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Home
Adopt
Dogs
Cats
Volunteer
Donate
Contact Us
Have you picked a specific animal to adopt?
Yes
No
Cat or Dog?
Cat
Dog
Name of Cat
Angel
Blitzen
Cinder
Roxy
Rudolph
Vixen
Winifred
Name of Dog
Chevy
Patrice
Remington
Sukara
Temora
Zod
What is your name?
(Required)
First
Last
Date of Birth
(Required)
Month
1
2
3
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5
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12
Day
1
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31
Year
2024
2023
2022
2021
2020
2019
2018
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2016
2015
2014
2013
2012
2011
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2009
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2005
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1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Phone
(Required)
Email
(Required)
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Work Phone
Name of Your Employer
Your Occupation
Type of Dwelling
Apartment
Condo/Townhome
Mobile Home
House
Do You Rent or Own?
Rent
Own
Landlords Name
First
Last
Landlords Phone Number
How Long Have You Lived at This Address?
Do You Have a Fenced Yard?
Yes
No
How Did You Hear About Us?
How Did You Hear About This Particular Animal?
Please List Names and Ages of Everyone Living in The Home
One name per row. Click the plus (+) to add another row.
Add
Remove
Do You Currently Have Any Pets in The Home?
Yes
No
List Pets Names, Species/Breed, Male/Female, Spayed/Neutered
If You Have a Pet, Who Is Your Veterinarian?
Have You Ever Adopted From a Shelter Before?
Yes
No
What Kind of Pet(s)?
Cat
Dog
Other
Have You Ever Surrendered a Pet to a Shelter?
Yes
No
What Kind of Pet(s)?
Cat
Dog
Other
Have Had Any of The Following Experiences With a Pet?
Lost
Stolen
Ran Away
Other
Please Explain
Have You Every Moved With Pets?
Yes
No
Would You Ever Expect to Take the Pet With You If You Ever Move Again?
Yes
No
Have You Had an Animal on Your Premises In The Last 3 Months With a Contagious Disease?
Yes
No
Diseases
Parvo
Distemper
Feline Leukemia
FIP
FIV
Other
Please Explain
Desired Age, Gender, and Size of Pet
Puppy
Kitten
Young Adult
Senior
Age Doesn't Matter
Male
Female
Gender Doesn't Matter
Small
Medium
Large
Size Doesn't Matter
What Are The Qualities Desired in a Pet?
Affectionate
Playful/Athletic
Potty Trained
Likes Dogs/Cats
Docile
Moderately Active
Likes Children
Independent
Lap Dog/Cat
Quiet
Other
What Are the Qualities You Do NOT Want in a Pet?
Noisy
High Energy/Hyperactive
Timid
Dislikes Dogs/Cats
Not Potty Trained
Dislikes Children
Destructive
Demands Attention
Other
On Average How Much Time Per Day Will the Animal Be Without Supervision?
Less than 2 hours
2-6 hours
6-8 hours
More thank 8 hours
Where Will The Animal Be Kept When You Are Away From The Home During The Day?
Run of the house
Yard with shelter
Crate
Basement/Garage
Pen with shelter
How will your animal be cared for while you are away for an extended period, such as a vacation?
Under what circumstances can you envision giving up a pet?
If you are a resident within city limits of Sterling, are you familiar with the current animal control ordinances?
Yes
No
Did you know the average cost of a dog is $400-$600 per year including vaccination, food, grooming, boarding, and medical care? Sometimes this cost can be significantly more.
Yes
No
Did you know the average cost of a cat is $200-$400 per year including vaccination, food, grooming, boarding, and medical care? Sometimes this cost can be significantly more.
Yes
No
Consent
I have read the provisions included on this questionnaire and fully understand the adoption process required by the Logan County Humane Society. I understand that by submitting the Pets/People Profile that it is in no way a guarantee of approval of adoption at this time. I certify that the above information is true and I understand that false information may result in the nullification of this adoption.
Yes
Do Not Consent
I do not understand please disregard my Pets/ People Profile.
GIVE US A CALL
970-520-2804
Have questions about our services or our adoption process? Give us a call today!