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Online Adoption Application

You may fill out the online Adoption Application, or you may come into the shelter during adoption hours to complete your application. Completing an application does not place a "hold" on an animal, nor is it a guarantee of adoption. You will not be contacted after submitting an online application.

All customers are handled on a "first come, first served" basis in person; we do not schedule appointments. We invite you to come into the shelter to meet with a staff member who will be able to tell you everything we know regarding an animal's history, health, the results of our temperament evaluation, and our recommendations for its placement. This process will help you decide if the animal you are interested in is a good choice for your lifestyle and home environment. We look forward to meeting you to help you find your next furry family member.

Please fill out this form as completely as possible. Information on this form is for Hinsdale Humane Society use only.

*required field

Personal Information

State ID / Driver's License #

First Name *

Last Name *

Other Primary Adult State ID / Driver's License #

Other Primary Adult First Name

Other Primary Adult Last Name

Street Address 1 *

Street Address 2

City *

State *

Zip Code *

Primary Phone *

Alternate Phone

Email Address *

You must be 18 years old to adopt. *

I verify that I am 18 years of age or older.

Your Home

How long have you lived at your current address?

Property Type

Is this a Rental Property?

Landlord's Name

Landlord's Phone

If renting, are you permitted to have pets?

Do you plan to move in the near future?

If yes, when?

If you were to move where pets are not allowed, what will you do with your pet?

Employment

Are you currently employed?

Full Time Part Time

Your Employer

Employer Phone

Hours per Day you work

Is the other Primary Adult currently employed?

Full Time Part Time

Other Primary Adult's Employer Phone

Other Primary Adult's Hours per Day

Your Family

How many adults in your household?

How many children?

Ages of children?

Visiting Children
(ages & frequency)

Are all the adult members of the household aware that you are planning to adopt a pet?

Do any members of your household have allergies to dogs and/or cats?

Yes (Dogs) Yes (Cats) No Not sure

Who will be the primary caretaker of pet?

Pet Preferences

What are you wishing to adopt? Dog Puppy Cat Kitten *

Male Female No Preference

I am specifically interested in:

Is this your first experience with a pet?

What are your reasons for wanting to adopt a pet?

Do you have any concerns about adopting a new pet?

What reasons might cause you to return your pet?

What provisions will you make for your pet in the event something were to happen to you and you were no longer able to care for it?

Please list all pets residing in your household in the past 5 years

Type/Breed Name Age Male/Female Spayed/Netutered? Still Own?

Add Another Pet
Remove Last Row

Have you applied/adopted a pet from us before?

Still own?

Pet Names

Have you ever had to relinquish at pet to us or another animal welfare organization?

If yes, under what circumstances?

Veterinarian

Clinic Name

Clinic Phone

Clinic City/State

May we have permission to contact your veterinarian regarding current or past pets?

Dog Related Questions

What qualities are you looking for in a dog? (playful, obedient, calm, etc.) *

Do you have a securely fenced yard?

How will you meet your dog's need for daily exercise?

Cat Related Questions

What qualities are you looking for in a cat? (affectionate, lap cat, playful, etc.) *

Will this cat be allowed outdoors?

If Yes, under what circumstances?

Do you plan on getting this cat declawed?

Front paws only All four paws

What are your reasons for wanting to declaw?

Are you aware that declawing is an amputation of the nail across the first joint of the toe, and may result in infection and/or permanent negative temperament and/or behavior changes?

Would you consider not declawing if provided with information about how to introduce the cat to a scratching post and clipping the nails?

More Information

Are you interested in information about

Indoor vs. Outdoor cats
Litter box training
Introducing cat to scratching post
Introducing a new pet to other pets
Pets & children
Pets & allergies
Obedience training
House breaking
Crate training

Signature

By submitting this form, you certify that the information you have given is true and that you recognize that any misrepresentations of facts may result in losing your privilege of adopting a pet. You understand the Hinsdale Humane Society has the right to deny your request to adopt an animal, and you authorize investigation of all statements in this application. You understand that this application is the property of the Hinsdale Humane Society.

I agree.*