Adopting A Pet Is A Lifetime Commitment

Welcome to the Capital Humane Society. We would like to make your selection of a new pet an enjoyable learning experience. The total process will take approximately 30 minutes. Please read the information below carefully. If you have any questions, please ask one of the office staff. They will be happy to give you the information you need to make an informed decision regarding this adoption.

tCOST The average adoption cost at the Capital Humane Society is $90, and it doesn't stop there. Additional costs for a pet will include food, litter, leash, license, vaccinations, veterinary care, fencing, shelter, etc. For example, a larger dog may cost upwards of $500 to $800 per year to maintain. A single cat may cost in excess of $200 per year to maintain.

tCOMMITMENT We are looking for a lifetime guardian for all pets leaving the Capital Humane Society. With the adoption of a kitten or puppy, that commitment could involve the next fifteen to twenty years, depending on the breed. Commitment includes taking the animal with you when you move, proper training of the animal, medical care and sharing time with the animal to meet its needs for physical activity and psychological fulfillment on a daily basis.

tCONVENIENCE Living with a pet is not always convenient - it involves work. You will need to clean-up after your pet. You will also need to feed, water, exercise and spend quality time with your pet on a daily basis. Be prepared for occasional property damage throughout your pet's lifetime. If your pet needs to be let out at 3 a.m., are you willing to get out of bed?

tSTERILIZATION All cats, dogs and rabbits adopted from the Capital Humane Society have been sterilized to ensure they are not contributing to the pet overpopulation problem.

I have read and understand the information provided above.

Signature_______________________________________________ Date___________

Capital Humane Society Adoption Contract

PLEASE COMPLETE THE FOLLOWING QUESTIONNAIRE.

1. What kind of pet are you here to adopt?

rDog rPuppy rCat rKitten rOther (Specify)________________

2. Why do you want a pet? ____________________________________________________________

3. Is this your first experience with a pet? rYes rNo If no how was your experience? _________________________________________________________________________________

4. Some Animals can live to be 20+ years. Are you willing to take care of it for the rest of its life? ____

5. Animals need a lot of items and vet care. Can you afford this pet?____________________

6. What pets do you currently have in your household?

NAME___________________TYPE SPAYED/NEUTERED KEPT WHERE AGE

rDog rCat rYes rNo rIn rOut ______

NAME___________________TYPE SPAYED/NEUTERED KEPT WHERE AGE

rDog rCat rYes rNo rIn rOut ______

NAME___________________TYPE SPAYED/NEUTERED KEPT WHERE AGE

rDog rCat rYes rNo rIn rOut ______

NAME___________________TYPE SPAYED/NEUTERED KEPT WHERE AGE

rDog rCat rYes rNo rIn rOut ______

7. List pets owned in the past five years other than those listed above:

TIME WHAT HAPPENED TO

TYPE SPAYED/NEUTERED KEPT WHERE? OWNED THE PET?

rDog rCat rYes rNo rIn rOut _______ _____________________

8. Who is your veterinarian? _________________________________

9. Since most shelter animals have unknown backgrounds, are you prepared to take your new pet for a complete veterinary exam within the next 3 days and to provide any necessary medical treatment required then and later?

rYes rNo

10. How many people live in your household? __________

Do all adults know that you plan to adopt? rYes rNo

If there are children in the household, what are their ages? ________________________

11. Do you or does anyone living in your household have any known allergies to animals? Yes No

If yes, to what kind(s) of animals and how severe is the allergy? ______________________________

12. Who will be responsible for the care of this pet? __________________________________________

13. Where will this pet be kept during the day? __________________night? _______________________

14. How much one on one time will you spend with this pet? __________________________

15. Where will it be kept when alone? ______________________How many hours per day?__________

16. How did you hear about our adoption service? _________________________________________

DOG ADOPTIONS ONLY

17. Do you want the dog for a: (check all that apply)

rHouse Pet rGuard Dog rWatch Dog rCompanion

rCompany for other pet rOther_______________________

18. Do you have a fenced yard? rYes rNo If yes, how high? ______________

19. Do you realize you will probably have to housetrain your new puppy or dog? rYes r No

20. Would you like information on how to housetrain a new puppy or dog? rYes rNo

19. Are you familiar with the leash and licensing laws in your community? rYes rNo

20. What will you do if your dog chews furniture or shows other destructive behavior? _________________________________________________________________________________

21. Are you familiar with crating? rYes rNo

22. Do you plan on taking your dog to obedience training classes? rYes rNo

23. Are you familiar with heartworm disease? rYes rNo

24. How will you keep your dog confined to your property? (check all that apply)

rIn House rKennel rFenced Yard rTied Outdoors rGarage

rPatio rOn Leash

CAT ADOPTIONS ONLY

25. Do you want the cat for a: (check all that apply)

rHouse Pet rMouser rCompanion Company for other pet rOther

26. Will this cat be allowed outdoors? rYes rNo

27. Do you plan on having your cat declawed? rYes rNo

28. What will you do if your cat claws the furniture or shows other destructive behavior?

_____________________________________________________________________________________

Rev. 10/2005