best tracker Humane Society of North Central Arkansas: animal shelter, rescue, adopting, adoption, pets
  Humane Society of North Central Arkansas
  2656 Hwy 201 North
  Mt. Home, AR  72653
  870-425-9221
  E-mail: hsnca@centurytel.net
 
Adoptable Animals:
 Dogs/puppies (27)
 Cats/kittens (35)  
 All Adoptables (62)
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Contact Information (* = required)
Salutation  
First name*    
Middle name
 
Last name*
 
Company name
 
Address (line 1)*
 
Address (line 2)
 
City*
 
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Phone number(s) and type(s)*  
 
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The mission of this shelter is to find responsible, lifelong homes for animals suitable as family pets. If you wish to adopt an animal complete this application.
   
 
Adoption Application and Waiver
   
 
Do you own or rent?
    Own   Rent  
 
Do you own the land?
    Yes   No  
 
If renting, do you have your landlord's permission to adopt this animal?
    Yes   No  
 
Landlord's name and phone number
   
 
Do you have a fenced yard or dog run?
    Fenced yard   Dog run   Neither  
 
If you have a fenced yard or dog run, please describe the enclosure
   
 
Do you have children in the home?
    Yes   No  
 
If so how many?
   
 
Have you owned a pet in the last 2 years?
    Yes   No  
 
If so what kind?
   
 
Do you own pets now?
    Yes   No  
 
If so who is your veterinarian?
   
 
Do you own dogs now?
    Yes   No  
 
Are they vaccinated?
    Yes   No  
 
By whom?
   
 
Are pets in your household spayed and/or neutered?
    Yes   No  
 
Does your household know that you are adopting?
    Yes   No  
 
Are you prepared to assume the responsibilities of caring for an animal including vaccinations care, feeding, grooming, etc?
    Yes   No  
 
Do you want an indoor or outdoor pet?
    Outdoor   Indoor  
 
How long will the pet be alone during a 24 hour period?(if indoors)
   
 
Is this pet going to be a gift?
    Yes   No  
 
Have you adopted an animal from the Humane Society of North Central Arkansas before?
    Yes   No  
 
When
   
 
Name, address and phone number of one local reference
   
 
Why do you wish to adopt an animal?
    Protection   Companion   Other  
 
Explain other
   
 
How did you hear of our shelter?
   
 
Under penalty of law I swear or affirm that these answers are true and correct to the best of my knowledge.


    Yes   No  
 
Signature and date
   
 
Waiver

The undersigned, adopting an animal from the Humane Society of North Central Arkansas, Inc., hereby specifically waives and will hold harmless the Humane Society of North Central Arkansas, Inc., from any responsibility or liability whatsoever concerning the animal I have adopted, specifically referring to the animal's temperament (biting), or whether or not the animal has been housebroken, or the damage that the animal might do to the property of the person adopting the animal.
This Waiver and disclaimer is essential in as much as the Humane Society of North Central Arkansas, Inc., has no ability to determine a pets temperament or whether or not they have in the past shown any vicious tendencies and therefore will not be held responsible and is hereby released from any said occurrence. The Humane Society of North Central Arkansas, Inc., exercising its utmost ability to determine the history of the dogs, cats, kittens and puppies that it harbors and adopts to individuals, but cannot be responsible in any way for the pets temperament or whether or not the pet has been housebroken or whether or not the animal is capable of doing damage to any of the property of the pet owner.
This is a full and complete waiver and by executing their name hereinafter, the person adopting a pet hereby releases and will hold the Humane Society of North Central Arkansas Inc., harmless from any claim,demand or other liability regarding the temperament, whether the pet is housebroken or any damage that the pet may be capable of incurring to the property of the person adopting the pet.


   
 
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