Dog & Cat Adoption Application – Dunn County Humane Society

Please complete all fields of this form to the best of your ability. If you prefer to print the application and fill it out offline, you can download the Cat Adoption Application here and the Dog Adoption Application here. Thank you!

"*" indicates required fields

Adoptable Pet Type:*

Cat

Dog

Adoptable Pet Name:

Applicant's Full Legal Name:*

Applicant's Date of Birth:*

Co-Applicant's Full Legal Name:

Co-Applicant's Date of Birth:

Address:*

How long at current address?*

Main Phone:*

Alt. Phone:

Email*

Live in a:*

Do you Rent or Own?

If living in a mobile home that sits on land not owned by the applicant then identify the Mobile Home Park:

Have you spoken to your landlord about getting a pet?*

Yes

No

Landlord's Full Name*

Landlord's Phone:*

Are you over the age of 65 or a military veteran (active, retired, or honorably discharged**)?

Yes

No

**We have a program to help subsidize adoptions by seniors (65+) and military veterans (active, retired, or honorably discharged). This program offers a $50 discount once per year and cannot be combined with other offers and does not apply to adoptions at Petco, PetSmart, or Angel’s Pet World.

Including you, how many people live in your household?

What are their ages?

Have you applied to adopt from DCHS?

Yes

No

If yes, when?

Have you ever brought an animal to a shelter?

Yes

No

If yes, when?

Have you ever given an animal to another person?*

Yes

No

If yes, please explain.*

Have you spent time with the pet?

Yes

No

Have you spoken to a staff member, if so who?

Are you committed to spend 12+ years providing health care, food, grooming & attention to the pet?

Yes

No

Future or Recent Life Events:

If you move in the future, what will you do with the pet?

Why do you want a pet?

Who will be the pet’s primary caretaker?

The primary caretaker is:

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

This pet will be:

Will you declaw the cat?*

Declaw Reason:*

It may take the pet a month or longer to adjust to your home. Are you prepared for this adjustment period?

What problems would make you want to return the pet?

(Hold down the CTRL key while clicking to choose more than one selection)

What types of pets have you owned during the past 5 years? (Please list animals currently living with you also.)

Cat / Dog

Name

Gender

Spayed / Neutered?

Breed

Age

Kept Indoors / Outdoors?

Still Own? (Y/N)

(Click the + Sign to Add More Pets)

If you no longer have the above pet(s) please explain why:

Are your pets up to date with vaccinations?

Yes

No

I don't know

Your Current Vet:

Your Current Vet's Phone:

When adopting an unneutered or unspayed pet from DCHS, it is required to have the pet spayed/neutered. Are you prepared financially and willing to comply with this policy?

Yes

No

Is there any other information you wish to share or feel should be considered when processing your application?

*If there are other adults in the household besides the applicant/co-applicant, please list their full legal names and dates of birth here:

First Name:

Middle Name:

Last Name:

DOB:

(Click the + symbol to add more than 1 person)

Applicant's Signature*

You can type your name here if completing online.

Date*

Driver's License State:*

Driver's License Number (required):*