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Adoption Application

Have you picked a specific animal to adopt?
Yes
No
Date of Birth
Dropdown
Type of Dwelling
Do You Rent or Own?
Rent
Own
Do you have a fenced yard?
Yes
No
Do you currently have any pets in the home?
Yes
No
Have you ever adopted from a shelter before?
Yes
No
Have you ever had any of the following experiences with a pet?
Have you ever moved with pets?
Yes
No
Would you ever expect to take the pet with you if you ever move again?
Yes
No
Have you had an animal on your premisises in the last 3 months with a contagious disease?
Yes
No
Desired Age, Gender, and Size of pet
What are the qualities you desire in a pet?
What are the qualities you do NOT want in a pet?
On average, how much time per day will the animal be without supervision?
Less than 2 hours
2-6 hours
6-8 hours
More than 8 hours
Where will the pet be kept when you are away from the home during the day?
Run of the house
Yard with shelter
Crate
Basement/Garage
Pen with shelter
If you are a resident within the city limits of Sterling, are you familiar with the current animal control ordinances?
Yes
No
Did you know the average cost of a dog is $400-$600 per year including vaccination, food, grooming, boarding, and medical care? Sometimes this cost can be significantly more.
Yes
No
Did you know the average cost of a cat is $200-$400 per year including vaccination, food, grooming, boarding, and medical care? Sometimes this cost can be significantly more.
Yes
No

CONSENT

I have read the provisions included on this questionnaire and fully understand the adoption process required by the Logan County Humane Society. I understand that by submitting the Pets/People Profile that it is in no way a guarantee of approval of adoption at this time. I certify that the above information is true and I understand that false information may result in the nullification of this adoption.

Check One
Yes, I understand
No, I do NOT understand
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