True No-Kill Cat and Dog Animal Shelter - Belton, MO

Online Application

New Field
Your Name(required)
Email Address:(required)
Home Address:(required)
City, State, Zip:(required)
Occupation:
Daytime Phone:(required)
Home
Work
May we call you at work?
Yes
No
Home/Cell Phone:
Best time to contact you:
Names and ages of people who will be living with this pet:(required)
Name of pet you wish to adopt: (leave blank if unsure)
Do ALL members of the family want this pet?
Yes
No
What type of housing do you reside?
House
Townhouse
Apartment
Duplex
Mobile Home
Do you:
Rent
Own
If you rent, are pets allowed in your dwelling?
Yes
No
If you rent, please provide contact information for your landlord:
You may leave the following two questions blank if you are looking to adopt a cat.
Do you have a fenced yard?
Yes
No
If yes, please give the type and height of fence:
Where will the pet e kept during the day?(required)
And at night?(required)
Other pets in the home: (names and breeds)(required)
Are your dogs up to date on rabies vaccinations?
Are your pets spayed or neutered?
If adopting a cat, would it live...
Indoors
Outdoors
Both?
What other pets you have had in the past and what has happened to them?(required)
If you are forced to move and would not be allowed to take your pet, what would you do?(required)
Inquiring about a cat, please answer below question:
In your opinion, what is the best way to train your cat to use a scratching post? If you are unsure, please state that you will need information on training or if you plan to declaw:
Wanting to adopt a puppy, please answer below question:
In your opinion, what is the best method to housetrain your puppy?
Please list your veterinarian's name, address and phone number for reference:
Name:
Address:
Phone:
May a HELP Humane Society officer visit your home for approvals or follow-ups?
Yes
No
Applicants signature:(required)
Date:(required)
Co-Applicants signature:
Date:

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Address:

Phone:

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