Fox Valley Humane Association | Adoption Questionnaire

Today's Date: *

Which animal are you interested in? *

Your Information:

First Name: *

Middle Initial: *

Last Name: *

Street Address: *

City/Town/Village: *

State: *

Zip Code: *

Primary Phone Number: *

include area code

Secondary Phone Number:

include area code

Best time of day to reach you is:

Morning

Afternoon

Evening

Email Address: *

needed to register for Shelter Care Pet Insurance

Please check this box if this pet is meant to be a gift and you are answering the following questions from the perspective of the lucky recipient.

This pet is meant to be a gift.

We welcome adopters who rent, or live in an apartment or condo. We want to alert you that some landlords and management companies have size and breed restrictions, limits on number of pets, and/or require pet deposits or additional fees.

Tell us about your pets at home! (Please check all that apply):

We have one or more dog(s)

We have one or more cat(s)

We have one or more small animal(s)

I'd like help introducing a new pet to pet(s) at home

Is there any other information you would like to share?

We will explain your new pet's medical and behavior history to you prior to adoption. Check additional topics you'd like to discuss.

Do you have any questions for us?

Other services and opportunities. Please check any that you are interested in.

Borrow a crate with this adoption

Information on our next low-cost vaccination clinic for your current pets

Information on our next low-cost microchip clinic for your current pets

Make ID tags for your current pets

Information about low-cost spay/neuter services

Information about Fostering or Volunteering with FVHA

Information about our training classes

Licensing current pets

Information about supporting FVHA with financial or in-kind donations

Adoption Questionnaire

Ready to adopt from Fox Valley Humane Association? Fill out the adoption questionnaire below to get started.

Your Information:

Thank you!