15. Do you want your new cat/dog for a (put X in all that apply): guard dog ( ) companion ( ) watch dog ( ) companion for another dog/cat ( ) companion for a child ( )
16. Please list the pets you currently have in your home (include whether they are dogs, cats, etc.; their breed, age, gender, and whether they are spayed/neutered).
17. In the case of puppies and/or kittens, Clearwater Humane Society retains ownership of the puppy/kitten until the puppy/kitten is altered (spayed/neutered) and has had all required vaccines per Clearwater Humane Society protocols. It is agreed by the signature below that any non-compliance with the above statement allows the Clearwater Humane Society, immediately upon request of the Clearwater Humane Society, to have the puppy/kitten returned to the Clearwater Humane Society.
All the information in this application is true and I am stating that I am prepared to take full responsibility for this dog/cat. I also agree to keep this dog/cat for its entire life. This dog/cat will be a companion pet only. If I have to give this animal up for any reason I will return this dog/cat to the Clearwater Humane Society.
At the time of adoption Clearwater Humane Society relinquishes all responsibility/liability of the adopted animal to the new owners that have signed/electronically submitted this form.