Humane Society of Marathon County

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Adoption Application

I am interested in a:*
- Cat
- Dog
- Some other critter
I am interested in the following animal(s) - include up to 3 total - click the plus sign to add another name:*
Your Name*
First Last
Your Address*
Street Address City State ZIP Code
Home Phone*
Work Phone
Cell Phone
Email*
(Your email is used for 24PetWatch microchip registration, 24PetWatch insurance and Maddie’s Pet Assistant.)
(Your email is used for Maddie’s Pet Assistant.)
Date of birth*
Date Format: MM slash DD slash YYYY
I live in a:*
- House
- Duplex
- Apartment
- Mobile home
- Condo
- Dorm
I currently:*
- Own
- Rent
- Have a land contract
- Live with my parents
- Other
Landlord/Management Company Name*
Landlord/Management Company Phone Number*
I am:*
- Currently employed
- Retired
- A student
- Other
Name of employer*
Length of current employment*
How many adults are in your household? (Count anyone 18 years old or older, including yourself if applicable.)
Please list the names and birthdates for each adult in the household - one line per adult.*
Have any adults in your household ever been convicted of an animal-related crime (e.g., neglect, abuse, running at large) or any other criminal convictions that may cause your application to be denied?*
- Yes
- No
- N/A
If you indicated "Yes" in the previous question, please explain below:
How many children are in your household? (Count anyone 17 years old and younger, including yourself if applicable.)
Age of Child #1 (in years)
Age of Child #2 (in years)
Age of Child #3 (in years)
Age of Child #4 (in years)
Age of Child #5 (in years)
Age of Child #6 (in years)
Age of Child #7 (in years)
Age of Child #8 (in years)
Does anyone in your household have pet allergies?*
- Yes
- No
- Not sure
Have you ever surrendered a pet to a shelter?*
- Yes
- No
- Not applicable
Please tell us more about surrendering that pet to a shelter.*
I would like to adopt a pet for (check all that apply);*
- Companion
- Gift
- For a child
- Hunting
- Protection
- To breed
This pet will be kept in:*
- House
- Garage/barn
- Outside/kennel
- Outside on chain
- Crate
On average, how many hours per day will the pet be left alone?*
How much do you estimate you will spend annually on your new pet's health care?*
How much do you estimate you will spend annually on your new pet's food/grooming?*
(We ask that you estimate this figure based on your research or previous pets you have owned.)
It may take a pet two or more weeks to adjust to a new home. Will you allow that much time?*
- Yes
- No
Pet History Section
Please list any pets you have owned in the past 5 years (you may list up to 5):
How many pets have you owned in the past 5 years? (If more than 5, just select "5".)*
- 0
- 1
- 2
- 3
- 4
- 5
Pet #1
Species*
- Cat
- Dog
- Other critter
Breed*
Pet's Name*
Sex*
- Female
- Male
Was this pet spayed/neutered?*
- Yes
- No
Where is/was this pet kept?*
- House
- Garage/barn
- Outside/kennel
- Outside on chain
Do you still own this pet?*
- Yes
- No
Pet's age (in years)*
Pet #2
Species*
- Cat
- Dog
- Other critter
Breed*
Pet's Name*
Sex*
- Female
- Male
Was this pet spayed/neutered?*
- Yes
- No
Where is/was this pet kept?*
- House
- Garage/barn
- Outside/kennel
- Outside on chain
Do you still own this pet?*
- Yes
- No
Pet's age (in years)*
Pet #3
Species*
- Cat
- Dog
- Other critter
Breed*
Pet's Name*
Sex*
- Female
- Male
Was this pet spayed/neutered?*
- Yes
- No
Where is/was this pet kept?*
- House
- Garage/barn
- Outside/kennel
- Outside on chain
Do you still own this pet?*
- Yes
- No
Pet's age (in years)*
Pet #4
Species*
- Cat
- Dog
- Other critter
Breed*
Pet's Name*
Sex*
- Female
- Male
Was this pet spayed/neutered?*
- Yes
- No
Where is/was this pet kept?*
- House
- Garage/barn
- Outside/kennel
- Outside on chain
Do you still own this pet?*
- Yes
- No
Pet's age (in years)*
Pet #5
Species*
- Cat
- Dog
- Other critter
Breed*
Pet's Name*
Sex*
- Female
- Male
Was this pet spayed/neutered?*
- Yes
- No
Where is/was this pet kept?*
- House
- Garage/barn
- Outside/kennel
- Outside on chain
Do you still own this pet?*
- Yes
- No
Pet's age (in years)*
You indicated that at least one previous pet was not spayed/neutered. Please share with us why.*
You indicated that a previous pet is no longer owned by you. Please share with us why.*
Which veterinarian clinic are you currently using? (Please provide name and phone number. If none, just type 'n/a'.)*
If the records are not under your name, please list the name they are under:
If you do not have pets currently, please provide the name and phone number of the clinic you last used. (If not applicable, just type 'n/a'.)*
Please indicate which topics you would like to discuss with your counselor. (Please select all that apply.)
- Introducing your new pet to current pet(s)
- Pet care costs
- Common medical issues
- Appropriate vet care
- Training/enrichment/exercise
- Feeding/Diet
- Children and pets
- Housetraining/litter box training
- What to do if your pet is lost
- Safety proofing your home
- Other
What other topics would you like to discuss with your counselor?
Have you researched your home insurance and/or your city ordinances related to pets?
- Yes
- No
(HSMC staff will be happy to provide you with information on local ordinances.)
Reference Section
Please list two references NOT RELATED to you that we may contact.
Reference #1 Name*
First Last
Reference #1 Address*
Street Address City State ZIP Code
Reference #1 Phone*
Relationship to Reference #1*
Reference #2 Name*
First Last
Reference #2 Address*
Street Address City State ZIP Code
Reference #2 Phone*
Relationship to Reference #2*
Dog Obedience Section
Prior to being made available for adoption all dogs at HSMC undergo a behavior assessment which provides us with a snapshot in time of their behavior in the shelter setting. We try our best to understand their behaviors in the shelter setting but cannot match the home environment. We use this information, as well as information from previous owners, staff, finders etc in deciding what type of setting would be most successful for each dog.
Will you consider dog training classes for behaviors that you cannot manage?*
- Yes
- No
Have you used a trainer in the past?*
- Yes
- No
If yes, which one?
Do you have a fenced-in yard?*
- Yes
- No
Please describe this yard.*
If not, how will you keep your new dog contained?*
Would you like the dog that you adopt to be tested for heartworm/tickborne illnesses?*
- Yes
- No
(Dogs at HSMC are NOT tested prior to adoption. This non-refundable test can be done for $20.00+tax.)
Are you familiar with the breed you are applying for?*
- Yes
- No
If yes, please share some knowledge of the breed you are applying for.*
If adopting a puppy, how do you plan to housebreak?*
How would you plan to train/prevent/correct the following behaviors should they arise with your new dog?
Aggressive behavior toward people or pets:*
Nuisance barking:*
Nuisance chewing:*
Nuisance digging:*
Housebreaking:*
Where will your new dog be kept during the day?*
Where will your new dog be kept at night?*
Where will your new dog be kept when left alone?*
Do you regularly have other dogs at your home (family or friends)?*
- Yes
- No
What activity level are you looking for in your new dog?*
What are your plans for exercising your new dog?*
What would be reasons you would surrender a dog?
Cat Obedience Section
HSMC maintains detailed behavior notes on each of the animals in our care in addition to collecting detailed information from previous owners at the time of surrender. We use this information in deciding what type of setting would be most successful for each cat. We try our best to understand their behaviors in the shelter setting but cannot match the home environment.
Do you plan to let your cat outdoors?*
- Yes
- No
If yes, how often?
Do you plan to declaw your cat?*
- Yes
- No
(HSMC does not recommend declawing cats and will not declaw cats prior to adoption.)
Would you like the cat that you adopt to be tested for FeLV/FlV?*
- Yes
- No
(Cats at HSMC are NOT tested prior to adoption. The non-refundable test can be done for $20.00 + tax.)
How do you plan to train/prevent/correct the following behaviors should they arise with your new cat?
Keeping the cat off of furniture/tables?*
Keeping the cat from chewing on plants in the home?*
Keeping the cat from digging in plants in the home?*
Keeping the cat from scratching furniture?*
What if the cat stops using the litterbox?*
Where will your new cat be kept during the day?*
Where will your new cat be kept at night?*
Where will your new cat be kept when left alone?*
Would you mind if your new cat was talkative?*
Would you mind if your new cat wasn't social with new people?*
What would be reasons you would surrender a cat?
Critter Obedience Section
HSMC maintains detailed behavior notes on each of the animals in our care in addition to collecting detailed information from previous owners at the time of surrender. We use this information in deciding what type of setting would be most successful for each pet. We try our best to understand their behaviors in the shelter setting but cannot match the home environment.
Where do you plan to keep the pet? (Select all that apply.)*
- In a cage
- Roam free in your home
- Outdoors
Please describe the enclosure you are planning to use for your new critter (type, size, dimensions, etc.)*
Are you familiar with the critter you are applying for?*
- Yes
- No
Please share some knowledge about the critter you are applying for.*
How would you plan to train/prevent/correct the following behaviors with your new critter?
Chewing on cords/carpeting/etc.*
If your critter does not like to he held.*
If your critter likes to dig.*
If your critter stops using or doesn't use the litterbox.*
Would you be interested in information about what diet is appropriate for your new critter?*
- Yes
- No
Additional comments - please use this space for any additional comments you have that may help us in processing your application or with the placement decision for the animal.
ADOPTION APPLICATION DISCLAIMER: HSMC will not delay the processing of completed applications, as it is our goal to place our animals in a timely manner. Please understand that we receive applications via the internet, fax, US mail, and in person, so you may not be the first and/or only applicant on any given pet! Multiple applications for one pet can result in an extended processing time while we work to find the best fit based on the pet's individual needs or history.

HSMC reserves the right to refuse to adopt our animals to anyone. We strive to find safe, permanent placement for our pets. If, in the course of our processing your application or through observations during visitations, we are not confident that the match would be successful, we may deny adoption.

HSMC will not adopt out any pet it deems to be unadoptable due to severe illness or behavioral instability. You are adopting your pet from HSMC AS IS and assume responsibility for its health and well-being. While any pet adopted may be returned to us for any reason if no longer wanted, refunds will only be given within 30 days of adoption with a letter from your veterinarian declaring said animal unadoptable and documenting the reasons for the determination.

In order for your application to be completed, we ask that you submit the following information, along with the answers provided in this application:
- Visits from every family member in the household
- Proof of home ownership (tax bill) or landlord consent (signed form)
- Proof of vaccination for current pets (via paper records or by HSMC contacting your veterinarian)
HSMC does not do adoptions as gifts.
I certify that the information I have provided is true and I recognize that any misrepresentation of fact may result in loss of adoption privileges. I authorize and understand that veterinarians, other humane societies, landlords, etc. may be contacted. This application becomes property of HSMC.
Applicant Name*
Application Date*
Date Format: MM slash DD slash YYYY
Comments
This field is for validation purposes and should be left unchanged.

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Upcoming Events

Low Cost Vaccination Clinic- BY APPOINTMENT ONLY
Oct 14 - Humane Society of Marathon County
Low Cost Vaccination Clinic- BY APPOINTMENT ONLY
Oct 24 - Humane Society of Marathon County
Low Cost Vaccination Clinic- BY APPOINTMENT ONLY
Nov 11 - Humane Society of Marathon County
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Contact Us

Humane Society of Marathon County
7001 Packer Drive
Wausau, WI 54401
Phone: 715-845-2810

Hours
Monday, Tuesday, Friday, Saturday -
Noon to 5PM
Thursday - Noon to 7PM
Closed Sunday, Wednesday and Holidays.

The mission of the Humane Society of Marathon County, Inc. is to inspire and engage the community to end animal suffering and commit to responsible pet ownership.

Our vision is a cruelty-free community enriched by the special bond between people and animals.

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