Mesquite (A34714935)

Thank you for considering the adoption of a dog from the Homes for Pets/Schertz Humane Society! Your complete and accurate answers to the following questions will help us to find a dog that best matches your requirements and your lifestyle.

Our adoption fee includes: vet health check, spay/neuter surgery, age-appropriate routine vaccinations, de-worming medication, heartworm testing and microchipping.

In order to be considered as an adopter you must (check all that apply)

Be 21 years of age or older (a valid ID may be required)Have the knowledge and consent of all adults living in your householdIf renting, have the landlord's consent to bring an animal onto the propertyUnderstand that Homes for Pets/Schertz Humane Society has the right to deny your application

Part 1 - Animal Information

What is the name of the dog, or type of dog, you are interested in adopting?

I am adopting this dog for (check all that apply)
MyselfMy FamilyFriend/Relative

Would you be willing to accept and care for an animal with special needs (abused, needs medical attention, behavioral problems, etc.)?
—Please choose an option—YesNo

Would you be willing to accept and work to train an animal that has not been housebroken?
—Please choose an option—YesNo

Temporary foster homes are always desperately needed by Homes for Pets/Schertz Humane Society. Are you interested in providing a temporary home for an animal in need through our fostering program?
—Please choose an option—YesNo

If yes, what type of animal?
—Please choose an option—Dog/PuppyCat/KittenBottlefeeder

May a Homes for Pets/Schertz Humane Society volunteer contact you about our foster program?
—Please choose an option—YesNo

Part 2 - Personal Information

Name:*

Age:*

Date:*

Address:*

City, State, Zip:*

Home Phone:*

Alternate Phone:

Email Address:*

Place of Employment:*

Employer’s Phone:*

Name of Spouse:

Email Address for Spouse:

Part 3 - Household Information

Where do you live?

Home:
—Please choose an option—OwnRentRented ApartmentLive with Roommates

Condo:
—Please choose an option—OwnRentLive with ParentsOther

If renting, please provide the name and phone number of your landlord or property manager. We may need to contact them to confirm they have granted permission for a pet to live on the premises.

Landlord/Property Manager name:

Phone Number:

If you rent, do you know the amount of your pet deposit?
—Please choose an option—YesNo

Amount:

If you rent, do you know of any restrictions for pets living on the premises?
—Please choose an option—YesNo

If yes, describe:

How long have you lived at this address?

Are you (or your Spouse) Active Duty, Military?
—Please choose an option—YesNo

List the name, relationship, and age of all people living at your current address:

Name:

Age:

Relationship:

Name:

Age:

Relationship:

Name:

Age:

Relationship:

Do you, or does anyone living in your household, have any known allergies to animals?
—Please choose an option—YesNo

If yes, to what animals and how severe is the allergy?

Do you travel a great deal?
—Please choose an option—YesNo

If so, how will you provide for the animal while you are gone?

Part 4 - Pet Care Information/Pet Experience

Why do you want a dog? (Check all that apply)
CompanionHunting DogBreedingGaming DogWatchdogChild’s PetFamily PetCompanion for other animalOther

How many hours will the dog be left alone without human companionship?

During the day

During the evening

Where will the dog be kept during the day? (check all that apply)
IndoorsConfined room or areaCrateGarageOutside dog runLoose insideFenced yardOther

Where will the dog sleep? (check all that apply)
IndoorsDog bed insideConfined room or areaCrateIn bed with adult or childOutsideDog house outsideOutside dog runOther

How will you exercise the dog? (check all that apply)
Leash walksLet run in fenced areaLet run in unfenced areaCable run in yardDog run in yardWalks in the parkOther

If you have a fenced yard, what type is it?

Do you have a Doggie Door installed?
—Please choose an option—YesNo

Who in the household will be responsible for feeding the dog?

Who in the household will be responsible for housebreaking the dog, if necessary?

How many years of experience does the person responsible for training have at housebreaking or training a dog?

Do you have plans to take the dog for professional training classes:
—Please choose an option—YesNo

If yes, would you like training references?
—Please choose an option—YesNo

Are you prepared for chewing, digging, scratching, housetraining, and other mischievous behavior?
—Please choose an option—YesNo

Briefly describe how you would reprimand the dog:

Describe any events or circumstances that could prevent you from keeping the dog for his/her lifetime:

If you had to move to a place where pets were not allowed, briefly describe how you would handle the situation:

Have you ever experienced behavioral problems with your dog:
—Please choose an option—YesNo

If so, please describe:

Have you ever taken an animal to a rescue group, pound or animal shelter?
—Please choose an option—YesNo

Under what circumstances?

Have you adopted from the Homes for Pets/Schertz Humane Society before?
—Please choose an option—YesNo

If so, when?

Briefly describe your thoughts about keeping a collar with pet identification tags on pets at all times:

Do you have any other animals?
—Please choose an option—YesNo

If you do, list them here:

Animal’s Name

Type

Current Age

Spayed/Neutered?

Indoor, Outdoor or Both
—Please choose an option—IndoorOutdoorBoth

Declawed?

Vet Name and Phone #

Animal’s Name

Type

Current Age

Spayed/Neutered?

Indoor, Outdoor or Both
—Please choose an option—IndoorOutdoorBoth

Declawed?

Vet Name and Phone #

Animal’s Name

Type

Current Age

Spayed/Neutered?

Indoor, Outdoor or Both
—Please choose an option—IndoorOutdoorBoth

Declawed?

Vet Name and Phone #

Animal’s Name

Type

Current Age

Spayed/Neutered?

Indoor, Outdoor or Both
—Please choose an option—IndoorOutdoorBoth

Declawed?

Vet Name and Phone #

Are your current animals up-to-date one? (check all that apply):
VaccinationsHeartworm PreventionSpay or neuter

Have you ever had a pet die at an early age?
—Please choose an option—YesNo

If yes, please explain:

If the animal you adopted was not working out in your household, briefly describe what you would do:

If you adopted an animal that was not housebroken and after 4 weeks was still not housebroken, briefly describe how you would handle the situation:

Part 5 - Veterinarian Information

If you do not currently have a local veterinarian would you like us to recommend one?
—Please choose an option—YesNo

Name of current veterinary clinic:

Clinic address:

Phone number:

Name of Current Veterinarian:

Name your records are under:

Part 6 - Considerations

Have you considered that the financial commitment to a pet could exceed several hundred dollars per year?
—Please choose an option—YesNo

Are you aware that pets have physical and emotional needs and suffer from fear, pain, sadness, loneliness, happiness, and joy, just like people do?
—Please choose an option—YesNo

Are you aware that most behavioral issues with animals can be corrected through proper training?
—Please choose an option—YesNo

Are you aware that the adoption of an animal is a commitment for life of the animal? That could be a 15-18 year commitment.
—Please choose an option—YesNo

How long have you been looking for a new dog?

Where did you learn about Homes for Pets/SHS and our animals for adoption?

Do you understand that some Homes for Pets/SHS animals, having been abandoned by their previous owners, may come with “baggage” and may have separation anxiety, may need to re-learn how to live in a home environment and to bond with your family and other pets?
—Please choose an option—YesNo

Would you be willing to have an in-home visit by a Homes for Pets/Schertz Humane Society representative?
—Please choose an option—YesNo

I hereby affirm that I have answered the above questions truthfully and to the best of my knowledge. I give my permission for Homes for Pets/Schertz Humane Society to contact the landlord, and veterinarian I have provided for references, and I give my permission for the release of any information they deem relevant to the adoption of an animal from the Homes for Pets/Schertz Humane Society.

In the event that I am no longer able to care for this animal, I agree to contact Homes for Pets/SHS in the first instance. However, I understand that Homes for Pets/SHS cannot guarantee immediate placement.

By checking this box, I have agreed to share my information with Homes for Pets and have read the above statement.

Dogs require a lot of your time, love and attention. The cost of caring for a dog includes food, vaccinations, testing, boarding, and veterinary care during emergencies. Please consider these requirements when adopting a dog and be sure you are willing to commit to a new family member who may be with you for the next 15-18 years. Thank you for your time!

Please use this space to provide any further information you feel is relevant