 |
CCHS Dog Adoption Application
FILL IN YOUR ANSWERS AND EMAIL TO:
ccpetshelter@gmail.com
If you need us to email you the application, please ask.
How to Copy / Paste
How to Attach Photos
Read Rules Again
Today's Date =
Name of pets applying for (List in order of preference) =
GENERAL FAMILY INFO
Your Name =Drivers License =
Employer / Position / Years =
Spouse (or significant other) name =
Drivers License =
Employer / Position / Years =
Full names of all other adults in the home and relationship to you =
Name and age of children (full and part-time) =
How are your children: active, rough-housers, quiet, gentle, etc =
Street Address =
City / State / Zip =
Mailing Address (if different) =
Years at this address =
Home Phone Number =
Alternate Phone #1 (list whose) =
Alternate Phone #2 (list whose) =
Email address(es) =
PET PLANS
A) Reason(s) for wanting a dog (for kids, hunt, herd, protection, obedience, farm help, etc) =
B) Family allergies to pets =
C) Location: City, Suburb, Country, Rural Subdivision, Etc =
D) Home Type: Apartment, Condo/Duplex, Mobile Home, Single Family =
E) Home is: Owned by me, Leased/Rented, Owned by parents =
F) Hours per day the family is gone =
G) Will this be an indoor or outdoor dog? =
H) When outside will dog be: in fenced yard (list type and height), loose/boundary-trained, leashed, kenneled (list size) =
I) Are you near a busy road? =
J) Where will the dog be at night? =
K) Where will the dog be when you're not home? =
L) Will the dog be loose outside unattended? =
M) Do you own/plan to own a pet door? If yes where will it go to and from? =
N) Name the brand of food you will feed and whether it will be canned or dry? =
O) Describe exercise the pet will get =
P) If this will be a "house dog", list all reasons you would turn it into an outdoor only dog: Allergies, Not Housebreaking, Destructive, Aggressive, Likes Outside, Etc =
Q) Why is this particular pet a good match for you? =
R) To avoid behavior issues, we recommend that puppies and dogs attend training classes. Are you willing to have your puppy or dog attend training classes in your area? =
REFERENCES:
List ALL vet clinics you've used in the past 10 yrs. Include phone# and years used =
1)
2)
3)
4)
5)
List the vet clinic(s)(and phone#) you'll use for this pet =
List a non-relative / friend, neighbor, etc. / years known / phone# =
List a relative / relationship / phone# =
List landlord's name and phone# =
If renting, will you bring written permission from your landlord at the time of adoption? =
If we cannot locate your previous and current vet records, your application cannot be processed. Some clinics won't give out information by phone to us without your authorization. We only call each clinic on your application once. Will you call to release those records to us? =
Many times vet records are under a friend, parent, ex's or maiden name. List the full (human) names the records are under. Please include for previous clinics too =
IMPORTANT INFORMATION
Can you afford the average of $600+ extra per year for the dog's lifetime? =
At the time of adoption, we offer a "Your New Adopted Dog" DVD and reading material to start the transition off right. Are you interested in this free material? (If not, why?) =
For the pets safety, you are REQUIRED to return them to OUR SHELTER regardless of the distance, if even 15 years from now you cannot keep them. Your family and friends would have first choice to adopt if you choose, but we must approve them. Do you clearly understand you cannot re-home the pet yourself? =
Pets MUST be spayed / neutered within 30 days of adoption, or by 6 months of age if they have not already been done. You must mail us proof from your vet (a copy of the bill is OK). Is this agreeable? (Mark n/a if pet is already altered) =
Would you feel comfortable signing our legally binding adoption contract with a $300 fine should any terms not be abided by? This consists of basic rules for the pet's protection. =
Since we love these pets like our own, do you promise to keep us updated and send photos of your new pet? =
At the adoption, we will take your photo with the newly adopted pet for our online "Happy Homes" page. A lot of people look forward to those! Is this okay with you? (If not, explain) =
CURRENT PETS
Include for all cats and dogs in the format below:Name / Breed / Age / Sex / neutered/spayed? / Yrs Owned / Where Acquired / Lives Indoors or Out
Pet 1 =
Pet 2 =
Pet 3 =
Pet 4 =
Pet 5 =
A) Would your vet agree you keep your pets current with vaccinations? =
B) Do these pets wear ID tags at all times? =
C) How are your pets with new pets?: Unknown, Great with all, Ignores, Playful, Dominant, Submissive, Depends on pet, Etc =
D) City and Rental Rules: Size, Pet Limit, Breed Ban, Leash Law, Etc =
E) If you own a dog now, do you plan to bring him/her along to meet the new dog? =
PREVIOUS PETS IN PAST 10 YEARS
Include all cats and dogs in the format below:Name / Breed / Age / Sex / neutered/spayed? / Yrs Owned / What happened to pet / How long ago / Indoors or Out
Pet 1 =
Pet 2 =
Pet 3 =
Pet 4 =
NOTE: Add more lines if needed for Current and Previous Pets. Failure to mention any dog or cat will cost you the adoption!
MORE ABOUT YOU
Returns are hard on pets and the family, so help us prevent them. To ensure this is a great match for you and your lifestyle, please tell us what you require in this dog. There is at least a 30 day "adjustment period" for any pet.A) Must it be good with strangers? (Not shy / Not Protective) =
B) Must it be good with dogs? =
C) Must it be good with cats? =
D) Must it be good with farm animals? =
E) Must it be good with children? =
F) Must it be able to be loose unattended outside? =
G) Must it be potty trained within 30 days? =
H) Is noise level a factor? =
I) Would you work with a destructive dog? (Ex: destroys furniture) =
J) What is your ideal dog activity level =
K) What size dog is too big for you? =
Adopting is a major decision and interaction is important. To ensure a permanent home, all household members should meet the pet at adoption (or prior to). List if possible, or explain why not =
What are your plans if you can no longer keep this pet? =
Have you carefully read our entire Adoption Process? =
Being a No-Kill Shelter, we have many pets waiting to come in, so we request you be able to adopt within 1 week during open hours (Noon to 3 PM on Mon, Wed, Fri and Sat). When is your desired pick-up? =
Tell us anything else you can think of about the living situation, activities the dog will participate in, and anything you do/would do to "spoil" your pet. Feel free to attach photos to the email if you'd like to! =
List additional information you'd like us to know about you, your family, or your lifestyle that would increase your chances of being chosen for the desired pet. Also, use this space to explain anything we might have a concern about, or if you had a tragic situation previously, (ex: a pet hit by a car, poisoned, etc.) tell us how you would prevent it from happening again. =
Are you currently applying with other shelters/rescues? =
We will email you (generally done in the evenings) to setup a time to meet and adopt the pet. If you're unable to check your email at night, let us know, otherwise please frequently check your email! Is this OK? =
Please take a moment to be sure all questions were answered completely and given as much detail as possible. As stated in the rules, mark "n/a" if a line does not apply. We are volunteer run and simply do not have the staff to re-ask questions or clarify our concerns. We know the application is lengthy, but remember, our reviewing committee does not know you, so detail about your home, family, pets, etc. is important, and we encourage you to include photos if you wish. This is your one chance to impress us! The info you give us will make sure we're matching the right pet and right family together for a happy ending! Do you realize applications we feel are not complete cannot be processed? =
IMPORTANT! -- Space in our shelter is limited and if we find a perfect home for that particular pet, we may cut off any further applications that have been started. You must sign/type your name below. In doing so, you are agreeing you've read our entire process and are swearing that all information you entered is correct. You also realize that by submitting your application, you are in no way guaranteed a pet. CCHS takes great pride in not just finding "a home", but a great home for each of our special pets. Rarely do we deny an applicant, so if you miss out on a pet, please do not think of yourself as being denied. With the pet's best interest in mind, as well as yours, we match people and pets together for long-term relationships and we'll try to help you find a great companion soon! CCHS has the right to deny any application, for any reason, at any time. =
Thank You For Considering One of our Special Pets!!
WHAT TO BRING FOR ADOPTION
1-If renting, a copy of lease/landlord permission note when picking the pet up. Landlord signed permission note must include ALL things listed below (mark with N/A if no restriction)A - Your name, and rental address
B - Number of pets allowed on property?
C - Maximum Size of Dogs Allowed?
D - What breeds not allowed?
E - Is declawing a cat required?
F - Are pets allowed inside the home?
G - List any other restrictions
H - Printed AND Signed landlord's name (include date signed)
I - Landlord's contact phone number
2-Bring your drivers license
3-Cats must leave in a carrier, Dogs with a properly fitting leash/collar--NO EXCEPTIONS! (Shop in our store--all profits go directly back to the animals!)
4-Out of county adoptions must be paid in cash. You can use a major credit card but there is a $2 processing fee.
FEES
Cats / Kittens - $30.00 / (higher fee may apply to purebred cats)Dogs / Puppies - $60.00 / (higher fee may apply to small dogs and puppies)
FEE INCLUDES: Worming, Distemper Vaccine, Vet Check, Flea / Ear mite treatment and the majority have already been spayed or neutered! Cats are tested for the 2 major contagious Feline Diseases, FeLV and FIV (age permitting), which are rapidly spreading in many areas. Most pets have already received routine or extra medical treatment upon arrival to get them healthy for adoption or save their lives. Pets leaving CCHS are microchipped using the latest and greatest technology which includes a free ID tag! Temperament testing allows us to make notations of the animals' personality and help find a compatible forever family. We provide an adoption kit including recommended reading (for proper training, safety, and introduction of the new pet), coupons, "Your New Adopted Pet" training DVD, and a sample of food to start them off right. You'll receive unlimited free pet advice as well as a free 1 yr subscription to our newsletter, Great & Small. In return, all we ask for are updates and photos to post on our walls!
Read Rules Again
How to Copy & Paste
How to Add Photo Attachments
CCHS Main Homepage
Send E-Mail to: ccpetshelter@gmail.com
Copyright © 2007 Clark County Humane Society. All Rights Reserved