Humane Society of Wilkes | Adoption Application

Thank you for your interest in adopting an HSOW foster pet. If you are at least 18 years old, please fill out the application below. The application will be sent to the foster home. If your application is approved, the foster will set up a "meet and greet." Please be patient as we go through applications. It can sometimes take up to 4 or 5 days for our volunteers to sort through applications and check all references.

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Application for (name of pet)(*)

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The pet I am applying for is a

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Your First and Last Name(*)

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Preferred Phone Number(*)

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Email Address(*)

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Address(*)

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City(*)

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State(*)

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Zip Code(*)

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Who will be responsible for the care of this pet?(*)

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If other, please specify name, age and relationship of this person to you:

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If adopted, will this pet live with you?(*)

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If no, please explain:

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Do you live in a...(*)

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If other, please explain

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Do you rent or own your home?(*)

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If renting, do you have landlord’s permission to keep a pet?

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Landlord's First and Last Name

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Landlord's Phone Number

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Please describe where and how this pet would be kept most of the time(*)

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Is any part of your yard fenced in? Please describe(*)

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How long would the pet typically be alone on most days?(*)

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How many adults are in the household?(*)

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How many children are in the household, and what are their ages?(*)

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Do all household members want to adopt this pet?(*)

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If adopting a cat, do you plan on declawing it?(*)

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Please describe CURRENT pets with each of the following details for each pet(*)

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Please describe PAST pets with each of the following details for each pet(*)

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Are you willing to let a HSOW member (or designee) visit your home?(*)

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Name of your most recent veterinarian?

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Phone Number of your most recent veterinarian

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Please feel free to write anything else that you would like us to know about you as a pet owner and/or about your plans for caring for this pet

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Electronic Signature(*)

I certify that I am 18 years or older and that the above information is true to the best of my knowledge. Invalid Input

(*)

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HSOW Online Adoption Application

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