Adoption Questionaire-Canine 2021
Our Mission
Hearts To Homes Humane Society Inc. is dedicated to finding homes for unwanted cats and dogs in high-kill shelters, preventing unwanted births through spay/neuter initiatives, and educating the public about animal welfare. (HTH Director: Ashley Skinner 229-329-3022)
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This application is required to ensure all pets are matched with the best adopter and will become part of your adoption agreement. Completion of this form is the first step in the adoption process and does not guarantee adoption approval. It is recommended that you review our adoption terms and do appropriate pet research before completing this form. A $10 application fee is required to review your form. This helps us prevent frivolous applications. Our time is valuable, please understand. *
Required
First Name *
Last Name *
Street Address *
City, State, Zip *
Phone Number *
Occupation *
If military or military spouse, please list supervisor name and phone number.
Is there a particular dog or puppy you are hoping to adopt? Please give us the name of the dog or puppy, or describe the type of dog you are looking for. *
If you saw a canine on Petfinder, Facebook, or on our website, please provide the name of the canine you hope to adopt. We would also love to know what personality/age you are looking for so that we can match you with a perfect companion!
List the breed and age of your current pets. *
Are all of your pets spayed/neutered? *
Do you have fence yard? *
Do you allow your dogs to free roam? *
Tell us about your previous pets. What happened to them? *
Who is your vet? (Vet name, Clinic Name, Number) *
Are you prepared to provide veterinary care to your dog if it ever becomes sick or injured? *
If your pet requires veterinary care at any point in its life, how much is too much? *
 Newly adopted pets may develop diarrhea or upper respiratory infections due to stress, change of environment, change of diet, etc. Adopters should expect frequent veterinary visits during an animal's first year of life or if elderly. It is a normal part of the growth/aging process. Pets do not develop a strong immune system until around 2 years of age. A veterinary checkup upon adoption is recommended. *
Required
How many hours on average is your pet alone during the day? *
Explain your normal daily routine and how your pets fit in. *
Are you a stay at home parent that is home most of the day? Are you gone during the work day and home in the evenings? What do you do with your pets while you are gone?
Do you own or rent? *
How would you describe your household? (quiet, active, noisy, etc.) *
List the names and ages of the family members who live in your household including yourself. *
Is there anyone in your home that is allergic to dogs? If so, please explain. *
Are all family members in the home aware and excepting of this new addition? *
Do you or another member of the household smoke? If yes, inside or outside? *
Required
What major life changes do you anticipate in the next few years? *
Having a baby, moving, changing careers, getting married, etc.
What will happen to your dog in the event you can no longer care for it? *
In the event that you move, what are your plans for your dog? *
What would you consider acceptable reasons to rehome your pet? *
Check the following reasons you would give an animal up.
Required
When you are gone, do your animals stay inside or outside? *
Have you ever owned a dog before? *
Have you ever turned a pet into the shelter? If yes, please explain. *
In the event you can no longer keep your pet, HTH does require it be returned and not given away to any person or other entity. Can you agree? *
Do you have a doggie door that permits animals to go outside? *
How did you learn about our available dogs or puppies? *
Pet Finder, Adopt A Pet, Website, Facebook etc.
What else would you like us to know? *
I have completed this application truthfully and understand that completion of this questionnaire does not guarantee adoption. I understand that at the time of adoption, adopters are required to review and sign an adoption contract. I understand that the organization does not ship cats. There is a nonrefundable $10 application fee upon submitting this form. *
Required
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