Adoption Application

To be considered for adoption, you must:

Be at least 18 years of age or older, NO EXCEPTIONS.
Have a valid photo ID with your CURRENT address.
Have your landlord’s name and phone number.
Understand that this application must first be reviewed by a CHHS staff member before adoption occurs.

Last Name(*)

Please enter your last name before continuing.

First Name(*)

Please enter your first name before continuing.

Email

Please enter your email before continuing.

Daytime Phone Number(*)

Please enter a phone number before continuing.

Alternate Phone Number

Please enter a phone number before continuing.

Address(*)

Please enter your address before continuing.

Address 2

City(*)

Please enter your city before continuing

State(*)

Please enter your state before continuing.

Zip/Post Code(*)

Please enter your zip/postal code before continuing.

The following questions pertain specifically to your interests and preferences about the animal you're interested in adopting.

Animal Type(*)

Cat

Dog

Either

Please indicate whether or not you have a specific type of animal in mind for adopting before continuing.

Do you have a specific animal in mind for adopting?(*)

Yes

No

Please indicate whether or not you have a specific animal in mind for adopting before continuing.

Animal's Name

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If you've identified an animal you're interested in from our website, please provide that animal's name here. Please be as accurate as possible. You can see our dogs & puppies here and our cats and kittens here.

Are you employed?(*)

Yes

No

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Do you rent or own your own home?(*)

Own

Rent

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How long have you lived at your current address?(*)

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If you rent, when does your lease expire?

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Landlord's First Name

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Landlord's Last Name

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Landlord's Phone

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Who is this pet for?(*)

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Has everyone in your household discussed the idea of adopting an animal?(*)

YesNo

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Do you have children under the age of 18 living in your home?(*)

YesNo

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Does anyone in your family have allergies to cats or dogs? Please check all that apply. Skip if there are no allergies.

CatsDogs

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Do you currently have other animals in your home?(*)

YesNo

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If yes, please list all numbers, types and names below. For example: 1 Dog -Sammy; 2 Cats: Tabby & Gator, etc.

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How many pets have you had in the past 5 years?(*)

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If yes, please list all numbers, types and names below. For example: 1 Dog -Sammy; 2 Cats: Tabby & Gator, etc.

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Where are those pets now?

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Where will your animal be kept during the day?(*)

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Where will your animal be kept at night?(*)

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Do you have a fenced yard? (Some dogs may require it)

YesNo

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If so, how tall is it?

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If you are adopting a cat, would you ever consider declawing?

YesNo

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Are you aware of the yearly preventative medical cost(s) for your pet?(*)

YesNo

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Will you cat receive the Feline Leukemia vaccination?

YesNo

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Are you aware that any animal allowed outside in the state of North Carolina is required by law to have a Rabies vaccination?(*)

YesNo

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What do you plan to use to prevent heartworm disease?(*)

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How will you treat your pet for fleas and ticks?(*)

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Pets can live 10-20 years. What is your plan if you move or become unable to care for your pet?(*)

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Owning a pet comes with associated costs. We have compiled some information on a range of costs you can expect to incur with pet ownership. Please click here to see them.

How much are you budgeting yearly for your animal, including food, vaccinations, and other medical costs?(*)

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What is the name of veterinary practice you either currently use or plan to use once you've adopted a pet?

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Vet's First Name

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Vet's Last Name

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Vet's Phone

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REFERENCES: Please provide two (2) references.

Reference #1 First Name(*)

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Reference #2 First Name(*)

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Reference #1 Last Name(*)

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Reference #2 Last Name(*)

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Reference #1 Phone(*)

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Reference #2 Phone(*)

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IMPORTANT: Please read carefully.

This application is part of the Adoption Agreement.By clicking submit, you hereby declare that all the information provided on this application is true and accurate to the best of your knowledge. Cashiers-Highlands Humane Society is entitled to deny the request to adopt an animal from our facility should we learn this application contains any false or misleading information.

We at CHHS thank you for opening your heart and home for a shelter pet!

Terms of Service(*)

I confirm that I am the owner or authorized user of the phone number provided on this application, that I am at least 18 years old, and I consent to be contacted by Cashiers-Highlands Humane Society in accordance with the Terms of Service. All contact information provided is covered by the Shelter's Privacy Policy.

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ADOPT

CHHS Adoption Application

Community Outreach

Bringing People & Pets Together

Our Mission & Funding

Compassionate Care for Animals

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