HCAS Out of Town Adoption Application
Thank you for your interest in adopting one of our shelter pets!

*Please note that this application is only for Out-Of-Town adopters. Local adopters email animalshelter@co.hancock.ms.us or visit our shelter Monday-Friday 10am-4pm.

Please fill out the following application and a shelter volunteer will reach out if your application is approved to discuss the adoption process. The adoption will not be final until the adoption contract is discussed and signed.
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Name of dog you would like to adopt *
Your name *
Phone Number *
Email *
Age Range *
Street Address *
City, State *
Are you the head of the household? *
Do you understand that this dog is currently at a shelter in Kiln, MS and transport will be arranged to a location near you? *
Do you have any other pets in your home? If yes, please describe *
Do you have any children in your home? If yes, please list ages *
Have you ever had to re-home an animal or bring an animal to a shelter? If so, why? *
If you have a dog, is he/she up to date on vaccines and heartworm prevention?
Clear selection
If you have a dog, is he/she spayed or neutered?
Clear selection
Where will the dog sleep? (select all that apply) *
Required
Have you ever had to euthanize a pet? If so, please tell us why *
Do you have an established veterinarian that you use? If so, please list name, city, and phone number *
Please list the names and phone numbers of two people who can be references for you as a caring pet owner. We may call or text them, especially if you do not have a vet office you've used recently or are currently using.
Will this dog be an inside pet or outside pet? *
Why do you want to adopt this dog? (select all that apply) *
Required
What characteristics do you hope to find in a dog you want to adopt? *
Required
Do you own or rent your residence? *
If you rent, what is your landlord's pet policy?
Do all family members in your home want a pet? *
Where will the dog be kept while you are not home during the day? *
Is any member of your household allergic to dogs? *
Do you plan to crate your dog? *
How many hours per day would the pet be alone? *
What is your exercise plan for the dog? *
Do you have a fence? *
Where will the dog be kept while you are out of town? *
Are you willing to take responsibility of this dog for the lifetime of this dog? (10-15 years in some cases) *
What provisions will you make for the dog should you become unable to care for him/her? *

Dogs can take a month or longer to adjust to a new home, particularly if other pets are involved. Are you willing to devote this much time to make the dog comfortable in your home?

 *
What behaviors can you tolerate... and work on? (select all that apply) *
Required
If the dog you are applying for gets adopted by someone else, are you interested in speaking with our team about other dogs we have available for adoption? 
What size dog are you interested in?
What age would your ideal pet be?
What are your grooming preferences?
Clear selection
My ideal dog will
Is there anything else you would like us to know?
How did you hear about us?
Clear selection
Type "I agree" if you agree to the following:

I certify that the above information is true. I understand that giving false information on this application is grounds for denying my application. *
Type "I agree" if you agree to the following:

All dogs placed through the Hancock County Animal Shelter will have health checks, personality and temperament evaluations, and will be spayed or neutered prior to placement. I understand that all information on my adoption application will be kept confidential and that my application will be kept on file until I notify the Hancock County Animal Shelter that I am no longer interested in a rescue pet.
 *
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