FCHS Adoption Application & Contract
Interested in adopting a:
*
Cat
Dog
Other
Who are you interested in adopting?
Ally (Cat - O2023823)
Ariana Momma (Cat - O2023817)
Autumn (Cat - S20232527)
Bailey Butterfly Momma (Cat - S20232180)
Beatrice Mom (Cat - A2023006)
Big E (Cat - O2023834)
Bobbi (Cat - O2013921)
Bobby (Cat - O2023803)
Brady (Cat - S20232670)
Castiel (Cat - O2023811)
Catherine (Cat - O2023826)
Chili (Cat - S20232489)
Cinnamon (Cat - S20232513)
Claire (Cat - S20232520)
Dale (Cat - O2023775)
Delilah (Cat - S20232639)
Dewey (Cat - S20232638)
Ella (Cat - S20232581)
Fable Momma (Cat - S20232540)
Feebie (Cat - O2023822)
Griffan (Cat - S20232468)
Hallie Mom (Cat - S20232648)
Ian (Cat - S20232652)
Ida (Cat - S20232651)
Jana Momma (Cat - S20232653)
June (Cat - S20232547)
Ladybug (Cat - S20232574)
Lana (Cat - S20232576)
Leia (Cat - S20232577)
Leo (Cat - O2023831)
Lois (Cat - S20232578)
Lorelai Momma (Cat - S20232571)
Lorelei (Cat - S20232672)
Lucas (Cat - S20232554)
Lucille (Cat - S20232573)
Lucille (Cat - S20232673)
Luke (Cat - S20232416)
Lyla (Cat - S20232575)
Matilda (Cat - S20232682)
Maxine (Cat - S20232681)
Myah (Cat - S20232580)
P Momma Crowley (Cat - O2023804)
Panda (Cat - O2023768)
Pete (Cat - S20232631)
Rainbow (Cat - S20232630)
Ramen (Cat - S20232592)
Rayne Momma (Cat - S20232588)
Reggie (Cat - S20232591)
Retta Momma (Cat - S20232589)
Riley (Cat - S20232597)
Roe (Cat - S20232593)
Sabrina (Cat - S20232679)
Scarlett (Cat - S20232661)
Scoots/Blair Mom (Cat - O2023789)
Sparky (Cat - O2023833)
Stewart (Cat - S20232399)
Timothy (Cat - S20232289)
Ulna (Cat - S20232610)
Ulyssa (Cat - O2023782)
Uma (Cat - O2023779)
Umi (Cat - S20232609)
Una (Cat - O2023780)
Unity (Cat - O2023783)
Uriah (Cat - S20232608)
Ursa (Cat - O2023781)
Ursula (Cat - S20232606)
Violet (Cat - S20232401)
Weeble (Cat - S20232626)
Wiley (Cat - S20232499)
Willa Mom (Cat - S20232616)
Wink (Cat - S2023018)
Wyla (Cat - O2023827)
Yeller (Cat - S20232671)
Yemma (Cat - S20232515)
Zeeri (Cat - S20232623)
Zillow (Cat - S20232458)
Zoey (Cat - O2023824)
Who are you interested in adopting?
Alana (Dog - O2023786)
Amelia (Dog - O2023763)
Annie (Dog - S20232445)
Beans (Dog - S20232494)
Benny (Dog - S20232619)
Block (Dog - S20232668)
Boss (Dog - S20232685)
Camilla (Dog - O2023036)
Chloe/Barbie (Dog - O2023832)
Cliff (Dog - S20232199)
Cooper (Dog - S2019964)
Demo (Dog - S20232669)
Diamond/Bonnie (Dog - S20232678)
Dora (Dog - S20232410)
Duke/Jack (Dog - S20221864)
Elvis (Dog - S20232237)
Faith (Dog - S20232279)
Hoppity (Dog - S20232179)
J42/Jayden (Dog - C2022010)
Legacy (Dog - S20232282)
Lotus (Dog - S20232477)
Malcolm (Dog - S20232675)
May May (Dog - S20232403)
Melanie (Dog - S20232629)
Miles (Dog - S20232676)
Nora (Dog - S20232200)
Obie (Dog - S20232693)
Oliver (Dog - S20232674)
Peanut (Dog - A2023013)
Ranger (Dog - S20232567)
Reddy (Dog - S20232452)
Rigby (Dog - S20232543)
Ruby (Dog - S20222061)
Rufus/Sid (Dog - S20232488)
Ryan (Dog - S20232439)
Stitch (Dog - S20232677)
Suzie Q (Dog - S20232249)
Tulip (Dog - S2023051)
Vernon (Dog - S20232526)
Waffle (Dog - S20232498)
Woody (Dog - S20232215)
Zuri (Dog - S20232605)
Who are you interested in adopting?
Oreo (Other - O2023828)
Punkin (Other - O2023815)
Applicant's First Name
*
Applicant's Last Name
*
Street Address
*
City
*
State
*
Zip Code
*
Phone Number
*
Alternate Phone Number
Email Address
*
Are you 18 years or older?
*
No
Yes
Please enter your birthdate.
*
Do you live in a:
*
Other
House
Apartment
Condo
Mobile Home
If you answered "Other" then please explain here.
Is your residence a rental property?
*
No
Yes
Landlord's Name
*
Landlord's Phone Number
*
Will the pet live:
*
Indoor and Outdoor
Indoor Only
Outdoor Only
Will the dog be chained or penned?
*
No
Yes
If chained or penned then how long each day?
Do you have a completely fenced yard?
*
No
Yes
If yes, what type and height?
On average, how many hours per day will your pet be left alone?
*
Please list the ages & relationships of people living in your home.
*
Do you own other pets at the current time?
*
No
Yes
If yes, please list their names, gender, breeds, and ages.
Are all of your pets spayed/neutered?
*
No
Yes
If no, which ones?
Veterinarian's Name
*
Veterinarian's Phone Number
*
Since most shelter animals have unknown backgrounds, are you prepared to take your pet for a complete physical within 72 hours of adoption & provide necessary medical treatment?
*
No
Yes
Are you aware that the average pet costs in excess of $500 per year in just food and medical care, and that the average life span is 15 years?
*
No
Yes
Are you prepared to care for this pet for the rest of its natural life?
*
No
Yes
The answers I have given are complete, true and not misleading in any way. I am authorizing FCHS to contact my landlord and veterinarians. I am aware that FCHS cannot guarantee the health and temperament of the animal. If I can no longer keep this animal I agree to return it to FCHS. By selecting Yes and clicking Submit I am agreeing to this contract agreement.
*
No
Yes