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Small Animal Adoption Application

Thank you for your interest in adopting a small animal (e.g., rabbit, guinea pig, hamster)! To help you find the best match possible, please help us by completing this form.

Adoption Application - Small Mammal - Updated 4/2019

Thank you for your interest in adopting a small animal! To help find the best match possible, please complete this form.

First Name *

Last Name *

Address *

Address

Address

Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Address

Primary Phone *

Alternate Phone

Email *

Date of Birth *

Please tell us about your household.

How many people do you have in your home? *

How many of those people are children? *

Do you have small children (5 years or younger) or have small children who frequently visit your home? *

Yes

No

Which of these applies to you? *

I live in a house I own

I live in a house I rent

I live in a condo/apartment I own

I live in a condo/apartment I rent

I live in a mobile home I own

I live in a mobile home I rent

How many small animals do you have now? *

Please tell us about your pet history over the past few years.

Pet's Name

Species/Breed

Age

Where is your pet now?

Add another pet Remove this pet

Please tell us about the small animal you'd like to adopt.

Is litter trained... *

A must

Doesn't matter

Is a friendly... *

A must

Doesn't matter

Is active or playful... *

A must

Doesn't matter

Is the ability to bond with your current pet... *

A must

Doesn't matter

Is destructive... *

A definite no

Will train

Is aggressive/biting *

A definite no

Will train

I’m interested in a special needs small animal, with known medical needs *

No

Yes

I’m interested in a special needs small animal, with behavioral needs (e.g., shy, sassy or rough play personality) *

No

Yes

I'm interested in adopting a *

Guinea Pig

Ferret

Rabbit

Hamster

Rabbit

OtherOther

Have you had this type (these types) of small animal(s) before? *

Yes

No

I plan on giving this pet time out of the cage: *

Daily

1-2 times weekly

Never

OtherOther

When we are not home, our small animal will spend time: *

Caged indoors

Caged outside

Confined in one room

OtherOther

We are adopting for: *

Our family

Our child(ren)

Another family member

Companion for another pet of the same species

Companion for another pet of a different species

Will this new animal and your current animal(s) be caged together? *

Yes

No

Do you have a small animal veterinarian? *

Yes, and my vet practice name is:Yes, and my vet practice name is:

I would like a small animal veterinarian recommendation

-

Yes, add me to the HSHV email list for the latest promotions and updates from HSHV.

If you are human, leave this field blank.

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Humane Society of Huron Valley

ADOPTIONS

Mon-Weds: 11 am to 6 pm
Thurs-Friday: 11 am to 7 pm
Sat-Sun: 11 am to 5 pm
No appointment necessary;
walk-ins welcome!

CLINIC

Mon-Fri: 9 am to 7 pm
(Surgery drop-off 8 am)
Sat-Sun: 9 am to 4 pm
Call (734) 662-4365 for appointment;
please, no walk-ins.

INTAKE

9 am to 5 pm, 7 days a week
To serve you best, please call our
Intake Department prior to
coming in: (734) 661-3528

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3100 Cherry Hill Rd • Ann Arbor, MI 48105 • Fax: (734) 929-0814 • Phone: (734) 662-5585

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