There is no fee to submit an adoption application

Who/what are you looking for:(Required)

Adopter’s Name(Required)

Email(Required)

Enter Email Confirm Email

Home Phone(Required)

Cell Phone

Work Phone

Physical Address(Required)

Street Address Address Line 2 City State ZIP Code

Mailing Address (if different than Physical)

Street Address Address Line 2 City State ZIP Code

Current Veterinary Hospital

In order to process this application you will need to contact your veterinarian and grant them permission to release pet medical information to the Lakes Region Humane Society.

*If you do not own pets, please create an account with a veterinary hospital before submitting this application, and enter the information above. There are no fees involved in creating an account.

Vet's Phone

Past Veterinary Hospital

Past Vet's Phone

Is there a name besides yours that vet records would be listed under?

Have you owned pets in the past 7 years (do not include reptiles or birds)?(Required)

Pet #1

Name(Required)

Breed(Required)

Age(Required)

Sex(Required)

Spayed/Neutered?(Required)

Still owned?(Required)

If not, why?

Add a second pet?

Pet #2

Name(Required)

Breed(Required)

Age(Required)

Sex(Required)

Spayed/Neutered?(Required)

Still owned?(Required)

If not, why?

Add a third pet?

Pet #3

Name(Required)

Breed(Required)

Age(Required)

Sex(Required)

Spayed/Neutered?(Required)

Still owned?(Required)

If not, why?

Add a fourth pet?

Pet #4

Name(Required)

Breed(Required)

Age(Required)

Sex(Required)

Spayed/Neutered?(Required)

Still owned?(Required)

If not, why?

Add a fifth pet?

Pet #5

Name(Required)

Breed(Required)

Age(Required)

Sex(Required)

Spayed/Neutered?(Required)

Still owned?(Required)

If not, why?

Add a sixth pet?

Pet #6

Name(Required)

Breed(Required)

Age(Required)

Sex(Required)

Spayed/Neutered?(Required)

Still owned?(Required)

If not, why?

Hidden

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Why are you looking to adopt (check all that apply)?(Required)

Protection

Companion

Mouser

Gift

Breeding

Other

What type of residence do you utilize?(Required)

Do rent or own your home?(Required)

If renting or living with the home-owner provide your Landlord’s first and last name:(Required)

First Last

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Lakes Region Humane Society

Providing a safe and compassionate shelter for lost, abused or unwanted animals since 1995

The Lakes Region Humane Society cares for cats and dogs in need until they can be adopted, and promotes their health and welfare through community outreach and education.

Thinking of Adopting?

Adopting from LRHS gives you an opportunity to meet and bond with your future pet before making a commitment to adopt while providing a pet with a warm and loving home.

Volunteer today - make a difference in a pet’s life and in yours!

Whether your preference is dog walking, cat cuddling, office work or getting down and dirty to help clean, we will be sure to find a job for you!

There are many ways to donate to LRHS!

Monetary donations or donating items on our wish list like fleece fabric, Pedigree Chicken canned dog or poultry based cat food: find out how you can make a pet’s life a little brighter today!

Online Adoption Application

Pet #1

Pet #2

Pet #3

Pet #4

Pet #5

Pet #6

Section End

Resident #1

Resident #2

Resident #3

Resident #4

Resident #5

Resident #6

Section end

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

Providing a safe and compassionate shelter for lost, abused or unwanted animals since 1995

The Lakes Region Humane Society cares for cats and dogs in need until they can be adopted, and promotes their health and welfare through community outreach and education.

Thinking of Adopting?

Adopting from LRHS gives you an opportunity to meet and bond with your future pet before making a commitment to adopt while providing a pet with a warm and loving home.

Volunteer today - make a difference in a pet’s life and in yours!

Whether your preference is dog walking, cat cuddling, office work or getting down and dirty to help clean, we will be sure to find a job for you!

There are many ways to donate to LRHS!

Monetary donations or donating items on our wish list like fleece fabric, Pedigree Chicken canned dog or poultry based cat food: find out how you can make a pet’s life a little brighter today!

Pet #1

Pet #2

Pet #3

Pet #4

Pet #5

Pet #6

Section End

Resident #1

Resident #2

Resident #3

Resident #4

Resident #5

Resident #6

Section end

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

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