Cat and Small Animal Adoption Application | Humane Society of Lebanon County

Thank you for taking the time to fill out this application.

We realize that adopting a new furry friend can be very exciting and emotional, as it’s such an important and life-changing decision! Because of this, we are very thorough in our adoption process, making every effort we can to find the best possible match for a forever home for each of our animals here at the Humane Society of Lebanon County.

Therefore, adoption applications are NOT approved on a “First-Come, First-Served” basis, animals are NOT “put on hold,” and we reserve the right to deny an adoption application based on our discretion to place our animals in the best possible home environment.

Please be patient with us regarding the time it takes for us to process your application.

Please answer ALL questions. Incomplete applications will cause your application to be delayed or denied.

Your Driver’s License or Photo Identification Card is Required.

Adopter Information

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Work Phone

Driver's License *

Date of Birth *

Email *

Employer *

Do you: *

Own
Rent

Landlord name and phone

Pet Information

Which animal are you interested in? *

Have you had this type of pet before? *

Where will this pet be kept during the day? *

At night? *

If this animal is found to not be a good match for your home, would you be interested in meeting another recommended animal? *

Household Information

How many people live in your home? *

Please list the ages of all children in the home: *

Have your children lived with this type of animal before? *

Would you agree to a follow up home visit? *

What would happen to this pet if you would move in the future? *

Please list all current pets in your household: *

Please list previous pets (last 10 years) and what happened to them: *

What veterinarian/veterinary hospital do you use for your current pets? *

In order for us to approve this application you will be required to provide proof of your current pets' most recent vaccines and spay/neuter status. Please bring a hard copy with you to the shelter or or have your veterinarian email records to info@lebanonhumane.org or FAX to 717-866-2782. This is for the health and safety of both your pets, and our shelter animals!

I understand that all current pets in the home must be spayed or neutered prior to adopting a new pet from the Humane Society. *

Yes
No

I understand that no animal will be placed on hold, or adopted to me, until this application is approved. *

Yes
No

I understand that all persons living in my home must visit with the animal prior to adoption. *

Yes
No

By signing below, I confirm that all information provided on this application is true and accurate. *

By typing your name in the signature box and clicking Submit, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.