Ashe Humane Society Adoption Application

Ashe Humane Society Adoption Application

-You MUST be 18 years of age to adopt-
Name of Pet(s) Interested in:*
Applicant's Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
Phone number you can be reached*
Work Phone
Why are you adopting the pet?*
Who are you adopting a pet for?*

SelfBusinessFamilyFriendOther
Which applies to your housing situation?*
Which applies?*

HouseApartmentMobile HomeCondo/TownhouseLive with parents/guardianLive in roommate's homePart-year living in Boone area for schoolOther
RENTERS: Are pets allowed? (Please check with landlord or lease in advance.)
RENTERS: If you are allowed to have pets, are you required to have an ESA (Emotional Support Animal) completed form?
RENTERS: Landlord's Name (required if renting)

First NameLast Name
RENTERS: Landlord's Phone Number (required if renting-we will call them!)

Area CodePhone Number
How long have you resided at your present address? (Present address is the place that the pet will live when it leaves the rescue)*
Total Number of people residing at your present address? (Present address is place the pet will live when it leaves the rescue)*
Adults at present address.*
Children at present address*
Ages of children under 18 at present address?
If your living arrangements change (moving, new baby, moving from a residence at school etc.), what will you do with your pet?*
Where will the pet spend it's time?*

IndoorsOutdoorsBoth indoors and outdoors
Where will the pet stay while you are gone during the day?*

Confined to area in homeOutside/UnconfinedCratedGarageLoose in homeBarn/outside building
Where will the pet sleep at night?*

Run free inside homeCrate/KennelIn bed with ownerGarageOutside/unconfinedConfined to one roomBarn/outside buildingOther
Does anyone in your household have allergies to pets?*
List all household member's pets CURRENTLY owned. Please state whether the animal is a CAT or DOG, and also. NAME, AGE, SEX, and BREED (dogs only). *
Are all of the CURRENT household member's pets spayed or neutered? If not, why not?*
Are vaccinations up to date on the all CURRENT household member's pets, if not why not?
List all household member's pets you have owned IN THE PAST 3 YEARS BUT NO LONGER WITH YOU. Also please state what happened to your pet. Please denote which pet(s) are owned by you and which ones are another household member's/roommate.*
Veterniarian or Practice Name (required if you have pets - we will call them)

First NameLast Name
Veterinarian Phone# (required if you have pets - we will call them!)

Area CodePhone Number
Do you agree...
to have the pet examined by a veterinarian within (30) business days after adoption?*
to have the pet vaccinated by a veterinarian annually against infectious diseases?*
to provide humane care - proper food, water, and shelter?*
to provide the pet with regular preventive care, and immediate medical treatment by a licensed veterinarian if ill or injured?*
that this pet will be spayed or neutered at the earliest possible date using the voucher you are provided?*
to set up a wellness appointment prior to final adoption, if you don't currently have a pet and/or do not have a veterinarian.*
that I assume full responsibility for the welfare of this pet from the date of adoption*
by clicking the submit button, I understand that if I no longer want my pet, or am no longer able to care for my adopted pet, I will be directed to surrender my pet to the Ashe Humane Society. I will give them 72 hours notice of that return.*
by clicking the submit button, I verify all of the above information is true and accurate.*
What else would you like us to know?
Please watch for an EMAIL from us (ashehumane@skybest.com). We will respond within 48 hours with additional questions, application approval or declining the application. Thank you
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Ashe Humane Society Adoption Application

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