Personal Info

Employment Information

Adoption Interest

Pet Ownership History

Animal 1

Animal 2

Animal 3

Animal 4

Animal 5

Animal 6

Additional Animals

Please list any additional animal information and include all of the details that have been requested in the above entries.

Animal Type – Name – Age – Sex – Sapyed/Neutered – Time Owned – What Happened To Pet

Veterinarian Reference

Personal References

Please provide three non-relatives as personal references along with phone numbers.
Please do not list relatives or people living with you

Adoption Interview

The Dog’s Living Arrangement

Select 2 options. Inside or outside and then the duration

The Cat’s Living Arrangement

Select 2 options. Inside or outside and then the duration

Affirmation

all the above information is true and correct. I understand that submissions of this application does not necessarily mean that I will be approved to adopt and that the Humane Society of Greene County reserves the right to reject any applicant. I authorize you to verify any and all information set forth in this application and contact my personal references.

Without your digital approval we can not process this application. I give permission to accept my electronic signature as my legal signature.

Standards For Adoption

  1. Animals are available for adoption to residents living within a two-hour drive of the Humane Society of Greene County. All persons living in the household are encouraged to be involved in the selection of the pet. If single and living at home with parents, one parent must be present at the time of adoption.
  2. Animals will be placed with adults of legal age, to be kept as household pets and not work to serve only as guards, hunters or mousers.
  3. All adopted pets must be spayed or neutered by the date entered on the contract and always be current on vaccinations and rabies inoculations. Purebreds will be sterilized prior to adoption.
  4. Owners are required to provide each companion animal with adequate food, water, shelter, space, exercise, treatment and veterinary care.
  5. No animals will be adopted as a gift for another person. Humane Society of Greene County will issue a “gift certificate”.
  6. According to the Pennsylvania Dog Laws, all dogs must be kept under control and not be allowed to run at large. Because chained dogs are higher risk of being stolen, a fenced yard is recommended. This provision can be waived at the discretion of the Humane Society staff.
  7. Cats may be adopted as indoor/outdoor pets, however, it is strongly recommended by the Humane Society of Greene County that, for the well being, longevity, and health of the animal, it remains inside. Declawed and deaf cats and those cats that had been kept indoors must be maintained strictly as house pets only.
  8. At the discretion of Humane Society of Greene County staff, puppies and kittens less than three months of age may be placed in homes with children less than six years of age, provided there will be adequate parental supervision.
  9. No animals will be adopted to persons having extensive history of losing, giving away, selling or having animals injured or killed by moving vehicles.
  10. Animals that are known to have exhibited vicious tendencies or other serious behavioral disorders are not available for adoption.
  11. For purposes of this contractual agreement, cruelty and/or neglect shall be deemed to exist if the animal is: (a) inadequatly maintained for health (shots, food, water, housing, and minimal physical grooming); and (b) is repetitiously running at large creating a public health, welfare, and safety problem. Violation of this agreement may result in the Humane Society of Greene County requiring return of the animal to its facility.

I AGREE TO THE ABOVE CONDITIONS AND WISH TO ADOPT A PET