Help the Animals, Inc.

We are a 501(c)(3) non-profit, no-kill animal shelter dedicated to providing a safe haven for homeless pets until they can be placed in responsible, loving homes.

Adoption Application

Thank you for your interest in adopting

In order to assess your household's compatibility with one of our animals, we require all potential adopter's to fill out this form. We know it is lengthy, but we have this process in place to ensure that our animals end up in suitable homes and because some animals have specific requirements or special needs.

If you leave any fields blank, and there are other applicants applying for the same animal, their applications might be approved over yours.

Once you have completed the form, you typically will get a response within 24 - 48 hours, during the days we are open.

ONLY COMPLETE THIS FORM IF YOU ARE 18 YEARS OF AGE OR OLDER
* Required to process your application.

Animal Information

Animal Type:
Please select an item.
*
Animal Name:
Breed Type:

Age:
Sex:
Dog size:

Adopter Information







May we share your contact information with Hill's Pet Food Products? *
Please make a selection.


Are you married?

Do you have children? *
Please make a selection.


If so, please list their ages
If so, have they been exposed to animals?

Does everyone in the household want this animal?



Does anyone in the household have an allergy to animals?



Have you had animals in the past? *
Please make a selection.


If so, were they spayed or neutered?


Housing

Do you rent, own your home or live with relatives? *
Please make a selection.


If you do not own your home, provide your landlord's or the owner's information.
This is required to process your application if you rent. *

Housing Type: * Please select an item.
How long have you been at your current residence?
Please select an item.

How much property do you have?
Please select an item.

How much of that is fenced? Please select an item.
Type of fence: Please select an item.

Household Income

Are you on government subsidy?



Time with this employer:

Spouse's Employer:


Hours per week:

Recent or Current Pets & Vet Information

Do you have now, or have had in the last 5 years, any pets under your ownership? If so, please list their information below.

Your Pet 1

Name:
Cat
Dog

Is this animal still in your care?
Yes
No , please explain why:

Age:

Are or were they spayed or neutered?
Yes
No, please explain why:

Exceeded maximum number of characters.

Veterinarian Information:
Required to process your application. *
Name:

Your Pet 2

Name:
Cat
Dog

Is this animal still in your care?
Yes
No, please explain why:

Age:

Are or were they spayed or neutered?
Yes
No, please explain why:
Exceeded maximum number of characters.

Veterinarian Information:
Required to process your application. *
Name:
Phone:

Your Pet 3

Name:
Cat
Dog

Is this animal still in your care?
Yes
No, please explain why:

Age:

Are or were they spayed or neutered?
Yes
No, please explain why:

Exceeded maximum number of characters.

Veterinarian Information:
Required to process your application. *
Name:
Invalid format.

Your Pet 4

Name:
Cat
Dog

Is this animal still in your care?
Yes
No , please explain why:

Age:

Are or were they spayed or neutered?
Yes
No, please explain why:

Exceeded maximum number of characters.

Veterinarian Information:
Required to process your application. *
Name:
Phone: Invalid format.

General Questions

Why do you want to adopt this animal? *

Please answer the question above.

Please answer the question above.

Are you planning on any physical alterations? *
Please select an item.

Will the animal sleep inside the home? *


Please make a selection

If not, where will the animal sleep?

How much time will you spend with the animal daily? *
A value is required.

How much time will the animal spend alone daily? *
A value is required.

What type of food do you plan to feed this animal? *
A value is required.

If you are adopting a cat, do you plan to feed canned food as well as dry food?


If you are adopting a dog, how do you plan to housebreak the dog?

What would you do with this animal if you had to move from your present home?

How long do you plan to keep this animal?

Comments:

Applicant's Signature

I acknowledge that the information I have provided is true* Required!

Drivers license number * A value is required.

State: * A value is required.