This amount could easily double or even triple should your dog become ill and need extensive tests, surgery or other treatments. So please carefully consider if you are able and/or willing to invest this into your pet. If not, PLEASE wait to adopt!

The application must be COMPLETED IN FULL. Incomplete applications will not be processed.

Name of the adoptable pet you want to be considered for:
Your First and Last Name:
Address:
City:
State:
Zip:
Email Address:
Home Phone:
Cell Phone:
Work Phone:
May we call you at work to notify you of potential adoptable pets? YES NO

Information About Your Home and Family

Please list all persons living with you or visiting often (age and relationship).
For your peace of mind, you need only list ages of children and need not include their names.

If other children visit your home, list their ages and how often they visit:

Does anyone in the household have any animal allergies? YES NO

Type of residence: House Condo Apartment Mobile Home

Do you Own Rent Live With Parents

Landlord Name & Phone Number, if applicable

Length of time at this address:

Is your yard fenced? YES NO
If YES- What is the height of the fence and with what material is it made?

Matching You With The Right Pet

Briefly describe your past pet experience.

Have you ever had to give up a pet? (For example: Had to give away or take to a shelter) Please explain why and when.

Please list all companion animals currently living in your household:

Name	Species (Dog/Cat etc)	Breed	Age	Sex	Spayed/Neutered
					YES NO
					YES NO
					YES NO
					YES NO
					YES NO

Where are these animals kept? (Inside, outside, or both) and how long you have owned each animal listed above.

Where will your new dog be kept during the day?

And at night?

Your Ideal New Family Member

Please take the time to tell us what personality traits you are looking for in a new pet. Even if you are applying to adopt a specific animal, please provide us with a "wish List" of the characteristics describing the perfect pet for you.

Breed Type or Mix of Breed Types

Dog's Size When Full Grown: Small (1-20 lbs) Medium (20-50lbs) Large (50-100 lbs) Giant (Over 100 lbs)

Gender preference? Male Female Either

Coat preference? Short Coat Medium Length Coat Long Coat No Preference

What age range would you like to adopt? 8-16 weeks 4 - 12 months 1-3 yrs Older than 3 yrs Any Age

Activity level of your ideal dog: Low Medium High No Preference

In general, what do you like MOST about having a pet?

In general, what do you like LEAST about having a pet?

Vet Reference

Who is your local veterinarian?
Vet's Complete Address
Vet Phone Number (including area code)
Vet records are under the name of

Are your pets current on all vaccinations? YES NO

Would your vet consider offering a discount to our rescue on veterinary services for dogs waiting to be adopted?
YES NO WILL FIND OUT

How did you hear about the pet you are applying to adopt?

Would you consider volunteering for our organization Yes Not At This Time
If yes, which of the following areas interest you? Becoming a member of the Hardeman County Humane Society
Foster Care   Personal interviewing of adoption candidates   Fundraising   Home Visits
Transporting   Computer Assistance Telephone calling Representing us at an Adoption Event
Photography Media Liaison Other PLEASE SPECIFY

Our Adoption Process

Our adoption process includes signing an Adoption Agreement, in addition to completing this application. We check Vet references and conduct home visits to check fence requirements. Although we do not require [but prefer] that dogs and cats to be kept inside, we do require a fenced area for outside play. These requirements help us to find the the best home possible for our dogs, making sure they do not return to the streets or shelters.

We appreciate your understanding that our primary concern is what is best for our adoptable animals.

The adoption fees vary depending on the expenses incurred for the dogs in our care. Frequently medical expenses amount to more than the requested donation amount for each animal. Extra donations are greatly appreciated!

All the above statements are true to the best of my knowledge. I have read and understand all portions of the application.
YES NO

Thank you for taking the time to complete this questionnaire. Again, Hardeman County Humane Society has only the best interest of the adoptable animals in mind and sincerely wants to adopt the right pet in our program to the right family. Are there any other comments you'd like for us to consider when reviewing your application?

Comments:

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