Critter Adoption Application

Welcome and thank you for adopting a pet from the Humane Society of Southern Wisconsin! Please note that you will not receive an approval or denial based solely on the information provided via the form below. We instead take a conversations-based approach to adoption and focus on matchmaking pets with interested adopters.

To complete this application, you must:

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Be at least 18 years old.

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Have formal identification.

Understand that we will not approve/deny your adoption based on application alone.

Critter Adoption Application

Got someone picked out? Name of the pet you would like to take home:

How did you hear about the pet you are interested in adopting?

Personal Information

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

Name

First

Last

Date of Birth

Driver's License Number (or Other Formal ID)

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number

Alternate Phone Number

E-mail

Household Information

Please list the people in your household (other than yourself).

For Example: Josh Smith, Spouse, 33 years old

Current Pets

Please list the current pets in your household.

For example: Remie, Cat/Long Hair, 16 years old, Male, Neutered, Up-to-Date on Vaccines

Additional Topics

If you selected Other above, please list your question(s) below.

By clicking Submit 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.