Adopt

Adoption Application

Please complete this application so that we may assist you in selecting the right animal for you, your family, and your lifestyle. If a field is not applicable to you, please fill in “n/a”. There will be a short waiting period to allow us to process your application, contact references, landlord (if applicable), and for you to carefully consider your decision to adopt a pet for life. The Erie Humane Society reserves the right to deny any application with or without justified reasons.

Application for Adoption

Today's Date

Name

First Name *

Last Name *

Former Last Name

If Applicable

Date of Birth

Month

Day

Year

Primary Phone

ext Extension

Address

Country

Address Line 1 *

Address Line 2

City *

State/Province *

Postal Code *

Type of pet you're interested in adopting

(check all that apply)

Dog/Puppy
Cat/Kitten
Rabbit
Other Small Animal (Guinea Pig, Rat, etc.)
No Preference

Name and species of pet(s) you are applying for

If Applicable

Do you own or rent your home?

If you answered "other" please explain

If you RENT, please provide the landlord's full name and phone number

Please list the full name and date of birth of all other adults in your household

(ex. Jane Doe, 11/14/75)

Please list the ages of all children that will be in the presence of the pet

Employment Status

How long will the pet be left alone on a daily basis?

Where will your pet spend most of its time?

On average, how much time will the new pet spend outdoors daily?

Where will your new pet be contained when you are away from home or at night?

Crated in the Home
Confined to a Room in the Home
Free Roam of the Home
Kept Outdoors

How will this pet be contained when outdoors?

(check all that apply)

Fenced Yard
Invisible Fence
Leash
Unrestrained
Tie-Out
Kennel Run

Do you own other pets?

Please list all other cats or dogs that currently live in your household. Please include name, species, breed, age, and whether they reside primarily indoors, outdoors, or both.

Are your current pets spayed or neutered?

If you have pets that are NOT spayed or neutered, please list the reason

Are you willing to take your new pet to a veterinarian for an initial exam and any necessary treatment at your own expense?

Yes
No
Unsure

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Which Veterinary Hospital/Clinic do you currently use or plan to use?

Have you, or anyone residing in your home, ever been investigated or cited for animal abuse/neglect or had a humane police officer visit your home concerning your pet(s)?

If you answered "yes", please explain

What activity level in a new pet is ideal for your lifestyle?

(check all that apply)

High
Moderate
Low

What qualities are you looking for in a pet?

(check all that apply)

Good with small children
Good with teens
Good with dogs
Good with cats
House trained
Able to be left alone for 8+ hours
Social and friendly with new people - in the home or out in public
Appropriate for an apartment

For the safety of your current pets and our shelter pets, the adoptions team must verify all pet vaccinations and proof of spay/neuter. This MUST be complete before we can approve your application. By initialing below, you are granting EHS consent to contact your veterinarian to very this information.

Initial Here

Upload proof of home ownership and/or veterinary records

If Applicable

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