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First Name *
Last Name *
Email Address *
Name of Dog you would like to adopt? *
Your Occupation (optional)?
Address (PLEASE INCLUDE STREET / CITY / ZIP )*
Home Phone? *
Cell Phone?
This animal will be: *
-- Please select --
House pet
Guard/Watch Dog
Gift
Companion for Child/Pet
List any preferences you have in breed size, coat length, etc. *
Will this be your first experience with a pet? *
Have you ever adopted an animal before? *
If so, from which group or shelter? *
Have any of your animals (past or present) been diagnosed with an infectious disease, such as Distemper or Parvo? *
How many animals are currently living with you? *
Please list all animals currently living with you (Name, Dog/Cat, Breed, Age, M/F, Spay/Neut, Kept where? *
Name and telephone number of your current Veterinarian? *
Please list all animals you have owned in the past 5 years: (Name, Dog/Cat, Breed, M/F, Spay/Neut, Age, Reason No Longer with You? *
Name and Telephone number of Vet who treated your previous animals? *
Do you Own or Rent your home? *
What type of residence? *
-- Please select --
House
Duplex
Condo
Apartment
Mobile Home
If Renting, what is the rerquired pet depost? *
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? *
If you have to move, what would you do with your pet? *
How many times a year do you travel? *
Where would your pet stay when you go out of town? *
Are you a Student? *
How many people live in your household? *
List ages of any children living in household *
Is anyone in household allergic to animals? *
Do you have the consent of all adults in this household to adopt this animal? *
Who will be primarily responsible for care of the animal? *
Who will be responsible for your pet if you are unable to care for it due to illness or death? *
Where will this animal be kept during the day? *
-- Please select --
Outside
Mostly Outside
Inside
Mostly Inside
Is anyone home during the daytime? *
How many hours at a time will this animal spend alone? *
Where will this animal be kept at night? *
-- Please select --
Outside
Mostly Outside
Inside
Mostly Inside
Are you familiar with the leash, licensing and HOA rules in your community? *
Do you have a fenced yard? *
If so, how high is the fence? (4' to 12') *
If you have a fence, what type - wood/chainlink/wroughtiron/electronic/other
Do you have house or shelter in your backyard?
Would you housetrain a dog? *
Do you plan to take your dog to obedience class? *
If you have dogs, are they on heartworm preventative? *
Which Heartworm Preventative do you use? *
How will you confine your dog to your property? (Leash/house/yard/dogrun/chain) *
How do you plan to transport your dog? *
How did you hear about Frisco Humane Society? *
Are you interested in becoming a Volunteer? *
Your Age? *
-- Please select --
Under 21
21-25
26-35
36-45
46-50
51-55
56-60
61-65
66-70
71-75
76-80
Over 80
Comments
No dog is perfect. Please check ALL behaviors you re unwilling/unable to work through. *
Eliminating in the house
Digging
Destructive Chewing
Escaping
Barking
Jumping up
Aggression toward dogs
Aggression toward cats
Aggression toward kids
Rowdy behavior
Separation Anxiety
Shedding
None of the above
Enter Word Verification in box below *