Humane Society of Angelina County
Adoption Form
   
   
Adoption Fees:  
     Pets under 3 months of age: $50     (Includes first set of shots, worming, fecal, and spaying/neutering performed at this facility)
     Pets over 3 months of age:
$58     (Includes all the above, plus a rabies vaccination coupon that can be used at your vet's office.  A heartworm filter test will be done on all dogs over 6 months old)

 Payments will be made at the Humane Society of Angelina County Office  

   

Please Note:  In order for us to consider your on-line application,  you must complete ALL fields.  Once your application has been processed and reviewed, you will be contacted by the Humane Society of Angelina County.  If you fail to complete the application, it will not be considered.

Pet's Name                                Dog    Puppy    Cat   Kitten

Breed                                          Color    

Owner Information:   

Name
Address
City, St.  Zip
Employer
Home Phone
Work Phone
How Long at Current Address
   
Do You:  Own  Rent If Renting, Does lease allow pets?  Yes  No  
Do you live in a:  House Apartment        Mobile Home       Other  
Do you have a fenced yard? Yes     No  
Landlord's Name    Phone
How many children in home?   What are their ages?   
Have you owner an animal? Yes     No     If yes what type?   
Have you ever applied for or adopted an animal from the Humane Society?  Yes   No
If yes, when? 
Do you currently have pets in your household?  Yes   No  If yes, please list them:
           

 

Breed

Spey/Neuter (Y,N)

Kept Where? Inside or Outside

Ages

How long have you owned it?
Pet 1
Pet 2
Pet 3
For what purpose are you adopting this new pet from HSAC? 
Do you use a veterinarian?  Yes  No
If yes, give name and phone # 
How do/will you keep your pet(s) confined to your property? 
Where will your pets be kept:  Day   Night
If this new pet is an only pet, how many hours a day will it spend alone? 
Pets often live longer than 10 years.  Are you willing to assume responsibility for that long?   

Enter your comments in the space provided below:

Please contact me as soon as possible regarding this matter.

Webmaster:  Jason Camp
Copyright © 2001 [Humane Society of Angelina County]. All rights reserved.
Revised: 08/04/01.