Adoption Application

Ready to Adopt? Start Here!

Primary Applicant Info

Be sure to enter your first and last name in the Full Name field.

Full Name

Phone #

Cell Home Work

Address

City

State

Zip

How Did You Hear About Us?

Age Verification

The primary adoption applicant must be at least 21. Please check this box to verify before continuing with the application.

I am 21 or over.

Your Household

List the names of the people who live in your home (even part-time). For each person, include their age and their relationship to you.

Household Members

Which best describes your household?

Hours Per Day (on average) that your pet will be alone

Your Home

Home Type

Unit #

Is this a rental property? Yes No

Landlord/HOA Name?

Landlord/HOA Phone?

Adoptable Pet Information

What type of pet are you interested in adopting? (check all that apply)

Dog Puppy Cat 1 Kitten 2 Kittens

Where will you keep your pet? (Check all that apply)

Inside Outside Basement Garage Crate Other

Other (please explain)

What type of yard do you have?

Yard Type

Fence Type

Fence Height

How experienced do you feel caring for this type of pet?

How experienced do you feel with providing veterinary care for this type of pet?

Dog Energy Level?

Cat Activity Level?

Cat Scratching Options?

Cat Tree/Scratching Post

Catnip/Toys

Trimming Nails/Nail Tips

Training

2 Paw Declaw

4 Paw Declaw

Enter the name(s) of any of our available pets that you are specifically interested in meeting.

In the last 10 years, what types of pets have you owned? (Check all that apply)

Dog Cat Other None

Enter the number of pets that currently live in your home (if none, enter 0)

Dog History

Provide information on your current dogs (or any dogs you have had in the Last 10 years) starting with the most recent. List only dogs for which you were the primary person responsible for their veterinary care (i.e., please do not list family pets where you were not the primary caretaker).

Dog 1

Name

Breed

Age

Length of Ownership

Still With You? Yes No

Dog 2

Name

Breed

Age

Length of Ownership

Still With You? Yes No

Dog 3

Name

Breed

Age

Length of Ownership

Still With You? Yes No

If more than 3, enter information for additional dogs below (include name, breed, age, length of ownership, and if they are still with you).

For any dogs that are no longer with you, please provide a brief explanation.

Cat History

Provide information on your current cats (or any cats you have had in the Last 10 years) starting with the most recent. List only cats for which you were the primary person responsible for their veterinary care (i.e., please do not list family pets where you were not the primary caretaker).

Cat 1

Name

Breed

Age

Length of Ownership

Declawed?

Still With You? Yes No

Cat 2

Name

Breed

Age

Length of Ownership

Declawed?

Still With You? Yes No

Cat 3

Name

Breed

Age

Length of Ownership

Declawed?

Still With You? Yes No

If more than 3, enter information for additional cats below (include name, breed, age, length of ownership, declaw status, and if they are still with you).

For any cats that are no longer with you, please provide a brief explanation.

Other Pets (provide a brief description)

Veterinary History

Vet references are always verified. If your past or present pet does not have a history of routine vet care, please do not apply. Routine vet care can include wellness exams, routine vaccines and tests, heartworm testing, and medications.

Please enter the veterinarian/vet clinic information for your current and past pets. Use the comments field if any clarification is needed.

Vet Clinic

Vet Phone #

Additional Vet Comments

Finalize Application

By clicking the submit button I certify that the information provided is complete and correct to the best of my knowledge. I (along with those persons accompanying me) assume risk of injury which may occur as a result of viewing any animal in the custody of West Suburban Humane Society.

Security Check

Enter the security check code and click the Submit button when your application is complete.

adoption app thankyou

Thank you for considering adoption. We have received your application and one of our adoption counselors will be in touch within 48 hours.

We look forward to helping you find your perfect match.

Adoption Desk Team
West Suburban Humane Society
1901 W. Ogden Avenue
Downers Grove, IL 60515

(630) 960-9600

[email protected]

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