Adoption Application - Bahamas Humane Society

Applicant First Name

Applicant Last Name

Address

Home Phone

Cell Phone

Work Phone

How long have you lived at the above address?

Do you own or rent at this address?

Residence Type

How many people, including you, live in your home?

Please list name, relationship, and age for each person in your house

Please describe the daily schedules (work, school, etc) in your household and how it would relate to the time spent with the animal, the time the animal would spend alone, etc:

Where would the animal spend most of it's time, both daytime and nighttime, when it's with you and when it's alone (in the house, caged, tied, loose, enclosed yard, garage, kennel, approximate hours, etc:

Please describe your travel habits, leisure activities and hobbies and how an animal would fit in to any of those:

Have you adopted from the BHS before?

Please list and describe the animals you have owned in the past 5 years (that you no longer have) and what happened to them:

Please list and describe the animals you currently own (including which are spayed/neutered):

Please give name and contact information of your veterinarian (OR intended veterinarian if you do not own any pets currently):

Veterinarian's Name

Veterinarian's Phone

Are you interested in a dog?

Preference for the sex of the dog?

Will you adopt a dog with special needs?

Age preference for the dog

Are you interested in a cat?

Preference for the sex of the cat?

Are you willing to adopt a cat with special needs?

Age preference for the cat

Describe any breed preference that you have:

How did you hear about the BHS and what makes you interested in adopting from us:

What is the primary purpose of the animal you would like to adopt:

Please provide any other information that you feel is important about yourself and the possibility of you adopting a BHS animal:

To adopt a BHS animal animal a home/yard inspection is required. Please give directions to your address:

I confirm that the information I have provided herein is true and accurate to the best of my knowledge

Applicant Full Name

Date

Thank you for taking the time to fill out this application. We will review the information you have provided. Once your we have reviewed the application, you will be scheduled for a home inspection. This is a chance to meet you, your family and current pets. All members of the household (including children and pets) need to be present for the home visit. Please contact your veterinarian let them know we will be contacting them, so that they know they have your permission to talk to us.

Bahamas Humane Society | Adoption Application