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Adoption Form

ARNNE Adoption Application

Step 1 of 5 – Household

0%

09/21/2023

ATTENTION

Please make sure each required field is filled out. Sometimes the form won’t give an error message. You have to read each field and make sure it’s answered. Once you do this, your form will submit!

PROBLEMS? – PROBLEMS? – PROBLEMS?

If you have any issues with this form, send me an email with:
(1) Which field
(2) What is the problem
Go here: Contact Caroline (this link will open in a new window)

You are probably wondering: “How do I decide which pet is right for my family?” To help you find the best match, we’ll ask you to complete an Adoption Application.
Then you’ll meet with a trained adoption counselor who will talk with you about your expectations for a new pet. Each family has a different idea about the ideal pet for their home; our job is to match a pet to your lifestyle.

We will provide as much background information as we have available for the animal you are interested in. If you and the pet seem to be a potential match, we will ask the family to interact with the pet.
Can’t submit the form? Please ask for help. Select this link to download the Microsoft Word dog adoption application.
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Preferred Phone Number*
Second Phone Number
Your Birth Year*
We ask this for adoption age requirements.
Type of Housing You Live In*
Other Housing*
Landlord's Name*
First Last
Landlord's Phone Number*
Parent's Name*
First Last
Parent's Phone Number*
Years at Current Address*
Previous Address*
Street Address Address Line 2 City State ZIP Code
How many people (in addition to you) live in the household where the new pet will live?*
Please enter a number from 0 to 10.
Others in Your Household*
Please list all members of your household whether they are relatives or not. (name, relationship, age if under 18). Add one household member per line. If you are the only household member please add “just me.”
Others in Your Household
USE THE + BUTTON to add more lines. Please list all members of your household whether they are relatives or not. (name, relationship, age if under 18)
Full Name Relationship to You Age
Agreement*
Is everyone in your household in agreement on adopting a pet?
Not in Agreement – Explain*
If everyone is not in agreement, please explain here.

Save and Continue Later

Are You Applying to Adopt a Dog?*
Specific Pet Name
If there is a specific pet you’re interested in and know the name, please enter that here. If you don’t know you can enter “Don’t Know” or a description like “One of the Lab puppies…”
Specific Pet Breed
If there is a specific breed or breed mix you’re interested in, please enter that here.
What interests you about the particular pet you are applying for?

Save and Continue Later

Current Pet Status*
We will ask about your current pet(s) and your veterinarian.
- I currently own at least one pet.
- I do not currently own any pets.
Current Pets
For each current pet you own, please list: the Species (dog, cat, bird), Breed (Beagle, Tabby, Parrot…), Age, Gender, If it’s Fixed aka Spayed/Neutered (Yes/No), Time (in years) you’ve owned this pet. Put one pet per line.
Current Pets
For each current pet you own, please list: the Species (dog, cat, bird), Breed (Beagle, Tabby, Parrot…), Age, Gender, If it’s Fixed aka Spayed/Neutered (Yes/No), Time (in years) you’ve owned this pet. Use the + button to add more rows. For mixed-breeds a mixed guess is OK.
Current Vet's Name*
Please contact your vet and give your permission to release your vet history information to us so as not to delay you application approval.
First Last
Current Vet's Phone*
Other Current Vet
Enter the name and number of any other vet who has treated your current pet(s).
Former Pet Status*
We will ask about your previous pet(s) and your veterinarian(s).
- I used to own at least one pet
- In the past, I did not own any pets.
Former Pets*
List the type of pets you have owned, how many years you owned them and reason you no longer own them. For mixed breeds a mixed guess is OK. Species (Dog, Cat, Bird…), Breed (Beagle, Tabby, Parrot), Name (as on file with your vet), Years Owned, Reason No Longer Own
Former Pets*
List the type of pets you have owned, how many years you owned them and reason you no longer own them. Use the PLUS + button to the right to add lines. For mixed breeds a mixed guess is OK.
Species (Dog, Cat, Bird…) Name (as on file with your vet) Breed (Beagle, Tabby, Parrot) Years Owned Reason No Longer Own
Former Vet's Name*
First Last
Former Vet's Phone*
Other Former Vet
Enter the name and number of any other vet who treated your former pet(s).
Unnatural Endings*
Please check all that apply. Have any of your pets ever been lost, attacked, been in an accident, or been stolen?
- Lost (and never found)?
- Lost (and found)?
- Attacked (poisoned, beaten, shot…)?
- Accident (car, other…)?
- Stolen?
- Other?
- Not Applicable
Lost Pets*
Please list any pet you’ve ever owned that was lost. Enter Pet Name, Species (Dog, Cat…) and a note about how the animal was lost and if it was found. Enter one animal per line.
Attacked Pets*
Please list any pet you’ve ever owned that was attacked. Enter Pet Name, Species (Dog, Cat…) and a note about how the animal was attacked. Enter one animal per line.
Stolen Pets*
Please list any pet you’ve ever owned that was stolen. Enter Pet Name, Species (Dog, Cat…) and a note about how the animal was stolen and if you got it back. Enter one animal per line.
Pets in Accidents*
Please list any pet you’ve ever owned that was in an accident. Enter Pet Name, Species (Dog, Cat…) and a note about how the accident occurred. Enter one animal per line.
Lost Pets
Please list any pet you’ve ever owned that was lost. There will be a box below to add or details if there’s not enough room here.
Pet Name Species (Dog, Cat…) What Happened?
Attacked
Please list any pet you’ve ever owned that was poisoned or otherwise attacked. Use the PLUS + button to the right to add lines. There will be a box below to add or details if there’s not enough room here.
Pet Name Species (Dog, Cat…) What Happened?
Accidents
Please list any pet you’ve ever owned that was accidentally killed, such as in an auto accident. There will be a box below to add or details if there’s not enough room here.
Pet Name Species (Dog, Cat…) What Happened?
Stolen Pets
Please list any pet you’ve ever owned that was stolen from you. There will be a box below to add or details if there’s not enough room here.
Pet Name Species (Dog, Cat…) What Happened?
Unnatural Ends — More Info*
Use this space to add information about any pets who met unnatural ends.
Your References*
Please provide the name and contact information of three (3) people who are able to discuss your pet-owning abilities. Enter Name, Relationship to You, Phone, Email for each person.
References
Please provide the name and contact information of people who are able to discuss your pet-owning abilities. Please list 3 references. USE THE + BUTTON to add more lines. Name – Relationship to You – Phone – Email
Name Relationship Phone Email

Save and Continue Later

Where will the new pet spend most of its time?*
Location – Other*
Where will the new pet spend most of its time?
Is anyone home during the day*
Is anyone home at night?*
What provisions will be made for your pet when no one is home?*
What provisions will be made for your pet when you are on vacation?*
Who will be primarily responsible for exercising, training and caring for the dog?*
If applying for a cat, who will be responsible for caring for the cat?
Are you willing to provide training for your pet (obedience, housetraining)?*
Do you already have a trainer in mind?*
Trainer's Name*
It’s ok to put “don’t know” if you have someone in mind but don’t remember their name.
First Last
Trainer's Phone*
It’s ok to put zeros if you don’t know the trainer’s phone.
Trainer's Website
Are you planning on particular activities with your pet? Please explain.
How will you provide exercise for your pet?*
Please choose all that apply.
- Leash Walking
- Leash Running
- Aerial Runner
- Fenced Yard
- Free Roam
- Other
Please add more about how the dog will be exercised.
What Size Level Are You Looking For?*
- Very Small
- Small
- Medium
- Large
- Very Large
What Energy Level Are You Looking For?*
- Very Quiet
- Quiet
- Medium Energy
- Very Energetic
- Crazy Silly
Please tell us a little bit about your lifestyle and what role your new pet will play.*
Have you researched the breed/breed mix you are interested in?*
What changes in your life are you anticipating in the next year (for example, new baby, grandchildren, new job)?*
In the next 5 years?*
New baby, grandchildren, new job…?
Does anyone in your household have pet allergies?*
Will the pet be allowed in the house?*
How long will the pet be left alone (without humans) on a typical weekday?*
How long will the Pet be left alone (without humans) on a typical weekend day?*
If you have a yard, please enter the size.
If your yard is fenced, please describe fence (type/material/height):
What food do you plan on feeding your new pet?
Are you willing to find out more about dog food ingredients and nutrition?*
Have you ever sold, given away, or surrendered a pet to a shelter or otherwise?*
If yes, please specify why the pet is no longer with you and where or to whom he/she went:*
Under what circumstances would you give up your pet?*
Household member allergy, household member preference, moving, job hours, taking care of relative, your own sickness…
Have you considered the yearly cost of owning a pet?*
Why do you want to bring a new pet into your home?*

Save and Continue Later

How did you learn about ARNNE?
Please add any comments here
Did you have any problems filling out the adoption form?*
Answer yes to tell one of our web people about any issues you had so she can fix it for future adopters. Thank you!
- Yes
- No
Specific Details of the Problem*
The more detailed your problem description, the easier it is for us to find and fix it. What problem(s) did you have with this application form?
Name
This field is for validation purposes and should be left unchanged.

Save and Continue Later

ARNNE Adoption Application

Step 1 of 5 – Household

0%

09/21/2023

ATTENTION

Please make sure each required field is filled out. Sometimes the form won’t give an error message. You have to read each field and make sure it’s answered. Once you do this, your form will submit!

PROBLEMS? – PROBLEMS? – PROBLEMS?

If you have any issues with this form, send me an email with:
(1) Which field
(2) What is the problem
Go here: Contact Caroline (this link will open in a new window)

You are probably wondering: “How do I decide which pet is right for my family?” To help you find the best match, we’ll ask you to complete an Adoption Application.
Then you’ll meet with a trained adoption counselor who will talk with you about your expectations for a new pet. Each family has a different idea about the ideal pet for their home; our job is to match a pet to your lifestyle.

We will provide as much background information as we have available for the animal you are interested in. If you and the pet seem to be a potential match, we will ask the family to interact with the pet.
Can’t submit the form? Please ask for help. Select this link to download the Microsoft Word dog adoption application.
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Preferred Phone Number*
Second Phone Number
Your Birth Year*
We ask this for adoption age requirements.
Type of Housing You Live In*
Other Housing*
Landlord's Name*
First Last
Landlord's Phone Number*
Parent's Name*
First Last
Parent's Phone Number*
Years at Current Address*
Previous Address*
Street Address Address Line 2 City State ZIP Code
How many people (in addition to you) live in the household where the new pet will live?*
Please enter a number from 0 to 10.
Others in Your Household*
Please list all members of your household whether they are relatives or not. (name, relationship, age if under 18). Add one household member per line. If you are the only household member please add “just me.”
Others in Your Household
USE THE + BUTTON to add more lines. Please list all members of your household whether they are relatives or not. (name, relationship, age if under 18)
Full Name Relationship to You Age
Agreement*
Is everyone in your household in agreement on adopting a pet?
Not in Agreement – Explain*
If everyone is not in agreement, please explain here.

Save and Continue Later

Are You Applying to Adopt a Dog?*
Specific Pet Name
If there is a specific pet you’re interested in and know the name, please enter that here. If you don’t know you can enter “Don’t Know” or a description like “One of the Lab puppies…”
Specific Pet Breed
If there is a specific breed or breed mix you’re interested in, please enter that here.
What interests you about the particular pet you are applying for?

Save and Continue Later

Current Pet Status*
We will ask about your current pet(s) and your veterinarian.
- I currently own at least one pet.
- I do not currently own any pets.
Current Pets
For each current pet you own, please list: the Species (dog, cat, bird), Breed (Beagle, Tabby, Parrot…), Age, Gender, If it’s Fixed aka Spayed/Neutered (Yes/No), Time (in years) you’ve owned this pet. Put one pet per line.
Current Pets
For each current pet you own, please list: the Species (dog, cat, bird), Breed (Beagle, Tabby, Parrot…), Age, Gender, If it’s Fixed aka Spayed/Neutered (Yes/No), Time (in years) you’ve owned this pet. Use the + button to add more rows. For mixed-breeds a mixed guess is OK.
Current Vet's Name*
Please contact your vet and give your permission to release your vet history information to us so as not to delay you application approval.
First Last
Current Vet's Phone*
Other Current Vet
Enter the name and number of any other vet who has treated your current pet(s).
Former Pet Status*
We will ask about your previous pet(s) and your veterinarian(s).
- I used to own at least one pet
- In the past, I did not own any pets.
Former Pets*
List the type of pets you have owned, how many years you owned them and reason you no longer own them. For mixed breeds a mixed guess is OK. Species (Dog, Cat, Bird…), Breed (Beagle, Tabby, Parrot), Name (as on file with your vet), Years Owned, Reason No Longer Own
Former Pets*
List the type of pets you have owned, how many years you owned them and reason you no longer own them. Use the PLUS + button to the right to add lines. For mixed breeds a mixed guess is OK.
Species (Dog, Cat, Bird…) Name (as on file with your vet) Breed (Beagle, Tabby, Parrot) Years Owned Reason No Longer Own
Former Vet's Name*
First Last
Former Vet's Phone*
Other Former Vet
Enter the name and number of any other vet who treated your former pet(s).
Unnatural Endings*
Please check all that apply. Have any of your pets ever been lost, attacked, been in an accident, or been stolen?
- Lost (and never found)?
- Lost (and found)?
- Attacked (poisoned, beaten, shot…)?
- Accident (car, other…)?
- Stolen?
- Other?
- Not Applicable
Lost Pets*
Please list any pet you’ve ever owned that was lost. Enter Pet Name, Species (Dog, Cat…) and a note about how the animal was lost and if it was found. Enter one animal per line.
Attacked Pets*
Please list any pet you’ve ever owned that was attacked. Enter Pet Name, Species (Dog, Cat…) and a note about how the animal was attacked. Enter one animal per line.
Stolen Pets*
Please list any pet you’ve ever owned that was stolen. Enter Pet Name, Species (Dog, Cat…) and a note about how the animal was stolen and if you got it back. Enter one animal per line.
Pets in Accidents*
Please list any pet you’ve ever owned that was in an accident. Enter Pet Name, Species (Dog, Cat…) and a note about how the accident occurred. Enter one animal per line.
Lost Pets
Please list any pet you’ve ever owned that was lost. There will be a box below to add or details if there’s not enough room here.
Pet Name Species (Dog, Cat…) What Happened?
Attacked
Please list any pet you’ve ever owned that was poisoned or otherwise attacked. Use the PLUS + button to the right to add lines. There will be a box below to add or details if there’s not enough room here.
Pet Name Species (Dog, Cat…) What Happened?
Accidents
Please list any pet you’ve ever owned that was accidentally killed, such as in an auto accident. There will be a box below to add or details if there’s not enough room here.
Pet Name Species (Dog, Cat…) What Happened?
Stolen Pets
Please list any pet you’ve ever owned that was stolen from you. There will be a box below to add or details if there’s not enough room here.
Pet Name Species (Dog, Cat…) What Happened?
Unnatural Ends — More Info*
Use this space to add information about any pets who met unnatural ends.
Your References*
Please provide the name and contact information of three (3) people who are able to discuss your pet-owning abilities. Enter Name, Relationship to You, Phone, Email for each person.
References
Please provide the name and contact information of people who are able to discuss your pet-owning abilities. Please list 3 references. USE THE + BUTTON to add more lines. Name – Relationship to You – Phone – Email
Name Relationship Phone Email

Save and Continue Later

Where will the new pet spend most of its time?*
Location – Other*
Where will the new pet spend most of its time?
Is anyone home during the day*
Is anyone home at night?*
What provisions will be made for your pet when no one is home?*
What provisions will be made for your pet when you are on vacation?*
Who will be primarily responsible for exercising, training and caring for the dog?*
If applying for a cat, who will be responsible for caring for the cat?
Are you willing to provide training for your pet (obedience, housetraining)?*
Do you already have a trainer in mind?*
Trainer's Name*
It’s ok to put “don’t know” if you have someone in mind but don’t remember their name.
First Last
Trainer's Phone*
It’s ok to put zeros if you don’t know the trainer’s phone.
Trainer's Website
Are you planning on particular activities with your pet? Please explain.
How will you provide exercise for your pet?*
Please choose all that apply.
- Leash Walking
- Leash Running
- Aerial Runner
- Fenced Yard
- Free Roam
- Other
Please add more about how the dog will be exercised.
What Size Level Are You Looking For?*
- Very Small
- Small
- Medium
- Large
- Very Large
What Energy Level Are You Looking For?*
- Very Quiet
- Quiet
- Medium Energy
- Very Energetic
- Crazy Silly
Please tell us a little bit about your lifestyle and what role your new pet will play.*
Have you researched the breed/breed mix you are interested in?*
What changes in your life are you anticipating in the next year (for example, new baby, grandchildren, new job)?*
In the next 5 years?*
New baby, grandchildren, new job…?
Does anyone in your household have pet allergies?*
Will the pet be allowed in the house?*
How long will the pet be left alone (without humans) on a typical weekday?*
How long will the Pet be left alone (without humans) on a typical weekend day?*
If you have a yard, please enter the size.
If your yard is fenced, please describe fence (type/material/height):
What food do you plan on feeding your new pet?
Are you willing to find out more about dog food ingredients and nutrition?*
Have you ever sold, given away, or surrendered a pet to a shelter or otherwise?*
If yes, please specify why the pet is no longer with you and where or to whom he/she went:*
Under what circumstances would you give up your pet?*
Household member allergy, household member preference, moving, job hours, taking care of relative, your own sickness…
Have you considered the yearly cost of owning a pet?*
Why do you want to bring a new pet into your home?*

Save and Continue Later

How did you learn about ARNNE?
Please add any comments here
Did you have any problems filling out the adoption form?*
Answer yes to tell one of our web people about any issues you had so she can fix it for future adopters. Thank you!
- Yes
- No
Specific Details of the Problem*
The more detailed your problem description, the easier it is for us to find and fix it. What problem(s) did you have with this application form?
Comments
This field is for validation purposes and should be left unchanged.

Save and Continue Later

Adoption Form

ARNNE Adoption Application

Step 1 of 5 – Household

ATTENTION

PROBLEMS? – PROBLEMS? – PROBLEMS?

ARNNE Adoption Application

Step 1 of 5 – Household

ATTENTION

PROBLEMS? – PROBLEMS? – PROBLEMS?

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Foster Form

Ritchie County (WV) Humane Society

Full Name	Relationship to You	Age

Species (Dog, Cat, Bird…)	Name (as on file with your vet)	Breed (Beagle, Tabby, Parrot)	Years Owned	Reason No Longer Own

Pet Name	Species (Dog, Cat…)	What Happened?

Pet Name	Species (Dog, Cat…)	What Happened?

ARNNE Adoption Application

Step 1 of 5 – Household

ATTENTION

PROBLEMS? – PROBLEMS? – PROBLEMS?

ARNNE Adoption Application

Step 1 of 5 – Household

ATTENTION

PROBLEMS? – PROBLEMS? – PROBLEMS?

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