Cherryland Humane Society - Adoption: Application Form

Dogs & Puppies

Cats & Kittens

Adoption Guide

Adoption Application

Dear Visitor

Classification System

Veterinary Assistance Program

Success Stories

Adoption Forms:

Animals Health, Temperament and Behavior Statement

Statement of Understanding

Adoption Contract

To My New Owner

Grand Traverse County Animal Laws

Mission

HOURS: Monday - Friday 11:00 a.m. to 5:00 p.m. • Saturday 11:00 a.m. to 3:00 p.m. • Closed Sundays and Major Holidays


ANGEL
Female	5 mo.


LES
Male	2 mo.

Upon arrival at the Cherryland Humane Society, all pets are evaluated by our staff. All dogs and puppies receive an evaluation status, which is listed on each cage. We ask that you complete the following form prior to adoption to ensure that the proper pet is placed into your household. Please complete and print the form and bring it with you to the shelter. If you wish to let us know about your particular interest, please use this form to notify us.

Date
Name
Home phone
Work phone
Address
City
Zip Code
Residence	Homeowner Renter
Landlord name
Landlord phone
Reason for adoption
Have you adopted from CHS before?	Yes No
If yes, where is that pet now?
Will the pet be indoors at all?	Yes No
Regarding your current pets:
Are they spayed/neutered?	Yes No
Up to date with all shots?	Yes No
Do you have a veterinarian?	Yes No
Are you willing to incur the expense of routine veterinary care, typically $50 - $100 per year?
Will you provide veterinary care?	Yes No
If you move, will you take your pet with you?	Yes No
What will you do with your pet during vacations or emergencies?
Would you object to an authorized CHS rep visiting the pet to inspect its living conditions?	Yes No
Please let us know if you have any specific requests regarding the pet you wish to adopt.
Species	Cat Dog
Breed
Age range
Weight range
Gender	Female Male
Mixed breed	Yes No
Specifics or notes
Complete the following for dog and puppy adoptions only.
Are you or any household members first time dog owners?	No Yes (if yes, avoid B pets)
Are there any preschool children in your household?	No Yes (if yes, avoid C pets)
Are there any other dogs/cats in your household?	No Yes (if yes, avoid D pets)
Are there any elderly or disabled persons in your household?	No Yes (if yes, avoid E pets)