Adoption Application
You will received a received application email when we begin processing your application. The process generally takes a day or so but please keep in mind we process applications while we are open on Tuesday through Friday 12pm-4pm. Laurens County Humane Society reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions!
Name
*
First Name
Last Name
Which animal are you applying for:
*
In space above list other pets you may be interested in
Are you aware of the Adoption Fee:
*
Dogs: $100-$200, Puppies: $200-$325 Cats: $50, Kittens $75 Approximate prices subject to change
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail (in case we can't reach you by phone)
*
example@example.com
Employer
*
Are all members of your household in agreement with this adoption?
*
Do you own or rent?
*
If rental, name and phone number of landlord.
*
If rental we Must have this info to begin processing this application
Do you have a fenced yard?
*
How many adults are in your household?
*
How many children are there in your household and what are their ages? Have they been around animals before?
*
Does anyone in your home have allergies to animals or have asthma?
*
List all pets you currently and previously owned as an adult (Name, Breed and Age)
*
Where are these animals now?
*
If deceased what year?
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Have you ever surrendered a pet before? If yes, what were the circumstances?
*
Are ALL pets past & present Spayed or Neutered?
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Are ALL pets past & present kept current on their Vaccinations, Flea/Tick and Heartworm Preventatives?
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What is the name of the Heartworm Preventative used?
*
Have any of your pets had parvo?
*
Vet Name & Address:
*
NOTE: A Vet Reference is REQUIRED to ADOPT a pet UNDER 4 MONTHS OLD
VET Phone Number
*
Name of Pets Seen by this Vet:
*
Who's name is the account in at the vet's office:
*
Too many times your Vet's office can not find the account and that delays processing of this application (ie: spouses name, maiden name, parent, sibling, etc.)
Will you call your vet as soon as possible and let them know it is ok to speak to us
*
If your vet will not speak to us when we call we will stop processing this application.
If No Vet Listed Above Have You Used Pet Mobile?
*
MUST send a copy of the most recent vaccinations to: lchsmanager@gmail.com to begin processing this application if given anywhere besides a Vet's Office
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)
*
Where will your new pet live? Inside only, Inside/Outside, Outside only
*
How many hours each day will your new pet be home alone?
*
Where will your new pet sleep at night?
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Where will your new pet stay when nobody is home?
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How will you supervise the pet's outdoor activity?
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Do you understand that a pet can be a 15+ year commitment ?
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Have you considered all the time and energy you will need to invest in your new pet?
*
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?
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What will you do if this pet has or develops behavioral problems?
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What will you do with this pet when he/she becomes ill or shows signs of health problems?
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What will you do with this pet if you move?
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What will you do with this pet when you go on vacation?
*
What circumstances would lead you to give up your new pet?
*
If you had to give up your pet, what would you do with him/her?
*
Are you financially able to care for this pet in the manner it deserves?
*
How did you find out about Laurens County Humane Society?
*
Are you at least 21?
Submit
Should be Empty: