Adoption Application

Complete the form below to adopt a pet from the Humane Society for Hamilton County. Located in Fisher’s Indiana.

Please, fill out your application on a desktop computer.

Step 1 of 7

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TELL US ABOUT YOURSELF

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Email(Required)

Driver's License Number(Required)

Date of Birth(Required)

Month

Day

Year

Cell/Other Phone(Required)

Home Phone

Optional

Work Phone

Optional

Occupation:(Required)

Emergency Contact(Required)

Please, list someone other than yourself.

First Last

Emergency Contact Phone(Required)

Are you at least 18 years of age?(Required)

Yes

How did you hear about the shelter or the animal you'd like to adopt?(Required)

Please Explain:(Required)

Areas of Interest

I am interested in adopting a:(Required)

Cat

Specific Cat

Dog

Specific Dog

Either

Name of the cat or dog you'd like to adopt.(Required)

TELL US ABOUT YOUR HOUSEHOLD

Tell us about your current housing situation(Required)

Own my own home

Own my own condo

Renting an apartment/condo

Renting a house

Living with parents/relatives

Live in a trailer/mobile home

College Fraternity/Sorority Housing

How long have you lived at this address?(Required)

Landlord/Homeowner's Name:(Required)

First Last

Landlord/Homeowner's Phone Number:(Required)

Does your landlord/homeowner have any breed or weight restrictions?(Required)

Please be advised that HSHC requires a copy of your pet policy.

Yes

Is there a pet policy with breed or weight restrictions in your community?(Required)

Please be advised that HSHC requires a copy of your pet policy.

Yes

TELL US ABOUT YOUR FAMILY & VISITORS

Please tell us about your current household(Required)

Live Alone

Adults Only

Family with children

Please, list the ages of all individuals living in your home including yourself.(Required)

Click the “+” on the right of the row to add additional rows.

Age

Is any member of your household allergic to animals?(Required)

Yes

If yes, they are allergic to:(Required)

Cats

Dogs

Both

Do you have visitors often?(Required)

Yes

What is the frequency of visitors in your home?(Required)

e.g. Babysitters, Nannies, Extended Family, Significant Others, Neighbors, Friends, etc.

Are there children/grandchildren who visit your home REGARDLESS OF FREQUENCY?(Required)

Anyone under the age of 18 is considered a child.

Yes

Please, list ages of each child that visits and how often they visit.(Required)

Age

Visit Frequency

Do you anticipate the addition of new household members in the near future?

New baby, Parents/Siblings moving in, Roommates

Yes

The activity level in your home is(Required)

Quiet

Active

Very Active

Matchmaking Questions

Do all members of your household know you are planning on adopting a pet?(Required)

Yes

Please tell us why you want to adopt a pet(Required)

Select all that apply.

Companionship for me/myself

Companionship for my current pet(s)

Protection

Watch Dog

Breeding

Mouser

He/She will be a gift

ESA/Service Animal

Please, explain.(Required)

Please tell us what type of pet you are looking for:(Required)

Indoor Pet

Outdoor Pet

Indoor/Outdoor Pet

Please Explain:(Required)

Dealbreakers(Required)

Would any of the following be a dealbreaker for you?

Dog/Cat MUST LIVE with Other Dog(s) in the home

Dog/Cat MUST LIVE with Other Cat(s) in the home

Dog/Cat MUST Get along with Other Dog(s)/Cat(s) outside of the home

Dog MUST be able to go to public settings (bars, pet stores, etc.)

Dog/Cat MUST be good with children living in/visiting the home

Dog MUST be easy to walk/control

Dog/Cat MUST be fully housebroken/litterbox trained

Dog MUST be crate trained

Dog CANNOT create a noise issue with close neighbors

Cat MUST be declawed

Cat MUST be appropriate for outdoor living

Dog/Cat MUST NOT require professional grooming

Dog/Cat MUST be low shedding

Dog/Cat MUST NOT have any serious behavior/medical issues

None of the above

Other

Please, explain:(Required)

When you ARE home, where will your pet spend the majority of their time?(Required)

Check all that apply

Loose within residence

Crate within residence

Garage

Basement

Fenced Yard

Outdoor Kennel

Tie-Out In Yard

Other

Please Explain(Required)

When you are NOT home, where will your pet be confined?(Required)

Check all that apply

Loose within residence

Crate within residence

Garage

Basement

Fenced Yard

Outdoor Kennel

Tie-Out In Yard

Other

Please Explain(Required)

If you have a fenced in yard, what kind is it? (e.g. Invisible, 4 ft chain link, 6 ft privacy, farm fencing, etc.)(Required)

If you do not have a fence, please put “N/A” in the box below.

What will you do with this pet when you travel/go out of town?(Required)

Boarding Facility/Vet’s Office

Family or Friends Watch Them

Leave Home Alone

Take With You

Other

Please Explain(Required)

Are there any other dogs/cats who live outside the home that your new pet MUST get along with?(Required)

e.g. relative’s dog, neighbor’s dog, significant other’s dog, etc.

Yes

If yes, please explain:(Required)

What training methods and/or training facilities would you use to address potential issues that may arise with your new pet?(Required)

e.g. Barking and/or meowing excessively, crate training issues, chewing/scratching, housebreaking, litter box issues, fearful behavior with new people, etc.

What leash and/or walking tools do you plan on using in the home or on walks?(Required)

e.g. 6ft Nylon Leash, Retractable Leash, Gentle Leader, Harness, Slip Lead, Prong Collar, Choke Chain, etc.

Do you have plans to declaw your adopted/cat kitten?(Required)

Yes

If yes, why?(Required)

TELL US ABOUT YOUR PETS

Do you currently have any pets?(Required)

Yes

Current Pets(Required)

Breed/Mix

Sex (M or F)

Age

Spayed/Neutered? (Yes or No)

Length Owned?

Name of your Veterinarian Or Clinic(Required)

Please put “N/A” if not applicable

Veterinarian's Phone

If one of your current pets is not spayed/neutered, please explain why.(Required)

Please put “N/A” if not applicable

If one of your current pets is not current on vaccines, please explain why.(Required)

Please put “N/A” if not applicable

Please tell us about your PAST pets (adult life only – past 10 years).

Have you ever surrendered or rehomed a personal pet to this or any other shelter/rescue group?(Required)

Yes

Please, explain.(Required)

In the past 10 years, have you had any pets you no longer own (e.g. passed away, rehomed, run away)?(Required)

This does not include pets your parents owned when you were under 18 years of age.

Yes

Past Pets (adult life only – past 10 years)(Required)

Breed/Mix

Sex (M or F)

Spayed/ Neutered? (Yes or no)

Length Owned?

What Happened? (e.g. Died, Rehomed)

Age at Death, Rehoming, Etc.

Planning Ahead

Owning a pet, at a MINIMUM, can be a 10 year commitment.(Required)

Do you have any questions or concerns with this time commitment?

Yes

If yes, please explain:(Required)

The average annual budget to provide basic care for a pet is estimated at $1,500/year, not including medical issues that may arise.(Required)

Do you have any questions or concerns with this financial commitment?

Yes

If yes, please explain:(Required)

Are you planning to move or change jobs in the next 3-6 months?(Required)

Yes

Please explain what will happen with your new pet at that time.

Next Steps!

We appreciate your time and interest in adopting a pet from us. Please note that the purpose of this application is to learn more about you so that we can match you and your family with the right, life-long pet. THE NEXT STEP is for you to come visit us so we can discuss and then introduce you to possible candidates. We will keep your application on file for 6 months. By signing below, you acknowledge this is not the approval or guarantee of a pet adoption from our facility, but rather, the first step in helping us match you with the perfect pet.

Signature(Required)

Please type your legal name.

Adoption Application

TELL US ABOUT YOURSELF

Areas of Interest

TELL US ABOUT YOUR HOUSEHOLD

TELL US ABOUT YOUR FAMILY & VISITORS

Matchmaking Questions

TELL US ABOUT YOUR PETS

Please tell us about your PAST pets (adult life only – past 10 years).

Planning Ahead

Next Steps!

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Adoption Application

TELL US ABOUT YOURSELF

Areas of Interest

TELL US ABOUT YOUR HOUSEHOLD

TELL US ABOUT YOUR FAMILY & VISITORS

Matchmaking Questions

TELL US ABOUT YOUR PETS

Please tell us about your PAST pets (adult life only – past 10 years).

Planning Ahead

Next Steps!

Your Gift Saves Lives!

Join Our Pack: Stay Updated and Help Save Lives!

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