• Application for Adoption

    McPherson County Humane Society
    Application for Adoption
  • Please read the following statments carefully.

  •  -
  • I have occupied this residence since:*
  • My household includes residents in these age groups:*
  • I own/rent this residence*
  • Property owner, manager or landlord*
  • How did you hear about us? (Check all that apply)
  • Have you ever surrendered an animal to an individual, family, shelter, or rescue group?*
  • Please list all pets in the home (even if they do not belong to you):
  • Current or most recent veterinarian
  • Cats can live 15-20 years (sometimes more!). Are you willing to take responsibility for a pet for that length of time?*
  • Do you plan to declaw this cat?*
  • Under what circumstances would you give up your cat? (Check all that apply)
  • Is anyone in your household allergic to cats?*
  • Where will this cat live?*
  • Please provide two non-relative references.

  • Reference #1*
  • Reference #2*
  • McPherson County Humane Society Adoption Policy

  • Reload
  • MCHS Use Only

  • Application Approved
  • Should be Empty: