Morongo Basin Humane Society

Personal Info

Name

*

First Name

Last Name

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Mailing Address

*

Email

*

Verify Email

*

Phone

*

Driver's License

Organization/Employer

*

Position

*

Your job

How long employed:

*

Employer's phone

*

What kind of dog are you looking for?

*

1. Have you adopted from the Joshua Tree No-Kill Shelter before?

*

Yes

No

If YES, please indicate whether your adopted pet is a cat or a dog and date of adoption.

*

Who was adopted - cat or dog - and date of adoption?

2. Have you adopted from any shelter before?

*

Yes

No

If YES, name and location of shelter?

*

Please indicate the name and location of the shelter from which you adopted your pet.

Housing

3. Do you rent or own your residence?

*

Rent

Own

Is it a House, Apartment, Condo, Other:

*

House

Apartment

Condo

Other

3 a. If you are RENTING, please provide us with your landlord’s contact info:

*

Name, Address, Phone number

For Shelter records: Date landlord was contacted: ____________________

4. How long have you lived at your current address?

*

Years & months

5. Are there any covenants or restrictions in your community regarding:

*

Number of animals in household

Certain breeds

6. Do you have a fenced yard?

*

Yes

No

If YES, how many feet high is the fence?

*

Height Measurement

If YES, will you include regular exercise and leash walks for this dog?

*

Yes

No

Please note:

We require a detailed video or sequence of photos of the entire fence, including gates as well as where it is attached to structures in the enclosed area.

If you do not have a fenced yard, or if you are applying to adopt a large dog with a small yard or patio, you will need to submit a detailed exercise plan for the dog you are applying to adopt.

7. Where do you plan to keep this dog:

*

Inside only

Outside only

Inside & Outside

8. Do you have a dog door?

*

Dog Door?

Yes

No

9. How many hours in an average workday will your dog be unattended?

*

Average time dog will be left alone.

9 a. Where will this dog be kept when you are not at home?

*

Contingency Plans

10. Emergency Contact

*

Name / Phone / Address

11. What will happen to this dog if your personal circumstances change and you are unable to care for it?

*

What are your options?

12. What will happen to this dog if you must move unexpectedly?

*

What are your options?

12 a. If leaving pet with family member or friend, please give their name and phone number.

*

Name and phone number

13. Are you currently in the military?

*

Yes

No

13 a. If YES, do you live in Base housing? (This includes off base housing)

*

Yes

No

13 b. How long will you be stationed here?

*

Years, Months

13 c. What plan is in place if you are transferred or deployed?

*

What if?

14. What will happen to your dog when you go on vacation?

*

Vacation Plans?

15. How will you care for this dog if it's sick or injured?

*

What if?

16. Do you have a regular veterinarian?

*

Yes

No

16 a. If YES, please provide Vet’s name, clinic and phone number.

*

Vet's contact info

Animals

17. How many animals have you personally owned/been financially responsible for in the last five years including your current animals? Please do not include family pets.

*

Dogs

*

How many dogs?

Cats

*

How many cats?

Other?

*

Yes

No

If other, what species?

*

How many? Type of species?

17 a. If you no longer have these pets, please explain why (i.e. gave away, passed away, ran away, surrendered to shelter, etc.).

*

18. How many animals do you currently have?

*

How many?

Please state below the number of Cats? Dogs? Other? If other, please identify in the space provided.

Cats

*

How many?

Dogs

*

How many?

Other?

*

Yes

No

If other, what species?

*

How many? Type of species?

18 a. Are all of your current animals spayed/neutered?

*

Yes

No

18 b. Can you provide proof of their spay/neuter?

*

Yes

No

18 c. Are all of your current animals up to date on their vaccinations?

*

Yes

No

19. Please give us your opinion of spaying/neutering animals.

*

POV

20. Have you ever had to re-home or relinquish one of your animals to a Shelter?

*

Yes

No

20 a. If YES, please explain.

*

21. If you would like to add any other additional information to support your application, please do so here in the space provided. This information can also help us get to know you.

References

22. Please list three references (non-relative), e.g. another shelter from which you have adopted an animal from, a veterinarian, a landlord, or a friend.

Name

*

First Name

Last Name

Phone

*

Relationship

*

Name

*

First Name

Last Name

Phone

*

Relationship

*

Name

*

First Name

Last Name

Phone

*

Relationship

*

Please note:

(1) There is a 24-hour minimum waiting period from the time you fill out an application until you are notified of our decision. It could be longer, based on the dog’s availability.

(2) It is possible that even though you may be approved to adopt an animal from us, you may not be awarded the adoption. Our first priority is finding the best home for each of our animals, and we must use our judgment and experience to make that decision.

Your Legal Name

*

Enter legal name here.

Date

*

(mm/dd/yyyy)

Joshua Tree No-Kill Shelter