Adoption Application

Welcome and thank you for adopting a pet from the Humane Society of Southern Wisconsin!

To complete this application, you must:

Be at least 18 years old.
Have formal identification.
Understand that we have the right to accept or deny any application.

*Required

Contact Information

*Name

Got someone picked out? Pet you want to take home:

*Street address

*City

*State

*Zip

*E-mail

*Home Phone

Alternate Phone

*D.O.B.

*Driver's License (or other formal ID)

If you live outside of Rock County, please list the county you reside in:

*Do you live in a:
House Apartment Condo Mobile Home
Other

*Do you:
Rent Own Live at parent's or relative's home

Emergency Contact Information

*Microchip Emergency Contact (Someone outside of your home)

*Home Phone

Alternate Phone

Consent

*Yes, I consent to the release of my Microchip contact information to anyone who finds my pet.
*No, I prefer that communication only be through 24PetWatch Microchip ID System.

Testing

Would you like to pay an additional $25.00 for FeLV Antigen and FIV Antibody Testing? (Cat adoptions only)
Yes No

Declawing

Are you considering declawing? (Cat adoptions only)
Yes No

Household Information

*Number of People in household

*Number of Pets in household

*People in Household

*Pets in Household

By signing below, I certify that the information I have given is true, and I realize that any misrepresentation of facts may result in loss of adoption privileges.

All information contained in this application will remain confidential and the property of the Humane Society of Southern Wisconsin.

Upcoming Events

Petco Adoption Event

August 7, 2021 (11:00am - 1:00pm) -

Please stop by and meet some of our adoptable pets who are looking for a great home! You can speak to some of our amazing volunteers to learn...

Vex Cycles’ Bike Night

August 18, 2021 (6:00pm - 9:00pm) -

Join The Humane Society of Southern Wisconsin at Lucy's Hideaway on August 18th from 6-9pm. Brooke Nunn will be performing live and there will be raffle...

News & Announcements

Humane Society of Southern Wisconsin sets long-awaited groundbreaking event for new facility

JANESVILLE, Wis. (WMTV) -The Humane Society of Southern Wisconsin in Janesville is getting ready to break ground on a new facility. This project has been about five years...

NEW HOME DREAM FOR HUMANE SOCIETY OF SOUTHERN WISCONSIN (HSSW) BECOMES REALITY

JANESVILLE, WI – Humane Society of Southern Wisconsin Board President Sandy Bennett and Executive Director Jim McMullen, along with McKnight Excavating, Corporate Contractors, Inc., Angus-Young Associates, and honored...