So that we may be assured that the animal you want to adopt will be best suited for you, your home and lifestyle, we would like you to provide us with the following information.
About The Pet You'd Like to Adopt
All required fields are marked with an asterisk (*)
Name and description of the animal you're interested in:
Select how you first learned about this pet?
Petfinder or ECCHA website
In person at the shelter (ECCHA)
About Your Household
Please select your household activity level.
Please list the names and ages of other members in your house.
Please select your relationship to residence.
Live with Family
Mobile Home/Own Land
Why have you decided to adopt an animal?
What will you do to ensure you will be a responsible owner?
What do you know about the breed(s) you want to adopt (breed characteristics, potential health issues, etc.)?
If you had to move in the future, what would you do with your pet(s)?
Do you plan to breed your animal/let it have a litter?
Do you plan to spay/neuter your animal?
If so, please explain the circumstances and what happened to it:
Do you plan to declaw your animal?
How will you exercise your animal?
Please select how you intent to train your new animal.
On my own
If other than obedience class, please tell us about your training plan:
About Your Pet Plan
Dog / Food Aggression:
Mouthing / Play biting:
Climbing on furniture/counters:
What brand of food will you feed your animal?
Please select where you will primarily keep your animal.
Pet will primarily live inside.
Pet will primarily live outside.
Pet will live inside and outside.
Please select where you will keep the animal when you are away.
Pet will be crated.
Pet will be able to roam the house freely.
Pet will kept outside.
Other (Please explain below.)
When outside, how will the animal be confined? Fenced Yard, Running Cable/lead line, other:
If the animal will be kept in an outdoor enclosure, please describe the enclosure and note when they will be confined to it (during what hours of the day, and what times of year, etc):
If you have any additional comments, please put them here:
The undersigned applicant hereby grants the Eau Claire County Humane Association permission to confirm any information provided in this application with any appropriate third party source, including landlords, veterinarians, etc. The information obtained will be held in confidence and used only by the Eau Claire County Humane Association for purposes of this adoption application. I certify that all the information on this application is true and complete. I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected. I also understand that this adoption application is at its own discretion. It is specifically understood that the Eau Claire County Humane Association reserves the right to deny any adoption application at its own discretion.
Typing your name below will serve as legal signature. By signing below, I am attesting to the truthfulness of my answers. Falsification of any of the above information will be grounds for disallowing the adoption of rescue Cat and possible removal of said Cat from my home. Applicant must be 18 years of age or older. We reserve the right to refuse any applicant.