Small Animal Adoption Application | Olympic Peninsula Humane Society

Thank you for visiting the Olympic Peninsula Humane Society. This questionnaire will help us to help you select the right pet for your particular lifestyle, family and home.

Applications are kept on file for 60 days.

Type (species) of animal you are interested in adopting;

Name of animal interested in

Applicant, First name

Applicant, Last name

First Name, Co-Applicant

Last Name, Co-Applicant

Phone (Home)

Phone (Cell)

Street Address

City

State / Province

Zip Code

Country

Applicant Age:

Mailing Address If Different

Applicant Email

Do you live in a:

Do you own or rent?

If OWN: please provide county Parcel #

Landlord Name

Landlord Phone and Email

Do you realize it can cost between $80-$100 per month to property care for and feed a small exotic pet?

How long have you lived at your current residence?

Do you plan on moving within the next 6 months?

How many adults live in the home?

How many children live in the home?

Children’s ages

If there are children in the home, have they lived with, or have experience with,small animals?

Who will be the primary caregiver for this animal?

It is unreasonable to expect a child of any age to take full responsibility for the complete care for any animal in the home. Are you prepared to take full responsibility if your child becomes disinterested??

Have you adopted an animal from us before?

When?

Species?

Do you still have the animal?

If you don't have the animal, please explain what happened.

Why do you want to add this animal into your life/family?

What research have you done on this type of animal and their care/needs?

How would you describe your previous experience with this type of animal?

Very experienced - have owned many

Moderate - have owned own before

Friends/family have owned one before

I have never owned one before

What kinds of issues would cause a major challenge for you?

Animal shyness/Fearfulness

Animal requires too much attention/work

Cost of supplies, food, cage, vet care, etc.

Biting/Aggression

Name and Phone of Veterinarian

Other

Where in your home will the animal live?

Do you already have an adequate habitat ready for the animal?

Do you already have an supplies and food ready for the animal?

How much time per day are you willing to spend with the animal?

Do you understand that animals adopted from OPHS may NOT be used for breeding?

Do you currently have a veterinarian that sees small, "exotic" animals?

Have you ever surrendered a pet to an animal shelter?

If yes, when?

What pets do you currently have in your household? Please describe.

Certify

Electronic Signature

Date of Application

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