Dog Application
The Hancock County Animal Shelter is located in Hancock County, WV.
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I acknowledge that you are located in Hancock County, WV.
First Name:
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Last Name:
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Street Address:
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City:
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State:
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Zip Code:
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Phone Number:
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Email:
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Confirm email
DL/ID Number
Date Of Birth
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Who are you adopting this dog for?
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Myself
Someone Else
If you selected "Someone Else" above, who are you adopting this dog for?
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Please list names and ages (Jane Doe/25 yrs.) of all person's living in the home.
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How busy is your family schedule?
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Very Busy
Busy
Not Busy
Does anyone in the home have allergies?
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No
Yes
Do you rent or own your property?
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Own
Rent
Land Contract
Do you agree to provide written agreement from your landlord to adopt a dog?
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No
Yes
Landlord's Name:
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Landlord's phone number:
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Where will your new dog be kept during the day?
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Where will your new dog be kept at night?
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Where will your new dog be kept while you're away?
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Please provide the name, address, and phone number of your primary care veterinarian.
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Do you agree to provide any and all veterinary treatment that your new dog may require throughout his/her lifetime?
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No
Yes
Are you aware of the need for heartworm prevention?
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No
Yes
Are you financially prepared to provide the care and commitment for a new dog?
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No
Yes
Are your current pets up to date on their Rabies vaccination?
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Yes
No
I don't have any current pets
Are your current pets spayed or neutered?
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Yes
No
I don't have any current pets
What will you do with your new dog if you move?
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Please list the name/age/sex/species/altered status of any pets you currently own:
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i.e. Mia/8/female/dog/spayed
Do you have a fenced yard or dog run?
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Fenced Yard
Dog Run
I don't have a fenced in yard or dog run
Do you agree to a home visit if requested?
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No
Yes
What dog are you interested in adopting?
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Are you interested in any of our other dogs?
List the names of any other dogs you're interested in.
Have you ever surrendered an animal to our shelter or to any other shelter?
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No
Yes
How did you hear about us/this dog?
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