Adoption Application

Please select animal you are interested in adopting
If not selected above, what animal are you interested in?
Individual or Couple *
Primary Applicant's First Name *
Primary Applicant's Last Name *
Primary Cell Phone *
Primary Work Phone
Home Phone
Primary Email Address * Please enter correctly as this is the main way we will contact you
Secondary First Name *
Secondary Last Name *
Secondary Cell Phone *
Secondary Email
Street Address *
City/District
State/Island *
Postcode
Country *
Are you over 18 years of Age?
Is anyone in your household allergic to dogs or cats?
Are you a local resident?
If not a local resident, please explain. *
If you leave the island, will you take your pet with you?
Do you own or rent your home?
If renting, have you obtained landlord's permission?
Veterinarian's Name *
Please call your vet and give them permission to give us a vet reference.
Please list your pet's name(s), breed(s), and age(s) (current and in the last 4 years): *
If an animal is deceased within the past 4 years, please give reason for death and age at death.
Are you current pets Spayed or Neutered?
How many members are in your household? *
Number and ages of children
Where will your pet be kept during the day? *
Where will your pet sleep at night? *
Do you have a fenced-in yard?
Do you have a pen for dog?
Type of shelter of outdoors *
Have you ever brought an animal to us?
If yes, please explain: *
Have you ever adopted from us?
If yes, how long ago? *
Do all of your pets receive monthly Heartworm Prevention & yearly vaccines?
Do you agree that if for any reason you must give up this pet, it will be returned to CIHS?
Do you agree to follow up on all vaccinations (boosters and yearly vaccines)?
Do you agree to provide your pet with Heartworm Prevention on a monthly basis?
Are you willing to comply with follow-up calls/visits by the Cayman Islands Humane Society?
In case of trial adoption, do you agree to settle half (50%) of the non-refundable trial adoption fee?
Have any of your animals passed away within the 4 years.
If yes, how old and what was the cause of death * If yes, how old and what was the cause of death
The adoption fee includes the first set of vaccines and spaying/neutering. Follow-up vaccines are not covered by the Cayman Islands Humane Society. We do our very best to place only healthy animals for adoption, but animals with unknown backgrounds can become sick. If this occurs, you have the option of returning the animal to the shelter, or having it treated at your own expense by your veterinarian. If you choose to return the animal for this or any reason, please understand that NO REFUND will be given.
I certify that all information I have given is true, and I understand that false information may result in nullifying this adoption.
Please sign with mouse or finger.

Cayman Islands Humane Society

P.O. Box 1167, Grand Cayman, KY1-1102, Cayman Islands
Phone: (345) 949-1461

ADOPTION AGREEMENT

Please give careful consideration to adopting a companion animal. Animals are not toys or short-term commitments. Make sure your lifestyle allows the time, patience and expense this animal will need over the next ten or more years.

Animals are placed to live in a private residence only. The animal must not be lent, rented or sold as a guard dog or used for: dog fighting, vivisection, food or in commerce of any kind. The animal must be kept as a domestic pet at all times.
The adopter will feed and house the dog or cat in a suitable environment to the Society's satisfaction. Cats should remain indoors for their safety. In the case of a dog, the adopter will keep it as an indoor house pet or in a reasonably large fenced area with adequate shelter from outdoor weather conditions. In the case of a dog, the adopter will exercise the animal regularly. No animal may be allowed to roam off the owner's property.
Cats must not be declawed and animals cannot be altered cosmetic or human convenience purposes (i.e. ear cropping, tail docking, etc.)
The adopter must provide the animal with necessary veterinary care upon sickness, disease or injury. In addition, animals must be taken to the yet once a year for routine vaccinations, etc., and, in the case of dogs, maintained on preventative heartworm medication (the Society recommends that cats are also placed on heartworm medication).
The adopter assumes full financial responsibility for the animal.
The animal must be maintained humanely and in accordance with all laws and ordinances in force in the jurisdiction in which the animal resides.
The animal should wear proper identification at all times, and dogs must be licensed with the Department of Agriculture. We strongly recommend having your pet micro-chipped.
If lost or stolen, the Cayman Islands Humane Society must be notified within 24 hours.
The animal must not be given away, sold or exchanged without the prior permission of the Cayman Islands Humane Society. If an animal is returned to the shelter or reclaimed to the Cayman Islands Humane Society officer, there is no refund of the adoption fee or any money spent on that said animal.
The Cayman Islands Humane Society reserves the right to investigate, unannounced, the living conditions of any animal adopted from it and has the right to reclaim and re-posses any such animal at any time if it is being kept in violation of the Adoption Agreement. The Adoption Agreement, for the avoidance of doubt, includes these Adoption Rules and Conditions.
By acknowledging this you hereby expressly agree that any loss of, injury to and/or death of any of the animals in your care or under your control may result in any future adoption requests/applications being denied at the sole discretion of the Humane Society.

I, ____________________________, have read the ten (10) Adoption Rules stated above. I understand the Rules and hereby agree to fully comply with them. I further understand that the Rules form an integral part of this Adoption Agreement and are legally binding and enforceable by the Cayman Islands Humane Society against me. I agree to surrender to an agent of the Cayman Islands Humane Society and animal adopted from the same should the Cayman Islands Humane Society any animal adopted from the same should the Cayman Islands Humane Society find that the animal is being kept in violation of the Rules. The Cayman Islands Humane Society agrees to accept the animal back at any time if for any reason I no longer wish to, or cannot, keep the animal.

I, ____________________________, am aware or will make myself aware of the rules and regulations in relation to the necessary pet importation requirements for any country I will travel to with my pet(s).

Dated: _____________________ Signed by the Adopter: