Franklin County Humane Society Adoption Application

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Please complete ALL questions. Incomplete applications will result in delay in processing.

Email *

Animal of interest: *

Date: *

YYYY

Applicant full name: *

Address (please include city, state and zipcode) *

Daytime Phone: *

Evening Phone: *

Email: *

Do you: *

Own

Rent*

*If rental please provide landlord's phone:

Where will the cat/kitten predominately live: *

Inside only

Outside only

Both inside and outside

Please list the names and ages of children and others in your household. *

In the next section please list ALL of the pets you currently own or have owned in the past five years. *

Are/were your current/past pets spayed or neutered? *

Yes

N/A

Are your current pets up to date on vaccinations? *

Yes

N/A

Veterinarian's Name and Phone Number: *

How did you hear about us? *

Adopted from FC Humane Society in the past

Recommended by a friend

Found animal on website or social media

Adoption event

Pet Supplies Plus

Newspaper ad or article

Required

If you are interested in adopting a cat, do you plan on declawing? *

Yes

Maybe

If declawing, by what method?

My cat needs to get along with: (check all that apply) *

other cats

dogs

children under 8 years

elderly people

other small pets

Required

Place of employment AND phone number: *

Briefly describe the qualities you are looking for in an animal you are considering adopting: *

Electronic signature:

Thanks for your application! A volunteer will follow up with you ASAP.

A copy of your responses will be emailed to the address you provided.

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