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.

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

Wags & Tales - Summer Reading Program

June 12, 2019 (11:30 Session and 12:30 Session - 45 min. each) - August 14, 2019

The Wags & Tales Summer Reading Program is designed to help our shelter cats & dogs become more adoptable.

Reading to our dogs and...

Fill the Van Event at Beloit Starbucks

June 28, 2019 (10:30am - 1:30pm) -

Give it your best 'shot'. Take a break from your daily 'grind' and join us on Friday, June 28th for our Fill the Van Fundraiser at Starbucks Beloit! ...

News & Announcements

Remembering Fido: Humane society seeks 500 ‘unforgettable pets’

JANESVILLE

Squishy, Funny Face, Bacon, George, Daisy and even Spot could go down in history as the greatest pets ever.

The Humane Society of...

Humane Society launches efforts to raise funds for new facility

JANESVILLE - While at the halfway mark of fundraising for a new shelter, the Humane Society of Southern Wisconsin is kicking off more efforts to raise approximately $2.375 million...

With Corporate Support From

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