This form is not complete until you have had a consultation with a WCHS staff member. The consultation is designed to help you determine if the adoption is in the animal’s best interest and to assist you in finding the animal most compatible with your lifestyle.

Name *

First Name

Last Name

Email *

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How many people live in your home? *

How many children in the home? *

The pet I'm interested in is:

Why are you looking to adopt an animal? *

Companion for you/spouse

Recently lost a pet

Service or Support Animal

Companion for children

Companion for Pet

Gift for someone else

I live in a(n): *

Do you rent or own? *

If you rent what is your Landlord/Property Manager's name and number?

This is required if you rent.

What other pets are currently living in your home? *

Dogs

Cats

Other

None

The activity level in my household is

Do you have plans for providing enrichment to your animals?

On average, my animal will be without people: *

Do you intend to hire a pet-sitter should you be traveling? *

If they become ill/injured, are you financially able to provide their medical care? *

Have you or anyone in your household ever had an allergy related to this species or their necessary care items? e.g. hay, alfalfa, etc. *

Do you intend to move out of the country within the lifespan of this animal? *

Please elaborate on your experience/personal research with this species. *

By submitting this form I certify I do not intend to utilize this animal as a “feeder” for any other animal(s). I certify that all the above information is true and accurate. I understand that if I adopt a pet from the Whitman County Humane Society, this document will become part of the adoption record. I also understand that completion of this questionnaire does not guarantee the adoption of a WCHS animal. *

Thank you!

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CAREERS

Location

1340 SE Old Moscow Road
PO Box 453
Pullman, Washington 99163

Hours

Sat - Wed 
1-5 PM

Thu & Fri
Closed

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Last Name

Email Address

Thank you!

EIN: 91-2054548