Adoption Application

Today's Date *
Animal you are interested in adopting *
First Name *
Last Name *
Home Address *
City *
State *
Zipcode *
Drivers License number *
Cell Phone Number *
Work Phone
Home Phone
Email Address *
Confirm email
Spouse/Roomate First Name
Spouse/Roomate Last Name
Number of adults in household *
Number of children living at home *
Children(s) Ages
Do you share your household with all previously listed adults and children?
Who will be primarily responsible for the pet? *
Does anyone in your household have Allergies *
Why do you want this pet? * You may select more than one option
What behavior are you looking for in a pet? *
What is your ideal lifestyle with the pet? *
Will this be your first pet? *
Do you have any current pets? *
Please List ALL current pets: Please list all current pets within your household & what species, and age. If no current pets type N/A
Are your current pets all spayed/neutered? *
Are your current pets up to date on vaccines? *
What brand of heartworm & flea prevention do you use? *
Veterinary Clinic & Number:
During travel for work, vacation, etc. what are your plans for the pet? * *Boarding charges range from $40-$100 per night, depending on the facility and your dogs size
Where will you keep this pet during the day? * Select all situations that apply.
Where will you keep this pet at night? *
How many hours will the pet be alone on a daily basis *
How will you keep the pet confined on your property * Please select all that will apply
In what situations would you allow your dog off leash? *
Which of the following situations would force you to give-up/rehome your pet? * Please select all scenarios that would apply.
What will you do if the dog or cat is destructive? * Tell us your plan in place if the pet is destructive (i.e. chews shoes, furniture, rugs, etc.)
If you have had pets in the past that are no longer with you, please tell us why in detail (i.e. deceased, given away, got too large, etc.): * Please list all reasons that any previous pets are no longer with you, please be detailed in the nature of your explanation. If you have not had pets in the past, type N/A
Please select your residence *
Do you Rent or Own your home? *
Do you have a completely fenced yard? * *Fully fenced yard is comprised of full, secured fence lines on all borders of the property.
Is there a pet deposit/rent? *
Please provide your Landlords name & Telephone number * **Please be advised that you MUST include a copy of your lease if you are renting in any capacity, your application will not be accepted otherwise. If you own your home, just enter 'Homeowner'
Are there any current weight or breed restrictions *
If you present relationship were to change, with whom will this pet remain? *
In the event that you pass away or become incapacitated, what are your plans for your pet? *
If adopting a cat will it be: *
Have you ever adopted from a rescue group before? *
Adoption Acknowledgements * By checking these boxes, you acknowledge that you have read, understand, and agree to the adoption terms, applicable City ordinances, and the laws of the State of Texas. By doing so, you enter into and agree to be bound by these terms and acknowledge your acceptance of this agreement.	I understand that sterilization of the animal I am adopting is required under Chapter 828, Texas Health and Safety Code, and that a violation of this chapter is a criminal offense punishable as a Class C misdemeanor I certify that I have proper facilities to care for this animal and do not want the animal for resale, research, or any purpose other than pet ownership and that I am over the age of 18 years old. I understand that if this animal is under the required age for sterilization, I will have it sterilized on or before the 30th day after the animal has reached 6 months of age. I understand that the City of Missouri City makes no guarantee as to the health, quality or temperament of the animal described below. I further agree that I must obtain proper license or registration for my city of residence within thirty (30) days of adoption. Missouri City residents must purchase registration prior to adoption. If the rightful owner appears within thirty (30) days of adoption, he/she may redeem the animal by paying to the Adopter all documented expenses incurred, reasonable board and sterilization costs, if any, for the animal. I understand that the City of Missouri City Animal Services may examine and make inquiry about said animal(s) at any time and if not satisfied with the animal’s treatment or living conditions, the City of Missouri City Animal Services may reclaim animal. I understand that the City of Missouri City Animal Services may examine and make inquiry about said animal(s) at any time and if not satisfied with the animal’s treatment or living conditions, the City of Missouri City Animal Services may reclaim animal. If the City of Missouri City must institute court action to enforce the terms of this contract, I agree to be responsible for all attorney’s fees and court costs. Applies to In-House PetSmart© Adoptions Only I understand that my email address will be shared with PetSmart© and may receive coupons and promotional offers directly from PetSmart. FOR AND IN CONSIDERATION OF THE OPPORTUNITY TO ADOPT AN ANIMAL, FOR MYSELF AND ON BEHALF OF MY AGENTS, HEIRS, EXECUTORS, SUCCESSORS, ASSIGNS, AND ADMINISTRATORS, I HEREBY RELEASE AND FOREVER DISCHARGE AND AGREE TO INDEMNIFY, DEFEND, AND HOLD HARMLESS THE CITY OF MISSOURI CITY, A MUNICIPAL CORPORATION OF THE STATE OF TEXAS, ITS EMPLOYEES, OFFICERS, AND AGENTS, IN BOTH THEIR INDIVIDUAL AND OFFICIAL CAPACITIES (HEREINAFTER COLLECTIVELY REFERRED TO AS THE “CITY”) OF, FROM, AND AGAINST ANY AND ALL ACTIONS, CAUSES OF ACTION, ANY AND ALL CLAIMS OR DEMANDS OF EVERY KIND AND CHARACTER, WHETHER KNOWN OR UNKNOWN, ARISING OUT OF OR IN CONNECTION WITH THE ADOPTION OF AN ANIMAL FROM THE CITY’S SHELTER, INCLUDING, BUT NOT LIMITED TO, CLAIMS FOR CONTRIBUTION AND ATTORNEY’S FEES, DAMAGES, SUITS, LIABILITIES, JUDGMENTS, AWARDS, COSTS, AND OTHER EXPENSES WHICH MAY BE ASSERTED BY A THIRD PARTY, ME, MY AGENT, HEIR, EXECUTOR, ASSIGN, OR ADMINISTRATOR FOR ANY REASON OR CAUSE, INCLUDING, BUT NOT LIMITED TO, INJURY, DEATH, LOSS, PROPERTY DAMAGE OR THE EFFECTS OF CONSEQUENCES THEREOF REGARDLESS OF WHETHER CAUSED, IN WHOLE OR IN PART, BY THE NEGLIGENCE OR ACTS OR OMISSIONS OF THE CITY. As the Adopter, I agree to abide by all federal, state, and local laws.
How did you hear about us? Please select an option.
Applicant Acknowledgment: I understand that submitting this application does not guarantee the adoption of a Missouri City Shelter animal. I acknowledge that adoption decisions are based on the best fit for the animal, not on a first-come, first-served basis. I understand that all future communication regarding my application will be sent to the email address provided on this application. I certify that all information I have provided is true and accurate to the best of my knowledge, and I understand that any false or misleading information will result in the immediate dismissal of my application. *