PRO TIPS FOR SUCCESSFUL SUBMISSIONS

There is no fee to submit an application. Once approved, your application is valid for a year.
Indicate which animal you are applying AND the qualities you’d like in an pet. This way, if the pet you’re interested in is adopted by someone else, we can contact you when another animal that fits your criteria becomes available.
Ensure (required) fields are completed. If you leave required fields blank, the application will not come through.
There are two “SUBMIT” buttons on this page – CLICK THE FIRST SUBMIT BUTTON. The second submit button is used to register for the online newsletter, if you click that it will take you to a different application and you will lose your work.
If successfully submitted, you will get a pop up telling you so AND receive a confirmation email.
Call us if you are having trouble 603-539-1077.

I'm interested in adopting(Required)

Please enter the criteria you’d like for your new companion. If you have a specific pet in mind, please add their name here(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?

Are you able to safely maneuver up and down stairs?(Required)

Have you owned any cats or dogs in the past 7 years?(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?

This field is hidden when viewing the form

Section End

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 you rent or own your home?(Required)

Landlord’s first and last name:(Required)

First Last

Landlord's Phone Number:

Landlord's Email(Required)

Enter Email Confirm Email

Who will become this pet’s guardian if you lose your home, move or are no longer able to care for this pet?(Required)

Are you willing to confine, clean up after, and feed your new barn cat in a large crate for a minimum of 2 weeks so they can learn that your structure is safe for them and you are the provider of their resources (this to encourage them to stick around rather than run away)

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.

Adopter's Initials(Required)

By initialing here, you agree to the above.

Date(Required)

CAPTCHA

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

PRO TIPS FOR SUCCESSFUL SUBMISSIONS

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

For Barn Cat Adoption

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

Upcoming Events

Play Fore the Pets Golf Tournament 2025

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!

PRO TIPS FOR SUCCESSFUL SUBMISSIONS

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

For Barn Cat Adoption

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

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