Ozaukee Humane Society - Cat Adopter Profile Form

About Us | Contact Us | Employment | Site Map

Available Dogs for Adoption

Available Cats for Adoption

Available Small Animals

Gift of Companionship

Cat Adopter Profile

* Required fields


*First name:

*Last name:

*E-mail:

*Address line 1:
Address line 2:

*City:

*State:

*Zip:

*Home phone:
Daytime phone:

Home ownership:
Residence type:
Landlord name:
Landlord phone:

Do all adults in your household know that you plan to adopt?

# of adults in home:
# and ages of children in home:

What types(s) of pet(s) have you owned during the past five years?

Type/Breed	Age	Name	Spayed/ Neutered?	Still Own?

If you have a veterinarian, please provide his/her name and the clinic name.

Additional comments you want to share with us. ** Please note, if you have specific questions you'd like answered before your visit to OHS, please call us at 262-377-7580.

I certify that I am at least 18 years of age and the information I have given is true. I recognize that any misrepresentation of facts may result in my losing the privilege of adopting a companion animal and I understand that the Ozaukee Humane Society has the right to deny my application.

I am fully aware that I am adopting a living creature and as such that the Ozaukee Humane Society is unable to guarantee the health of the animal.

If this animal becomes ill, I certify that I am financially and/or emotionally prepared to treat this animal at my own expense.