Windsor/Essex County Humane Society Small Animal Adoption Survey
RequiredRequired Question(s)
Progress: 
 

Thank you for your interest in adopting a small animal from the Windsor/Essex County Humane Society! This survey will be received by our adoption counsellors who will get in contact with you to discuss your application and the pet you're interested in. It could be as early as the same day or several days for you to hear back from us.

We often receive multiple applications for an animal so please note that there is no guarantee that because you are sending in a survey that you will be the successful applicant. For animals receiving multiple applications in a short time, we will select one at random to begin standard adoption screening. If this is the case, we will notify you that the animal has been adopted to someone else.

Again, thank you for your interest in adopting! We look forward to helping you find a new friend!
 
Required 1.
Please enter the information indicated below.

First Name:
Last Name:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:
Cell Phone:
Month and year of birth (you must be 18 to adopt):

Required 2.

Please note the name and species of the small animal you are interested in adopting. If you are interested in a pair of animals, please list both names.  If they do not have a name listed, please note the animal ID number listed for them on our adoption web site. 

 

50 characters left.
Required 3.

If your application is successful, are you ready to pick up your new pet within 24 to 48 hours?  (if not, please wait until you are ready to submit an application)

Yes!
No
Other  
  • Comment:

  • 500 characters left.
Required 4.

If your application isn't successful for the pet you requested, would you be interested in another pet our adoption counsellors may suggest for you?

Sure!
Maybe
No, my heart is set on this one