Adoption Application Online Shelter Adoption Application Our Requirements To Adopt You and everyone in the household have discussed and are prepared (physically, emotionally, and financially) for the addition of a companion animal into your lives and home. You must be at least 18 years old to adopt an animal from our facility. You must have permission from your landlord and all applicable deposits must be paid before we will approve your application. You must have permission from your parents if you live at home before we will approve your application. You must provide a veterinarian reference if you have other animals or have had previous animals. All your animals must be up-to-date on vaccinations. A “meet and greet” is required.We are a volunteer organization and we strive to approve applications quickly. Typically we approve or deny applications within 2-3 business days.WE DO NOT DO HOLDS. APPLICATIONS ARE FIRST COME FIRST SERVE. Name of animal your are interested in adopting* The animal your applying for is aCatDog Name*FirstLast Address* Street Address City State Postal / Zip Code Phone Number* E-mail address* How many children in the household?* What are their ages? Do you live in a:*HouseApartmentCondoDorm Do you:*Own your homeRentLive with parents Land lord or leasing company* Land lord or leasing company phone* Parent's Name*FirstLast Parent's Phone* What is the activity level of your home?*Active (a lot of people in and out)Moderate (average household activity)Quiet (few guests, no small children) Do you currently have animals?*YesNo Dog(s)* Name of Dog(s):* Cat(s)* Name of Cat(s):* Other:* Species/Type:* Are your current pets up to date on vaccinations and all necessary vet care?*YesNo Have you had your animals vaccinated anywhere besides your vets office?*YesNo where/when* If your animal becomes ill do you have the means to provide veterinarian care?*YesNo Please provide the contact information for your veterinarian:*Spoon River Animal Clinic - 309-647-6800Canton Veterinary Clinic - 309-647-2221Oakdale Veterinary Center - 309-647-2428Ulm Veterinary Clinic - 309-245-2888Other Veterinary Clinic Clinic Name:* Clinic Phone:* Have you ever surrendered an animal to Animal Control?*YesNo please explain: Do you have a fenced yard? *YesNo What type of fence do you have?*UndergroundWirelessChain LinkPrivacy What the the height of your fence?*3 Ft4 Ft6 Ft8 Ft It can take up to a month (or longer) for a new pet to adjust, are you willing to put in the time and effort needed for this adjustment period? *YesNo If you move in the future what will you do with your pet? *In order to be considered for adoption you must check and agree/comply with the following: Acceptance1*I am at least 18 years of age. Acceptance2*All adults in the household are aware of and agree to bring a pet into the home. Acceptance3*Your new pet will be treated as a member of your family and provided with all needed food, water, shelter, exercise and veterinary care. Acceptance4*I will not sell or give away my adopted pet. Acceptance5*All of the information I/we provided in this application is true and correct. I/we assume risk of injury that may be incurred as a result of viewing and/or adopting any animal under the care of The Humane Society of Fulton County. The Humane Society of Fulton County reserves the right to approve or deny an application based on this organization’s adoption criteria as well as the presumed needs of the dog/cat determined by this Humane Society for which the applicant has applied. Completion of this application does not guarantee an approval for adoption, nor does it place a hold on any animal. Typing name name constitutes a digital signature* Date*SubmitReset
