Online Application

  1. May we call you at work?
  2. Do ALL members of the family want this pet?
  3. What type of housing do you reside?
  4. Do you:
  5. If you rent, are pets allowed in your dwelling?
  6. You may leave the following two questions blank if you are looking to adopt a cat.
  7. Do you have a fenced yard?
  8. If adopting a cat, would it live...
  9. Inquiring about a cat, please answer below question:
  10. Wanting to adopt a puppy, please answer below question:
  11. Please list your veterinarian's name, address and phone number for reference:
  12. May a HELP Humane Society officer visit your home for approvals or follow-ups?

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