To be considered for any adoption, please fill out your information and
answer the following questions.  There are no wrong answers here, it
helps us to make a wonderful match for you and the animals!  The more
we know, the better match we can make.
Name you go by:
Pet/Sex requested:
HGR
Your email address:
Have you had this species before?
Yes                        No
Your phone number:
Street Address,
City/State:
Current veternarian/clinic
name and phone number
I own:
Select One...
 I rent:
If you rent, do you have permission to
have more pets?  Have you checked
your rental agreement?
Do you have other
pets?  Please list
species and age
Have you ever
given up a pet?  If
so, please explain.
Any children?
Please list ages.
Anything else? Please include special requests, disabilities of household member, etc...
Fine Print:  I agree to give food, water, shelter and vet care when required.  I agree that I
will not subject my pet(s) to medical testing or any form of abuse.  I agree to notify LH in
the event that I cannot keep my new family member(s), and will allow LH up to 7 days to
make arrangements for the transfer of the pet(s) back to the shelter.  I agree to not hold LH
responsible for any variables in personality, temperament, or health of the pet(s).
Click if over 18
Digital Signature
Application and Information
If you prefer to
mail your
application, please
feel free.

Click Here for the
.doc file

Click here for the
.wpd file