Danville-Boyle County Humane Society's Mutts with Manners Adoption Application
Thank you for choosing adoption! Please complete the following questions to help guide our conversation.
Email address *
Desired Dog? or type of dog desired
Your answer
Animal ID # (staff)
Full Name *
Your answer
Street Address *
Your answer
City, State and Zip Code *
Your answer
Home Phone *
Your answer
Work Phone
Your answer
Cell Phone
Your answer
Best way to be reached by phone? *
Best time of day to be reached? *
Number of residents in your home and their ages *
Your answer
Do you rent or own your home? *
*If you rent, please provide landlord name and phone number
Your answer
Tell us about pets at home: *
Required
List breeds and ages of current dogs
Your answer
Please tell us about the pets you have had in the last 10 years (age, sex, breeds)
Your answer
Who will be the primary caregiver of the adopted pet? *
Your answer
How long will the pet be left unattended on an average day? *
Where will the pet serve most of their time? *
If outdoors, do you have a *
Required
We’ll explain this new pet’s medical history and behavioral history. Check additional topics you’d like to discuss:
If you have a veterinarian, please list below *
Your answer
Are you willing to attend our FREE 90-minute obedience class? (The class is held 1/month. You will be notified.) *
Are you willing to continue training following adoption? *
Have you ever surrendered a dog before?
How did you discover our program?
Adoption Statement:
Initial each statement below
I agree to provide proper care, including routine veterinary care, daily exercise and proper diet for the animal I am adopting from Danville-Boyle County Humane Society. I will abide by any ordinances governing pet responsibility. *
Your answer
I realize no refund will be given for vet expenses I may incur following adoption. *
Your answer
Common conditions that may need to be treated after your pet leaves the shelter include parasites such as worms, coccidia, fleas or ear mites. Bordetella (kennel cough) and skin problems can also occur. I realize no refund will be given for vet expenses I may incur following adoption. *
Your answer
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