Clone of Cherokee Humane Society (CHS) Foster Application

Cherokee Humane Society (CHS) Dog Adoption Application
Before submitting adoption application, please consider the following: If the dog is not going to be part of your family, then do not apply.

You must be at least 21 years of age and employed to adopt a dog. If you live with your parents, they must co-sign the adoption agreement.

If you have small children, CHS recommends waiting until your children are at least four years of age, unless your children are used to dogs and/or you currently have dog(s Puppies can be very active. Please read the following and sign below before completing application: If necessary, you will allow a CHS Representative to possibly call your vet, landlord, and others during the application process. You agree that CHS may follow up after adoption to check on canine. We thank you for allowing CHS to use an adoption photo of you and your family for CHS' social media sites. Our obligation is in the best interest of the animal(s CHS has the right to refuse adoption for

It is understood that this adopted animal can be removed from my care at any time should I violate any of the following: Allowing this animal to run loose - failure to provide current ID tags. Failing to provide adequate food/water, shelter, companionship, and medical care. Forcing the animal to live anywhere except inside the primary residence, e.g. garage Declawing, debarking, ear cropping or in any other way mutilating this animal for cosmetic or other purposes. (In the case of BOAS surgery, this is exempt Tethering and chaining canines outside are strictly prohibited.

I certify that the information in this application is true and accurate to the best of my knowledge.
Signature

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Date

MonthDayYear
Date
Have you previously adopted an animal from CHS?*

YesNo
When?
Is this animal still living?*

YesNo
If you recently lost a pet please let us know his/her name and cause of death and CHS patrons will make a $10 donation in his/her honor.
Pet's name you are considering adopting?*
Full Name*

First NameLast Name
Contact Number*
Email Address*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County*
May we use your email to send a CHS monthly newsletter with great pet stories? We will not solicit funds. You may opt out.*

YesNo
Welfare of the dog
The primary caregiver name?*
May we speak with them?*

YesNo
Is this a playmate for your existing dog?*

YesNo
Number of Dogs?*
To ensure compatibility: Breed, size and age of your current dog(s)? (n/a if no other dogs)
To ensure the safety of puppy/dog: Do you have a fenced-in yard?*

YesNo
If you do not have a fenced-in yard what is your exercise plan? eg. Dog Park, Doggy Day Care, Other
Where will the dog spend the day?*
Where will dog be at night?*
The worst thing for a puppy/dog is to be in a crate all day. Who or how will you care for the dog in your absence during the day?*
Puppies and dogs are active and sometimes need training. Do you have a trainer?*

YesNo
If no, CHS can recommend a trainer for you if needed. CHS' dogs are in foster homes and raised with much love, so transitioning to a new home should be easy, but if necessary, would you agree to in-home-training? Our experience has been that the sooner you have a routine the easier it will be for you and your new dog. Please give your new dog at least two weeks to adjust.
Your Family and Home
Is this a family decision?*

YesNo
How many children are in your home? Ages?
Type of home:*

Single Family HomeTownhome/ApartmentFarmMobile HomeOther
Do you have pictures of your home to share with CHS? Or may we look up your address online?*

YesNo
After approved, I agree that a CHS rep, with an appointment in advance, may check on the welfare of the dog.*

YesNo
Please share more about yourself.
Place of Employment?
Do you own or rent your home?*

OwnRent
If you rent, does the landlord have size and breed limitations?
May we contact the landlord?
Pet Health
Vaccinations, especially DHP and rabies are instrumental to your dog’s continued health.
Would you prefer text or email to remind you when vaccinations are due that is up until the dog has its rabies, which should be at four months.*

TextEmail
Are your other pets current on vaccinations?*

YesNoI have no other pets
What heartworm preventative does your dog receive? (n/a if you have none)*
Name of flea treatment?*
Are all your current pets spayed/or neutered?*

YesNoI have no other pets
If not, would you like CHS to help you get this done? (There are millions of animals euthanized in Shelters every year because someone did not spay and/or neuter)

YesNo
Unfortunately, CHS often receives calls from family members, whose relatives have passed away and no one in the family wants the dog.

In the event, you or your family members can no longer care for the dog you are adopting today, who would be your backup? Who should CHS contact?
Backup caregiver's relationship to you?*
Who will be backup caretaker if you become unable?*
Backup Caregiver's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Backup caretaker phone number*
Please enter a valid phone number.
By signing this document, you agree to keep the dog you are adopting from CHS current on all vaccinations, heartworm and flea preventive and have regular medical checks (every six to 12 months in first year. I also agree not to dock tail, crop the ears or debark.

You also agree, if you decide at any time, you no longer want the puppy/dog, or for some reason you can no longer keep, you will call CHS (404-372-9545) and provide the organization with first right of refusal. You also agree to serve as the foster home and come to weekly adoptions until such time as a new home may be found.

Cherokee Humane Society is over 50 years old. We help "Save the Unwanted" through donations to our Thrift Store, located at 12156 Highway 92, Woodstock, 30188.

If you are moving, spring cleaning, etc. and find nice things you no longer need, please call our store 770-592-8072. We pick up big items. Or, just have a fun day of shopping and know you are helping to save more pets from euthanasia. In 2024, CHS saved over 1,300 animals.

We thank you for adopting from Cherokee Humane Society.
If at any point in time, a question arises regarding any of the following topics, please contact CHS at dogs@cherokeehumanesociety.org

Cherokee Humane Society Board of Directors

Irene Moore, President, irenem@ellijay.com Bruce Bissell, Vice President Nancy Gayler, CPA, Treasurer Michael Duponte, Legal Counsel Dr. Howard Ashley, Medical Advisor

Advisory Board Dr. Mark Frost. PHD
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Cherokee Humane Society (CHS) Dog Adoption Application

Welfare of the dog

Your Family and Home

Please share more about yourself.

Pet Health

Unfortunately, CHS often receives calls from family members, whose relatives have passed away and no one in the family wants the dog.