HSO Meet Your Match Form

Your Name *

First

Last

Your Physical Address *

City and State *

Zip Code *

Your Best Phone Number to reach you anytime: *

Your Email: *

Are you 18 years of age or older? *

Yes
No

You must be 18 years of age or older to adopt a pet.

Are you head of your household? *

Yes
No

Are other adults in your household in agreement with you adopting a pet? *

Yes
No

Do you, or anyone living at this pets’ intended household, have a history of violent or sexual crimes, animal cruelty or abuse? *

Yes
No

Name of pet(s) you are interested in adopting: *

If you do not know the pet's name, use 'unknown".

Activity Level of pets you are interested in: *

(example: active, hyper, calm, laid back)

Are you adopting this pet for someone other than yourself? *

Yes
No

If yes, Who?

Do you live in a. . . *

City
Town
Country
Farm

Do you live in a. . . *

Do you. . . *

Own
Rent
Live with parents/family

If rent, does your landlord allow pets? *

Yes
No
No Landlord

Is there a pet deposit you must pay the landlord? *

Yes
No
No Landlord

If renting, Name and phone number of landlord: *

If you are not renting write "none".

What kind of pet are you looking for? *

Inside only
Outside only
Inside / Outside

Will the pet have access to the outside via a pet door? *

Yes
No

If no, could you install a pet door? *

Will the pet have access to a front or back yard? *

If no yard or fence, what is your safety plan? *

Average number of hours you are gone per day?

Will your pet be kenneled/crated when you are gone? *

Yes
No

Where will your new pet sleep? *

Inside
Outside

Number of adults in home: *

Number of children under 18 in your home and their ages: *

How often do visiting children come? *

Frequent
Not so frequent
Seldom

What are their ages? *

If no children visit, type "none"

Why do you want to adopt this pet? *

What activities will you share with your new pet? *

How many pets do you have now? *

List current pet(s) in the home: Name, Sex, Breed, Age. *

Are all your pets currently Spayed or Neutered? *

Yes
No
I need help with Spayed or Neutering

Your Veterinarian’s name and phone: *

How did you hear of this pet? Friend, Newspaper, Online, Adoption event, or how? *

I give permission for photos to be taken of my new pet and myself/my family at the time of adoption, to be used by HSO in social media posts and/or shared with grantors for their use. *

Yes
No

Type in your name if you agree to the following statement *

By submitting this form, I acknowledge that adopting a pet is a lifetime commitment, usually lasting 10 to 15 years. I understand that this form is only a questionnaire/application for adoption, and upon approval by HSO, I will sign an adoption contract.

Type in today's date *

Thank you for your interest in adoption! Please click Submit and someone from HSO will contact you!

HSO Meet Your Match Form

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