The Humane Society of Sumner County
16 Volunteer Dr
PO Box 2412
Hendersonville, TN
37075
615-822-0061

Adoption Application

Thank you for your interest in adopting one of our pets. Please complete and submit the form below and someone will be in touch very soon.

* Required Fields

*Name:
*Address:
*City:
*State:
*Zip:
*Home Phone:
Work Phone:
*Email:
Name of pet you are interested in adopting:
Is this your first experience with this type of pet?:	Yes No
List the pets you currently have in your household
Pet #1
Name:
Age:
Type:
Spay/Neuter:
Kept:
Pet #2
Name:
Age:
Type:
Spay/Neuter:
Kept:
Pet #3
Name:
Age:
Type:
Spay/Neuter:
Kept:
List pets owned in the last five years (other than those listed above)
Pet #1
Type:
Spey/Neuter:
Where was the pet kept?:
Where is the pet now?:
Pet #2
Type:
Spay/Neuter:
Where was the pet kept?:
Where is the pet now?:
Pet #3
Type:
Spay/Neuter:
Where was the pet kept?:
Where is the pet now?:
Veterinarian
Who is your veterinarian?:
Vet's phone number:
Your current residence is:
Do you own or rent:
If you rent, does your lease allow pets?:
If you rent, what is the landlord's name?:
If you rent, what is your landlord's phone number:
Do all the adults in the household know that you plan to adopt?:	Yes No
If children are in your home, what are their ages?:
Where will this pet be kept during the day?:
Where will this pet be kept during the night?:
How many hours a day will it spend alone?:
Where will it be kept when it is alone?:
Do you plan on spaying or neutering your pet?:	Yes No
How did you hear about our adoption service?:
For dog adoptions only
Do you want the dog primarily for a:	House Pet Guard Dog Watch Dog Companion Breeder Gift Companion for other pet Other
Do you have a fenced in yard?:	Yes No
If yes, what kind and how high?:
Do you realize you will probably have to house-train your puppy or dog?:	Yes No
Would you like information on how to house-train your puppy or dog?:	Yes No
Are you familiar with the leash and licensing laws in your community?:	Yes No
Are you familiar with heartworm disease:	Yes No
How will you keep your dog confined to your property?:
Authentication:
4 + 2 = ?:	(Required) Please type in the correct answer to the math question.
Please click the Send button only once.