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Available Dogs for Adoption
Adoption Fees, Forms & Process
Finding Your Perfect Match
A Lifesaving Story
Available Cats for Adoption
Adoption Fees, Forms & Process
The Smart Way To Choose a Cat
A Lifesaving Story
Available Small Animals
Adoption Fees, Forms & Process
Rabbits
Petite Pals
Birds
A Success Story
Gift of Companionship
Petite Pals Adopter Profile
(Guinea Pigs, Hamsters, Gerbils, Mice)
* Required fields
*First name:
*Last name:
*E-mail:
*Address line 1:
Address line 2:
*City:
*State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
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New Hampshire
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Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*Zip:
*Home phone:
Daytime phone:
Home ownership:
Homeowner
Renter
Residence type:
House
Apartment
Condo
Duplex
Mobile home
Parents
Landlord name:
Landlord phone:
Does your home have an ultrasonic rodent repeller?
Yes
No
Have you ever adopted from the Ozaukee Humane Society?
Yes
No
Does anyone in the household have allergies to animals?
Yes
No
If yes, can the allergies be controlled by medication?
Yes
No
Do all adults in your household know that you plan to adopt?
Yes
No
# of adults in home:
# and ages of children in home:
Are you adopting this animal as a:
House Pet
Classroom Pet
Companion for Other Pet
Gift
Outside Pet
Breeder
Who will be the rabbit’s primary caretaker? (i.e.: feed, train, monitor health, clean cage and/or litterbox, exercise, groom etc.)
What type(s) of pet(s) have you owned during the past five years?
Type/Breed
Kept Where?
Age
Name
Still Own
Spayed/ Neutered?
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
If you no longer have the above pet(s), please explain what happened to them?
If you have a veterinarian, please provide his/her name and the clinic name.
If there is a dog or cat in your household, has one of them ever injured or hunted another animal?
Yes
No
What type of cage will you have for your new pet?
What size?
Where will the cage be kept?
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.
2073 Highway W, Grafton, WI 53024
(262) 377-7580
info@ozaukeehumane.org
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