I am applying to adopt a: * Cat
DogYour Name: * Animal name: * Please tell usthe name of the animal you would like to adopt.What is your occupation? OptionalHome phone #: * Mobile Phone #: Email address: *
Work phone #: Address line 1: * Zip * Address line 2: Preferences: List any preferences you have in breed size, coat length etc.State *
Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
This animal will be: * Select one House pet
Guard/watch dog
Gift
Companion for child/petCity: * Will this be your first experience with a pet? * Yes
NoHave you ever adopted an animal before? * Yes
NoIf "Yes", from which group? Have any of your animals (past or present) been diagnosed with an infectious disease? FIV, Felv, FIP Distemper, Parvovirus Yes
NoHow many animals are currently living with you? *
If you currently have no animals living with you, scroll down to 'My Previous Animals'
Are all your animals current on all vaccinations? Yes
NoSection 1 - Current Animals Current Animal #1: Species Cat
DogAge/Breed/Name
Sex Female
MaleSpayed/Neutered Yes
NoKept where? Please specify
Inside
Outside
Mostly inside
Mostly outside - If you currently have no other animals, scroll down to 'Section 1a - Veterinary Information' otherwise continue to provide information about your next animal.
Current Animal #2: Species Cat
DogAge/Breed/Name
Sex Female
MaleSpayed/Neutered Yes
NoKept where? Please specify
Inside
Outside
Mostly inside
Mostly outside - If you currently have no other animals, scroll down to 'Section 1a - Veterinary Information' otherwise continue to provide information about your next animal.
Current Animal #3: Species
Cat
DogAge/Breed/Name
Sex Female
MaleSpayed/Neutered Yes
NoKept where?
Please specify
Inside
Outside
Mostly inside
Mostly outside Section 1a - Veterinary Information Additional Current Animals: If you have more than 3 current animals, please provide the previously requested information for each additional animal:Name of veterinarian The name of the vet that treats your current animals.Veterinarians's Telephone #
Section 2 - Previous Animals
My Previous Animals
Please provide information about any other animals you have owned in the past five years but are not currently living with you. If you have no previous animals to list, scroll down to 'Section 3 - Residence Information' .
Previous Animal #1: Species Cat
DogAge/Breed/Name
Kept where? Please specify
Inside
Outside
Mostly inside
Mostly outside Spayed/Neutered Yes
NoReason no longer with you - If you have no other animals to list, scroll down to 'Section 2a - Veterinary Information' Previous Animal #2: Species Cat
DogAge/Breed/Name
Kept where? Please specify
Inside
Outside
Mostly inside
Mostly outside Spayed/Neutered Yes
NoReason no longer with you - If you have no other animals to list, scroll down to 'Section 2a - Veterinary Information' Previous Animal #3: Species
Cat
DogAge/Breed/Name
Kept where? Please specify
Inside
Outside
Mostly inside
Mostly outside Spayed/Neutered Yes
NoReason no longer with you Additional Previous Animals If you have had more than 3 previous animals in the past 5 years, please provide the previously requested information for each animal.Section 2a - Veterinary Information Name of Veterinarian Please provide the name and telephone number of the vet that treated your previous animals. If it's the same vet as you have listed for your current animals, please input "same as above".
Section 3 - Residence Information Do you rent or own your home? * Rent
OwnWhat type of residence? * House
Apartment
Mobile home
DuplexIf renting, what is the required pet deposit? If renting, what is the size/weight limit for a pet? How long have you lived at your current address? * Do you plan to move soon? * Yes
NoIf you had to move, what would you do with your pet? * Where will your pet stay when you go out of town? * Are you a student? * Yes
NoHow many times a year do you travel? * How many people live in your household? * List ages of any children living in household Is anyone in your household allergic to animals? * Yes
NoDo you have the consent of all adults in this household to adopt this animal? * Yes
NoWho will be primarily responsible for the care of the animal? * Who will take care of your pet if you are unable to do so? * Do you have a friend or family memberwho will be able to take care of yourpet if you are unable to do so due to illness or death?
Where will this animal be kept during the day? * Please specify
Inside
Outside
Mostly inside
Mostly outside Is anyone home during the day? * Yes
NoWhere will this animal be kept during the night? * Please specify
Inside
Outside
Mostly inside
Mostly outside How many hours at a time will this animal spend alone? * Skip the next section if applying for a cat Dog Specific Information
Are you familiar with the leash/licensing laws in your community? Yes
NoDo you have a fenced yard? Yes
NoIf so, how high is the fence? Please specify
4'
5'
6'
7'
8'
9'
10'
11'
12' What type of fence do you use? Please specify
Wood
Chainlink
Electronic
Other Do you have a house/shelter in your backyard? Yes
NoWould you housetrain a dog? Yes
NoDo you plan to take your dog to obedience class? Yes
NoIf you have dogs, are they on heartworm preventative? Yes
NoWhich preventative do you use? How will you confine your dog? Leash
House
Yard
Dog run
ChainHow do you plan to transport this dog? Unacceptable behavior No dog is perfect. Please check all the behaviors that you are unwilling/unable to work through. Eliminating in the house
Digging
Destructive chewing
Escaping
Barking
Jumping up
Aggression towards dogs
Aggression towards cats
Aggression towards kids
Rowdy behavior
Separation anxiety
SheddingSkip this section if applying for a dog Cat Specific Information
Will you declaw this cat? Yes
NoAre you aware of alternatives to declawing? Yes
NoHave you litter box trained cats before? Yes
NoWhere will you keep the litter box? Unacceptable behavior No cat is perfect. Please check all behaviors that you are unwilling/unable to work through. Eliminating in the house
Digging
Escaping
Aggression towards dogs
Aggression towards cats
Aggression towards kids
Rowdy behavior
Separation anxiety
SheddingSection 4 - General Information How did you hear about us? Are you interested in becoming a volunteer? If you would like to volunteer with Frisco Humane Society, please go to the Volunteer section of our website and complete the Volunteer Sign Up form. There aremany ways you can give your time to help the needy animals! No
YesYour Age? *
Please Specify
Under 21
21-25
26-35
36-45
46-55
56-65
66-75
Over 75