Humane Society of East Texas Pre-Adoption Application

Please complete the entire form below - all fields are required. If a question in not applicable in your case please put "N/A" (without the quotes).

Must be 18 years of age to complete the adoption process

If you have any problems with this online form please download/print/mail this pdf version to the address on the form.

HSOET Pre-Adoption Application

* E-mail:
* Full Name:
* Today's Date (mm/dd/yyyy):
* Mailing Address (Number/Street/City/State/Zip):
Physical Address [if different] Put "Same as above" if that is the case. (Number/Street/City/State/Zip):
* Home Phone (xxx-xxx-xxxx):
* Work Phone (xxx-xxx-xxxx):
* Cell Phone (xxx-xxx-xxxx):
* What shelter animal are you interested in? (ID Code or Name)
* What breed of animal are you interested in?
* Drivers License Number:
* Date of Birth (mm/dd/yyyy):
* 1. How did you hear about the animal you are interest in?	Newspaper    TV    Internet    Visit to Humane Society    Other
* 2. Have you ever adopted an animal from the Humane Society?	Yes    No
If yes, When? (mm/yyyy)
If yes, What Type of animal?
Do you still have this animal?	Yes    No
* 3. What type of animal are you looking for? (Check any that apply:)	Companion    House Pet    Breeding Animal    Guard Dog    Hunting Dog    Mouser    Barn Cat    Gift
* 4. Type(s) of animal(s) had in the last 5 years and brief description of what happened to them (please separate by comma):
* 5. Do you currently own any pets?	Yes    No
If yes, please list. Separate pets by comma and please include the following information: Breed, Gender, Age, Spayed or Neutered, Date of last Vaccination and kept inside or outside.
Do we have your permission to contact your veterinarian for the status on your current pet vaccinations?	Yes    No
* 6. Who is your veterinarian? (name, city, phone):
* 7. Do you rent?	Yes    No
If "yes" - landlord/rental agency contact info: (name, city, phone):
Does your lease/rental agreement allow pets?	Yes    No
* 8. Do you live with your parents?	Yes    No
If "yes" - Parents contact info: (name, city, phone):
Do your parents approve of this adoption?	Yes    No
* 9. Will you have this animal spayed or neutered?	Yes    No
* 10. Will anyone be home during the day?	Yes    No
* 11. Do you have children?	Yes    No
If yes, please list the ages of your children: (separate by comma):
* 12. Does anyone in you household have allergies to animals?	Yes    No
* 12. Where will this pet live?	Inside    Outside
* 13. If you go on vacation what will you do with your pet?
* 13. Are you familiar with the animal control ordinances of the area in which you reside?	Yes    No
* 14. Have you ever taken an animal to a shelter?	Yes    No
If yes, where and why:
* 15. Are you aware of the cost involved in maintaining this pet for his/her lifetime? (Between 10-15 years)	Yes    No
16. If you are considering a dog: Do you have a yard?	Yes    No
If yes, is it fenced?	Yes    No
Type of fence?
If your yard is not fenced, what type of confinement do you plan to provide for this dog?
17. If you are considering a cat: Will the cat be kept inside or outside?	Inside    Outside
18. Will the cat be declawed?	Yes    No
Enter the alpha-numeric code above into the field below. (Why?/Help)
By submitting this form I hereby certify that the information on this application is true and correct and any false or misleading information can result in adoption disqualification or the reclamation of the adopted animal/s.

Please be sure to enter all information correctly so that your order can be processed promptly.

Unauthorized use or abuse of the above form will result in possible bans from the site, and in some extreme cases possible legal action.

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