Cat and Dog Adoption Application

Welcome to Helping Strays. Thank you for choosing adoption! This form and a consultation with a Helping Strays representative will help find the animal most compatible with you and your lifestyle. We welcome adopters who rent or live in apartments or condos. Some Landlords have breed and size restrictions, limits on numbers of pets and may require deposit fees. Please check for any restrictions prior to adopting. YOU WILL RECEIVE AN IMMEDIATE EMAIL CONFIRMATION AFTER CLICKING SUBMIT.

Feline or Canine *	Cat Kitten Dog Puppy
Name of specific Pet(s) you are interested in:
Pet Sex Preference *	Male Female No Preference
Pet Size Preference	Small - under 10 lbs Medium - under 50 lbs Large - over 51 lbs No Preference
Is Applicant an Individual or Couple? *	Individual Couple
First Name of Primary Applicant: *
Last Name of Primary Applicant: *
Primary Phone (10 digits): *
Primary Email: *
Secondary First Name: *
Secondary Last Name: *
Secondary Phone: *
Secondary Email:
Street Address: * Enter North, South, etc as N., S.
City: *
State: *	IL AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zip: *
Emergency Contact Phone:
Preferred way to contact: *	Phone Email Text
Are you or your spouse an active member of the US military:	NoYes
How did you hear about Helping Strays:	Helping Strays Previous Adopter Helping Strays Website FaceBook Adopt A Pet Pet Finder Friend Other
This pet is meant to be a gift. I am answering the following questions from the perspective of the lucky recipient.	NoYes
Tell us about members of your household. Please list number of adults and children including ages of children: *
Please list current household pets: *
Current Vet Name / Phone #:
The Animal(s) name they are vetting:
Who’s name does the vet have your pets registered to:
Other information you would like to share to help us find a perfect match for you:
We'll explain this pet's medical and behavior history. Check any additional topics you would like to discuss:	Feeding Finding a trainer Heartworm prevention Grooming/Nail Trimming Exercise, toys, fun activities Cat Scratch Posts House-training/Litter box training Introducing new pets Crate training Finding a veterinarian Moving with pets Declawing Pulling on leash; using a harness Puppy/Kitty proofing your home
Extra Services and Opportunities (check all you are interested in):	Information about volunteering or fostering with Helping Strays Sponsorship options (i.e. adoption sponsorship, litter sponsorship, event sponsorship, etc.) Information about support Helping Strays Information about low cost spay and neuter services or other veterinary services for those in need.
Signature *	Clear

Thank you for providing this information. Your application, along with others, will be reviewed and this pet will be placed with what Helping Strays feels is the best match. Helping Strays * 4221 Hanover Rd * Columbia Il 62236 618-939-PETZ (7389) * www.helpingstrays.org * email:Info@helpingstrays.org