Loving Hearts Animal Society

Pre-Adoption Application
Applicant's Name

First NameLast Name
Applicant's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Do you own or rent your home?

OwnRent
How long have you lived at this address?
Are you planning to move anytime soon?

YesNo
How would you describe your home?

Single-Family HouseMulti-Family HouseApartmentCondo/Town House
What is your household activity level?

Quiet as a LibraryGrand Central StationSomewhere in BetweenOther
What is your experience as a pet owner?

First-Time OwnerCurrent/Previous Cat OwnerCurrent/Previous Dog OwnerOther
What children will be in your home?

NoneOccasional VisitorsOne or more under the age of 12Children and TeensTeens OnlyOther
List all people who will be living with the new pet, please include name, age and relationship:
List all other pets currently living in your home, include name, type, breed, and age:
Who will the new pet be for?

Myself OnlyMy FamilyOther
Who will be the primary caregiver?

Myself OnlyMy FamilyOther
Is anyone in your household allergic to animals?

Yes, Cats OnlyYes, Dogs OnlyYes, Cats and DogsYes, Other AnimalsNo
Tell us about your typical day, including any time you expect the pet will be home alone for more than a few hours:
Tell us about a typical day for others in your household:
What type of pet are you interested in adopting?

KittenCatPuppyDog
Please describe in as much detail as possible the type of pet you are interested in, i.e. male, female, a particular temperament/personality/physical characteristic?
If you are interested in a specific animal advertised on our website or Facebook page, please provide the animal's name or known details:
Thank you for your interest in adopting a pet from Loving Hearts Animal Society. The details provided in this pre-adoption screening will be used to help us match the best forever home with the appropriate pet candidate.

Loving Hearts Animal Society reserves the right to refuse the adoption of any animal that is an unsuitable match for either the new pet or family's health and safety.

A formal adoption application/contract will be required prior to final approval and placement of an animal.

To schedule an appointment to meet a potential pet candidate, please call LHAS at (409) 224-3733.
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Pre-Adoption Application