Dog Adoption Application

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.

Let's Get Started!

Tell Us About Yourself!

Tell Us About Your Home...

Tell Us About Your Other Pets...

Please list other animals currently in your home:

(Please list name, species, breed, age, sex, spay/neuter status, and temperament for each additional animal.)

Tell Us About The Pets You’ve Had Before...

Please list prior animals and what happened to them.

(Please list name, species, breed, and age for each additional animal.)

Tell Us About Your Plans For This Dog...

Personal References...

(Please Do NOT List Family Members)

Your Veterinarian...

To expedite the application process, please provide us with proof of your current pets’ up-to-date vaccines and spay/neuter documentation.

All dogs and cats within the home must be spayed or neutered prior to adopting a new pet from the Humane Society of Lebanon County, unless otherwise specified in writing by your veterinarian.

(If this is your first pet, please list the veterinarian you plan to see for the care of your dog)

If Yes, please contact your veterinarian to give permission to release your information to our staff.

Acknowledgement and Release...

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.