Adopt a Dog

Adopt a dog

If you would like to adopt a dog, fill out the form below and one of our adoption coordinators will get back to you.

Please note that Henrico Humane Society holds adoption stand in Henrico, VA, and adopters should live within a reasonable driving distance from there.We are committed to finding permanent, responsible and loving homes for the animals in our care. We may need to contact your references and make a home visit, so an adoption may take some time to finalize.

Dog Adoption Application

Personal Info

Name *

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

Phone

(###)

###

####

Email Address *

Employer *

How long at job? *

Is there a Co-Applicant? *

Yes

If Co-Applicant, please provide additional info.

Co-Applicant Name, Address, Phone Number, Email, Employer, and How long at job?

Is there a specific animal you are interested in? *

Yes

If Yes, please provide name.

If you are interested in a specific animal, are you open to any other animal?

Yes

What physical traits are you interested in? (Select all that apply.) *

Puppy (< 1 yr)

Dog (1-6 yrs)

Senior (7+ yrs)

Male

Female

Small (<25 lbs)

Medium (25-55 lbs)

Large (55-90 lbs)

Giant (90+ lbs)

What behaviors would you find unacceptable, and how would you handle them?

Are you willing to work with a trainer or enroll in classes? *

Yes

If you're adopting a puppy, do you plan to sign up for puppy obedience classes?

Yes

Do you have a yard? *

Yes

If yes, please provide details.

Is it fully fenced? If there is a fence, what type of fence and how tall?

Why is this a good time for you to adopt a pet? *

Please tell us about your lifestyle and the type of pet you think would be the perfect match for you and your family. *

Who is this pet for? *

("Myself", "Our family", "Children", "Gift for someone else (provide details)")

If you expect any life changes, please provide details.

Includes moving, marriage, baby, etc.

Who will be the primary caretaker of the pet? *

What would happen to your pet if you had to move? *

If something were to happen to you, who would take care of your pet(s)? *

How much money are you prepared to spend for the care of your pet each year? *

Household Information

Please provide the number of adults in your household & their ages. *

Please provide the number of children in your household & their ages. *

Are all of the adults in the home aware of, and agreeable to, adopting a pet? *

Yes

Do you own or rent? *

Own

Rent

If you rent, please provide your landlord's name and number.

If you rent, please provide additional lease information.

How many pets does your lease allow? Are there any other restrictions (breed, weight, etc.)?

How long have you been at your current residence? *

Who do you live with? (Select all that apply.) *

Live alone

Spouse

Significant Other

Children

Roommate

Parents

Other

Does anyone in your home have asthma or pet allergies? *

Yes

Who will take care of your pet when you go away overnight? *

Where will your pet stay when left alone at home? *

Where will your pet sleep at night? *

How many hours per day will your pet be alone? *

How do you plan to exercise your pet? *

Current &/or Previous Pet History

In the past 7 years, have you had pet(s) that are no longer with you? *

Yes

If Yes, please provide additional information.

Kind of pet & what happened to them.

Have you previously adopted a pet through a humane society or animal shelter? *

Yes

If Yes, please provide the name of the society/shelter and the type of pet(s).

Have you ever returned/surrendered a pet to a humane society or animal shelter? *

Yes

If Yes, please provide the name of the society/shelter, the type of pet(s), and the reason for surrender.

Have you ever been reported to animal control or had an animal removed from your care? *

Yes

If Yes, when did this happen, and please explain the circumstances & outcome.

Do you have other pets now? *

Yes

If Yes, please provide additional info about your current pet(s).

For each pet, please provide: type, name, age, sex, spayed/neutered (Y/N), Date of last shots, how long you've had the pet, where the pet stays (inside/outside/both)

Do you have other pets in your home that belong to someone else (relative, roommate, etc)? *

Yes

If Yes, please provide additional info about the pet(s).

For each pet, please provide: type, name, age, sex, spayed/neutered (Y/N), Date of last shots, how long you've lived with the pet, where the pet stays (inside/outside/both)

References

Current Vet: Name & Number

Previous Vet: Name & Number

Please list three people outside of your home as references. *

Include name, phone number, and relationship.

Sign & Submit

Electronic Signature (type your full name) *

By submitting this application online you are admitting that the contents are true and accurate.

Today's Date *

Today's Date

YYYY

How did you find out about this adoption opportunity?

Facebook

Instagram

Henrico Humane website

3rd party adoption site (Petfinder, Petango, Adopt-a-Pet, etc.)

Friend or family member

Adoption event (Petco)

Other