Dog Adoption Inquiry View Adoptable Dogs Dog Adoption InquiryHumane Society of Bay County Canine Adoption Inquiry/Application HSBC takes the adoption of our animals very seriously. Please fill out this form if you are interested in adopting one of our available dogs. 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 it is in the best interest of the animal. Personal InformationFull Name *Age *Street Address *Apartment, suite, etcCityState/ProvinceZIP / Postal CodeSpouse/Partner *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 InformationDog Applying For *Have you owned this breed before? *Have you owned this breed before?YesNoBriefly tell us why you are interested in this animal *Do you have any activities/work that you would like to participate in with your dog? *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? *Would you consider another dog if it was a better fit for your family?YesNoHSBC requires you to take your dog to obedience training. If your application is selected do you agree to get your pet the required training he/she needs? *HSBC requires you to take your dog to obedience training. If your application is selected do you agree to get your pet the required training he/she needs?YesNoList your current pets here, as well as, any other pets (cats/dogs) you have had in the last 5 years. *My current pets are up to date on all prevention including regular, yearly veterinary check-ups. This includes heartworm checks, heartworm prevention, and flea/tick prevention. *My current pets are up to date on all prevention including regular, yearly veterinary check-ups. This includes heartworm checks, heartworm prevention, and flea/tick prevention.YesNoIf no, please explain.Are all of your current pets (cat/dog) spayed/neutered? *Are all of your current pets (cat/dog) spayed/neutered?YesNoIf no, please explain.Housing InformationIf you live in an apartment or you rent, and your application is selected, we will ask you to provide proof that your landlord has approved you for a dog.Do you live in a: *Do you live in a:HouseApartmentCondoMobile HomeLandlord Name *Landlord Telephone *Some dogs require a fenced yard. Do you have a fenced yard? *Some dogs require a fenced yard. Do you have a fenced yard?YesNoIf no, please explain how you will contain your pet when you are outdoors.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? *VeterinarianWho is your current veterinarian? *Street Address *Apartment, suite, etcCityState/ProvinceZIP / Postal CodePhone *If this has not been your vet for at least five years, please list all other veterinarians used in the last five years.I give permission to the HSBC to contact and speak with the veterinarians listed above. *I agreePersonal ReferencesMay not live in your home, and at least one cannot be a relative.Name *Phone *Years Known *Email AddressStreet AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabweNamePhoneYears KnownEmail Address *Street Address *Apartment, suite, etcCityState/ProvinceZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabweBy 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 agreeSubmit ApplicationPlease do not fill in this field. Subscribe to Our Newsletter Fill out the information below to receive quarterly virtual updates from HSBC! FollowFollowFollowFollow