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If you are interested in adopting any of our wonderful animals and providing them with a loving forever home, please complete the below application. One of our BCHS representatives will be in contact with you shortly.

Printable Applications:
Dog and Cat Adoption Application
Exotic Birds Adoption Application


Adoption Application

Pet Information

Animal ID
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Animals Name
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Breed
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Age
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Contact Information

Name
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Drivers License
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Are you atleast 18 years of age? (*)
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Birthday Invalid InputInvalid InputInvalid Input
Home Phone
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Cell Phone
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Email
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Street Address
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City
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State
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Zip Code
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Alternate Contact
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How many hours per day will the pet be outside?              
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How many hours will this pet be home alone each day?
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Where will your pet sleep at night?
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Do you have a fenced in yard?
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Do you plan to keep your pet in an outside pen or on a stake tie out?
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How many children are in your home?
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What are their ages?
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How many other pets are in your family?
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Are they spayed or neutered?
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If not, do you plan to have these pets spayed or neutered?
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List other pets including breed and age:
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When did you last visit your Veterinarian?
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What was the purpose of this visit?
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Have you ever had a pet that is no longer with you?
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If yes, what happened to this pet?
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What type of home to you live?
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Do you Own or Rent?
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How long have you lived at this address?
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If you rent, name of Landlord?
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Landlord Telephone
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May we contact your landlord to verify the pet policy?
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If you had to relocate/move would you take your pets with you and find living accommodations that allows pets?
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If not, what would you do with your pets?
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Name of your Veterinarian
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Veterinarian Phone Number
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If you do not have a Veterinarian would you like a recommendation?
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Personal References:
Please provide 3 personal references. This is required in order for us to process your application.
Name
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Telephone
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Name
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Telephone
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Name
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Telephone
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Would you allow a representative of the Humane Society to visit your home?
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By submitting this application you are indicating that everything on this form is true and as complete as possible.
           

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How You Can Help

We believe that animal protection stands for the preservation of animal life, not the ending of it. Our goal is to make Blount County a
NO KILL community by building a safe shelter that saves our dogs and cats by following the no kill philosophy.