Anderson Humane Society, Lawrenceburg, KY View Our Adoptable Pets Donate

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Online Adoption Application

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Anderson Humane Society

Adoption Application

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Your Information
Are you adopting for: *
Please select your main reason for adopting a pet: *
Children in the home *
Please select your living situation: *
Will this animal be primarily: *
Where will this animal stay while the owners are gone during work or school? *
Does anyone in your household have allergies to cats or dogs? *
How much would you plan to spend on this pet yearly including food, treats, toys, medical care, etc.? *

Pet Information

Please list any and all particulars of pets you currently own or have owned in the past.

Pet
Dog or Cat? *
Male or Female? *
Spayed or Neutered? *
Adoption Terms & Consent
Would you object to an Authorized Representative of the Anderson Humane Society Adoption Center visiting your home prior to adoption? *
Would you object to a follow up visit or for them to verify any of the above information? *
Should you be unable to keep this animal after adoption, you MUST return it to the animal shelter. Do you agree that you will surrender the animal back to us should you not be able to keep it? *

Thank you for filling out this adoption application. It is not our intent to invade your privacy; our sole purpose is to find a caring, responsible and permanent household for our animals and at the same time find a suitable pet for you to love and enjoy for many years!

By signing this form, you give consent that all information pertaining to this form is accurate to the best of your knowledge. Your online signature will be representative of a print signature.