Adoption Application

Complete all of the fields below if you are interested in adopting one of the animals at the Williams County Humane Society.  We will get back with you as soon as possible. 

Insert the animal's name (if you know).

Your Primary Telephone Number

Your secondary (work - mobile) phone number.

Enter a valid email address.

Your Address.

What type of property do you reside?

Do you currently Rent or Own your home?

If you rent your home, please include your Landlord's Name and telephone #.

Enter the number of people living in the home.

Are you Employed?

Enter your employers name and address.

Please enter the name of the person responsible for the primary care of the animal.

Please enter the purpose of you wanting to adopt this animal.

Do you have a fenced yard?

Will the dog/cat be kept inside or outside?

If the animal will be kept outside, please describe the location.

Please list any other animals you have had within the past five years.

Please list any other current animals living in the home.

Are your other animals, currently living in the home, spayed or neutered?

Who is your current or future vetrinarian?

Are your current animals all up to date on shots?

What would you do if your animal went potty in your house or destroyed your furniture?

Are you aware that animal that you want to adopt will have to be re-potty trained due to them being in our cages during the day?

I have read, understand and agree with the WCHS Mandatory Spaying-Neutering Policy

I have read, understand and agree to the All Adoptions Are Final Policy

Please enter the name and contact information of a personal reference.

Please enter the name and contact information of a second personal reference.