Adoption Inquiry Form

Please answer the following questions to submit your interest in adopting a pet from Valley Humane Society. This information is a starting point for our conversation about the needs of a particular animal, and assists us in making an appropriate match between adopter and pet.

Potential adopters must be at least 18 years old and (if under 21) have a co-adopter age 21+ at the same residence.

ADOPTER'S INFORMATION
Adopters 18-20 years of age must have a co-adopter age 21+ at same residence.

HOUSING INFORMATION

HOUSEHOLD INFORMATION

CURRENT PETS
Please list each pet including the following information: Type/Age/Years in Family.

PET HISTORY
Please list each pet including the following information: Type/Age/Years in Family/What happened to this pet?

ANIMAL CARE PROVISIONS

Primary and co-adopters ultimately bear the responsibility for the adopted animal's care and keeping, but frequently one family member assumes daily care. Who will that be?*

What do you estimate will be your annual cost to care for this animal?*

Where will the animal be kept during the day?*

PET BEHAVIOR EXPERIENCE

FOR CAT ADOPTERS ONLY

FOR DOG ADOPTERS ONLY

HOW DID YOU HEAR ABOUT VALLEY HUMANE SOCIETY?