Adoption Questionnaire

We are so happy you are interested in adopting one of our foster animals!

Please fill out and submit the form below as part of the matchmaking process. Fields marked with * are required.

Foster Pet Info

Which of our foster pets has caught your eye?

Foster Pet's Name (Optional)

(Enter multiple names if you're interested multiple animals.)

Foster Pet's Species *

Your Contact Info

Are you over the age of 18? *

First Name *
Last Name *
Home/Primary Phone *
Work Phone
Cell Phone
Email *
Address *
City *

State *
Zip *

Your Household

Do you rent or own your residence? *

Landlord's Name *
Landlord's Phone *

What type of residence is it? *
What hours is someone usually home? *
How many people are in your household? *

Are any under the age of 18? *

What are their age(s)? *

Does your family support the decision to bring a pet into your home? *

If no, please explain: *

Your Pets

Over the past 5 years, how many pets have you owned? (Include current pets.) *
Please tell us about your most recent pets. (Add up to 6 pets.)

Add a Pet

Is this a past or current pet?
Species
Breed

Sex
This pet has been spayed or neutered

Delete this Pet

Add Another Pet

Is this a past or current pet?
Species
Breed
Sex
This pet has been spayed or neutered

Delete this Pet

Add Another Pet

Is this a past or current pet?
Species
Breed
Sex
This pet has been spayed or neutered

Delete this Pet

Add Another Pet

Is this a past or current pet?
Species
Breed
Sex
This pet has been spayed or neutered

Delete this Pet

Add Another Pet

Is this a past or current pet?

Species
Breed

Sex
This pet has been spayed or neutered

Delete this Pet

Add Another Pet

Is this a past or current pet?

Species
Breed

Sex
This pet has been spayed or neutered

Delete this Pet

What happened to the pets you no longer own? *
Who is your veterinarian?
Veterinarian Phone
Can we contact your vet for a referral?
If you have a dog or cat, what heartworm preventative do you use?

Adopting a new pet

Why do your wish to adopt a pet?

Companion
Children
Protection
Mouser
Gift
Other

If other, please explain:

Will you provide necessary medical attention for the animal including yearly checkups for as long as you own it? *
Are you willing to commit to keeping your new pet for 10-15 years? *
(This is the average life span.)
Will you be able to keep the pet if you move, have children, or divorce? *
Where will your new pet spend most of its time? *
Where will your new pet sleep? *

If adopting a cat, do you plan to declaw it? *

If yes or maybe, please explain: *

If adopting a cat, can you restrict the cat to indoors only? *

If adopting a dog, will you tie or chain it outside? *
Do you have an area outside that is fenced with a shelter? *

Fence Type: *
Fence Height: *

Do you understand the local ordinances pertaining to the leash law and rabies vaccination? *
May we visit your home in the future to verify the pet’s well being? *
Do you agree to contact the Foster Parent or LCHS if you are unable to keep your new pet for any reason? *
Anything else you would like us to know?

Finishing Up

How did your hear about our foster program?

PetSmart
Previous Adopter
Adoption Booth
Friend
Website
Family
Tallahassee Democrat
PetFinder.com
Search Engine
Other

The Leon County Humane Society is a 501(c)(3) nonprofit organization, which is supported solely by memberships, adoption fees and donations. All investments may be tax deductible as a charitable expense. It is a charitable tax deduction for federal income tax purposes. We do not receive funding from any government entities or national organizations. All monies raised go to support local programs to improve the lives of companion animals.
Would you like more information about membership to the Leon County Humane Society?
If you are age 60 or over, please let us know. We are the recipients of a grant which may pay part of the adoption fee!

Yes, I am over 60 years old!

Checking the box below serves as your electronic signature.

I VERIFY THAT THE INFORMATION ABOVE IS CORRECT TO THE BEST OF MY KNOWLEDGE. *

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Leon County Humane Society
413 Timberlane Road
Tallahassee, FL 32312
(850) 224-9193
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