Adoption Form - Humane Society of Bay County

Dog Adoption Form

Dog Adoption Application

Humane Society of Bay County Canine Adoption Application

HSBC takes the adoption of our animals very seriously. We make the best effort to find the right home for each animal in our care. HSBC reserves the right to deny any applicant if we feel its in the best interest of the animal.

Personal Information

Full Name *

Age *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Full Name *

Age *

Phone *

Email Address *

Checkbox *

I agreeBy applying for the adoption of the animal through the Humane Society of Bay County, you hereby give your veterinarian(s) and other references permission to disclose information to the HSBC. To avoid delays in processing, please contact your vet(s), personal references and landlord if necessary to let them know we will be calling and give them permission to talk to us regarding this application.

Breed/Adoption Information

Animal Applying For *

Have you owned this breed before? *

Briefly tell us why you are interested in this animal *

If Other, Please Tell us What *

Where will the dog spend most of each day? *

Where will the dog sleep? *

How many hours will the dog be alone each day? *

Would you consider another dog if it was a better fit for your family? *

What is your opinion on formal obedience training? *

Do any other animals currently reside in the home? *

Breed (s) *

Animal Name(s) *

Animal Age(s) *

Is this animal spayed or neutered? *

Heartworm Prevention Status *

Is this animal up to date on vaccines? *

Housing Information

Do you live in a: *

Landlord Name *

Landlord Telephone *

Some dogs require a fenced yard. Do you have a fenced yard? *

How many adults (18+) are in your home and what is their relationship to you, the applicant? *

Are there children (under 17) in the home? What are their ages? *

Veterinarian

Who is your current veterinarian? *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Phone *

Names and phone numbers of any other vets you have used?

I give permission to the HSBC to contact and speak with the veterinarians listed above. *

I agree

Personal References

(Not Relatives)

Name *

Phone *

Years Known *

Email Address

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Name

Phone

Years Known

Email Address *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

By submitting this application, I hereby testify that I am financially and physically able to care for a dog. I understand that proper food, veterinary care, bedding, toys, crate, and so on can be costly and that I am able to meet these requirements. I further testify that I am physically fit to provide all necessary activities for this dog. *

I agree

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Humane Society of Bay County Canine Adoption Application

Personal Information

Checkbox *

Breed/Adoption Information

What are your plans for this dog? *

Housing Information

Veterinarian

I give permission to the HSBC to contact and speak with the veterinarians listed above. *

Personal References

(Not Relatives)

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