Online Adoption Application

  • Please list all pets you have owned in the past 7 years:

    You do not need to include reptiles or birds on this listing.

  • Pet #1

  • Pet #2

  • Pet #3

  • Pet #4

  • Pet #5

  • Pet #6

  • Please list the names and ages of everyone living in your household:

  • Resident #1

  • Resident #2

  • Resident #3

  • Resident #4

  • Resident #5

  • Resident #6

  • Thank you for considering the Lakes Region Humane Society for your new pet!

    I, the adopter, pledge that the information provided within this Adoption Application is correct and true.

  • By initialing here, you agree to the above.