Humane Society of the Lakes 

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Adoption Application
Thank you for taking the time to fill out our questionnaire. The purpose of this application is to learn a little about your family and home so that our organization can make the best possible match for both you and our rescue animal. Our main concern is placing our animals in a compatible home with a family that will give them a LIFETIME commitment of love and proper care. This consultation process is designed to help us determine if the adoption is in the best interest of both the animal and the adopter. Please be aware that while completing this application does not bind you to adopt one of our animals, neither does it guarantee that we will place one of our animals in your home at this time. If you are interested in learning more about one of our rescue animals, please answer the questions honestly and thoroughly. Some animals may need some extra time and patience to adjust to yet another new home. Some may need house training or other types of training, and some may just need a little extra love and patience. All animals, regardless of their background and history, go through an adjustment period when they go to a new environment. There will be a period of a few days, weeks or in some cases months during which your new pet's personality is emerging and growing while you get to know one another. Please remember that this is a stressful time for an animal and hopefully we will be able to work together to make this a lifetime relationship for you and your rescue pet. You can call on us at any time to help you in any way. With this is mind, please answer the questions on the application to the best of your ability. We reserve the right to refuse adoption to anyone for any reason. A representative of our group may conduct home visits prior to or following an adoption, and our group has the right to reclaim an animal following an adoption if unsuitable home conditions, evidence of neglect, abuse or other mistreatment of the animal are found on this visit.
IN ORDER TO BE CONSIDERED AS AN ADOPTER TODAY, YOU MUST: * Be 18 years of age or older. * Have identification showing your present address. * Have the knowledge and consent of your landlord. * You must spay or neuter the adopted animal. * Be able and willing to spend the time and money necessary to provide training, medical treatment and proper care for a pet for the entire life of that animal.
Required Name:
Name of others living/caring for animal in household (if any):
Required Address (including City and Zip-code):
Phone numbers:
Spouse/Other Cell
Required Best way/time to contact you:
Place of Employment:
Emergency Contact (other than someone living in the home):
Address (including City and Zip-code):
Required Is there a specific animal you are interested in adopting from us?

If so, which animal and why?
Required Are all family members in agreement about adopting an animal?

Required Do you have children?

If yes, what are their ages?
Required Does anyone in your home have pet allergies?

Required Do you own or rent?

If you rent, what is your landlord's name and telephone number? Verification required landlord: Date Received: __________________________ HSL Staff Initials: _______________________
Have you already received permission for the animal you would like to adopt?

How long have you lived at the property?
Required Are you planning to move anytime in the near future?

Required Have you owned an animal(s) at this residence in the past?

If yes, is the animal still at the residence?

If no, reason?
Your veterinarian's name, hospital/clinic, city, and phone number (if known):
Dog adoptions only:
You would like a dog for: house pet, guard dog, companion, gift, companion for another dog, or other (please explain):
How will your dog be confined to your property (please include all that apply)? In the house; in a crate or kennel; in a fenced yard; on a chain; in a garage; on a patio; other...
Cat adoptions only:
You would like a cat for: house pet, mouser, companion, gift, companion for other pet, other (please explain):
Will this cat be allowed outdoors?

Do you plan to have this cat declawed?

All adoptions:
Required Have you ever adopted an animal from HSL?

If yes, when?
Required Do you have any other pets now?

If yes, how many?
Are they indoor or outdoor pets?
Are they spayed/neutered?

If no, reason?
Are they current on vaccinations?

Onsite pet visit completed: Yes___ No___ N/A:___ Date:_____________________ Visit outcome:_________________________
Required Have you ever had to give up an animal before?

If yes, reason?
Do you have a yard?

If yes, is it fenced?

Required Where will your pet be kept during the day? And at night?
Required How many hours will this animal spend alone each day?
Required How long do you feel an animal should be given for an adjustment period?
Required Are you willing to work with a new pet on any issues he or she may have?

Required What behaviors would be unacceptable to you?
Required What actions would you take to correct these behaviors?
Required Excluding your death, what conditions or circumstances would cause you to give up an animal?
Required Are you prepared to provide for your animal's continued health care, including proper diet, annual examinations, vaccinations, and other treatment?

Required Do you understand the importance of getting your pet spayed or neutered and agree to do so if necessary according to the legally binding adoption contract?

Additional questions or comments:
Please read and understand the following conditions and initial accordingly.
*HSL does not guarantee that the adopted animals are housebroken, have no bad habits/behaviors, or are purebred *HSL will not be responsible for any and all health problems with which the animal may have or had come into contact with. *Adopter agrees to absolve the HSL and its employees, directors, and volunteers from any liability for present or future damage, injuries or any loss/cost caused by this animal. *Adopter assumes ALL financial responsibility for the animal once the contract is signed by the Adopter. *Adopter assumes FULL responsibility for the health, condition, and care (to include behaviors of any kind) of the animal once the contract is signed by the Adopter. *HSL does not allow adoptions of any animals with known aggressive tendencies. *All HSL animals have had a Temperament & Obedience Assessment prior to adoption.
Required Adopter's Initials:


19665 US Hwy 59, Detroit Lakes, MN 56501      218-847-0511