Canine Adoption Application

Pet ownership is a serious commitment that the entire household needs to consider and agree to before the animal is adopted. We want to ensure that each adoptive household is aware of, and willing and able to accept, the physical and financial responsibilities of pet ownership. Not everyone who desires to own a pet is ready to properly care for one. This questionnaire will assist both you and us in determining if your household is prepared to assume the role of responsible caretaker for a rescued animal. Thank you for taking the time to fill out this application. (Fields with a red asterisk are required.)

Applicant info


Environment info


Adoption preferences


Problem resolution


Current pets


Veterinarian info


References


Please list names and email addresses and phone numbers for three personal references, other than relatives. If you’ve had pets, include referemces who know the pets you have or have had, and the care that you provide for your pets:

Closing questions




If at any time an adopter cannot keep the dog, it must be returned to the Floyd County Humane Society. If the dog is not spayed or neutered at adoption, the adopter is required to alter the dog and provide a veterinary certification of altering to the Floyd County Humane Society by the date specified in the adoption contract. Dogs unaltered by the contractual date may be seized. By signing below, I acknowledge that I have completely read this questionnaire and comprehend it fully. I know that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application or the adoption contract can result in the forfeiture of any Floyd County Humane Society animal adopted by me.

Updated July 23, 2020