Adoption Application
Upon approval of your application, an Adoptions Counselor will contact you to set up an appointment for you to meet the pet you are interested in adopting. For questions regarding your application, please call 334-409-0622, option 2, or email adoptions@montgomeryhumane.com.
Are you interested in adopting a dog or a cat? *
What is the name of the MHS pet you are interested in? *
Which item best describes the type of pet you are looking for? *
Your Full Name *
Street Address *
City *
State *
Zip *
Email Address *
Mobile Phone *
Work Phone
Home Phone
Employer Name
Drivers License State and Number *
Date Of Birth *
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DD
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Are you 19 or older? *
Does anyone in your household have pet allergies? *
How many dogs and cats have you owned in the past 5 years? *
Where are they now? *
What are their names and ages? *
Have you ever turned an animal into the Montgomery Humane Society or any other shelter? *
If yes, please explain the circumstances.
Do your pets spend most of their time indoors or outdoors? *
Where will the pet that you adopt from the Montgomery Humane Society live? *
Are your current pets up to date on their vaccinations? *
Who is your veterinarian? *
Is there a yard available for your pets? *
If yes, please describe your yard.
How do you plan on keeping your dog in your yard?
Additional Comments
I UNDERSTAND AND AGREE THAT IF I HAVE MISREPRESENTED MYSELF OR IF I HAVE ADOPTED THIS ANIMAL(S) UNDER FALSE PRETENSES, THE MONTGOMERY HUMANE SOCIETY MAY RECLAIM THIS ANIMAL(S). *
Signature and Date *
Promo Code
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This form was created inside of Montgomery Humane Society.