BANNOCK HUMANE SOCIETY
Adoption Application

BHS does not do long-distance adoptions. You must bewithin driving distance to Bannock, Idaho to adopt a pet from us.

Names, addresses and other information sent to us via this formis for BHS use only. It will not be used on a mailing list, sold,or otherwise given to anyone else.

**IMPORTANT**
We review each and every application that we receive. We will call or email you if we have a possible match for your family. Most of our volunteers have other full-timejobs so it may take as long as 3-4 days for us to get back toyou during busy times. Thanks for your patience and your interest in a BHS pet!

Name:
Address:
City: State: Zip Code:
Your Email Address:
Daytime Phone Number:
Evening Phone Number:
Particular BHS pet you are interested in adopting:
What kinds of pets do you own?

If you own a cat or dog, what kind is it?

How old are your current pets?
Are your pets spayed/neutered?Yes No
Who is your veterinarian?
What happened to your last pet?

Do you have children living at home?Yes No
If "yes" what are their ages?
Do you have a fenced yard?Yes No
Do you (check one ) your current home?Own Rent
What breed or mixture of breeds do you want to adopt?
What size pet do you want in pounds or inches?
Where will your new pet sleep?

Is this pet for some else?YesNo
If "yes", who?
Is anyone in your family allergic to animals?Yes No
If "yes", what kind of animal are you allergic to?
Do you have any additional requirements?

Anything else you want to tell us about yourself, your currentpets, your family, whatever!



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Bannock Humane Society
P.O. Box 332
Pocatello, ID
83204

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