Adoption Application
for the Humane Society of Dallas County

Thank you for your interest in adopting a pet from the Humane Society of Dallas County!

Our top priority is the welfare and happiness of our animals. We usually have a variety of pets from which to choose. We will do our best to find a pet with whom our applicants are compatible. Finding a perfect match is important to us, the animal, and the future pet owner.

To adopt a pet:

You must be 21 years of age or older.

You must have some form of identification with your current address.

You must have the knowledge and consent of all adults living in your household.

You must be able and willing to spend the time and money necessary to provide training, medical treatment, and proper care for a pet.

You must complete the adoption application.

To foster pets:

Please select “I want to foster” and complete the application as relevant to fostering.

If the online form doesn't work, please print the pdf adoption application, complete it, and return it by email to adoptions@dognkittycity.org.

Pet(s) You Are Interested to Adopt

Pet name(s)

Your Personal Information

Name

Birthdate

Address

City

State

Zip

Email address

Phone #

Driver's license #

Occupation

Spouse or life partner (S/P)

S/P Name

S/P Birthdate

S/P Occupation

Owning a pet is a significant and long-term responsibility. Following is a list of questions which will better aid us in finding a pet that is best suited for you. Please answer all of the questions thoroughly and honestly.

Please remember the animals in our care belong to us and they are adopted out at our discretion. We reserve the right to refuse adoption to any applicant.

Section 1: Your Pet Care Background

1-1. Have you ever applied for a pet from our shelter before?

When?

Which pet(s)?

1-2. Have you ever owned a pet before?

Was it...?

Where did you get it?

How long has it lived with you?

If you no longer have it, what became of it?

Briefly explain:

1-3. How many pets do you currently have at home?

Dogs

Cats

Other

Briefly describe:

1-4. Are all of your canine or feline pets spayed or neutered?

1-5. Are they on heartworm preventative?

1-6. Have any of your current pets had medical problems in the past six months?

Explain:

1-7. Where do your current pets stay during the daytime?

Cat(s)

Dog(s)

1-8. Where do your current pets stay during the nighttime?

Cat(s)

Dog(s)

1-9. How many pets other than your current pets have you had within the past five years?

Dogs

Cats

Other

Briefly describe:

1-10. Have you ever house-trained / litter-trained a pet before?

Briefly describe your approach:

Section 2: Your Pet Adoption Plans

2-1. What type of pet are you looking for?

2-2. Are you looking for a specific breed?

What kind?

2-3. What size(s) of pet do you prefer?

2-4. This pet would be:

2-5. Where would your new pet stay during the daytime?

Cat(s)

Dog(s)

2-6. Where would your new pet stay during the nighttime?

Cat(s)

Dog(s)

2-7. Do you want your pet spayed or neutered?

2-8. Do you want your pet to have a litter of puppies / kittens?

2-9. If adopting a dog, do you plan on keeping him / her on a chain?

How many hours a day?

2-10. Are you willing to do research or read books on pet training?

2-11. If adopting a dog, do you plan on enrolling in an obedience class?

2-12. What if the personality or size of the pet as an adult is not what you expected?

2-13. How will life be different with a puppy / kitten vs. an adult animal?

2-14. What if your new companion is a “digger,” “biter,” “scratcher,” or claws the furniture?

2-15. Please indicate approximately how much you think it will cost you to

vaccinate and check-up your pet yearly:

feed your pet for a week:

spay or neuter your pet:

Section 3: Your Household

3-1. Do you live in...?

3-2. Do you leave your windows and doors open at home?

3-3. Do you have screens on your windows and doors?

3-4. Do you have a fenced-in backyard?

Is there a lock on the gate?

What type of fence is it?

How high is it?

3-5. Do you have a pool?

3-6. Do you or anyone in your household have any allergies to animals?

3-7. Do you have the spare time during the days or evenings to spend meeting your pet's companionship needs?

3-8. On an average day, how many hours would your pet be left alone?

3-9. Do you travel frequently?

3-10. Who watches your pet while you travel?

3-11. How many children are in your household?

Please state age(s) and gender(s).

3-12. Are there any children who visit your household frequently? If so, please state age(s) and gender(s).

3-13. Is a new baby expected?

How will this affect your animal companion?

Section 4: Your Adoption Commitment

4-1. Do you have a veterinarian reference?

How long have you been visiting him/her?

Name of clinic

Phone #

Vet's name

Is the pet(s) listed under a different name than the applicant's?

Name listed under

Pet names on file with this vet

4-2. Please give a personal reference, other than a family member.

Name

Birthdate

Address

City

State

Zip

Email address

Phone #

4-3. Do you own or do you rent your home?

Can written permission be obtained from your landlord along with proof of deposit paid?

Landlord's name

Phone #

Name of complex or mobile home park

4-4. Is there a limit to the size or number of pets you can have?

What are the limits?

4-5. How long have you lived at your current address?

4-6. Do you plan to move soon?

Do you know your new address yet?

Address

City

State

Zip

4-7. What will happen to your companion animal if you move?

4-8. Would you be willing to allow a Humane Society of Dallas County representative to visit your home?

4-9. Are you prepared to provide regular veterinary care for the next 10 to 20 years, which would include annual vaccinations, flea/tick treatment, and heartworm preventative?

4-10. Do you agree to abide by the Humane Society of Dallas County requirements and to return the pet to us if you cannot keep it, and notify us if it is lost or dies?

4-11. In case of emergency or death, who will care for the animal(s), other than personal reference listed above?

Name

Birthdate

Address

City

State

Zip

Email address

Phone #

4-12. Have you approached any other animal charity / organization about adopting an animal?

Which one(s)?

How did you hear about us?

Are there any other comments you would like to make to support your application, or any questions you may have?

Adopting a pet is a lifelong committment. Please take it seriously.

We do our best to place the right animal in the right home. Therefore, if we feel that the animal(s) and the applicant are not compatible, we retain the option to deny this application. Questions left unanswered may disqualify your application.

Thank you.

Your name

Today's date