DeKalb Humane Society Adoption Application

5221 US Highway 6

Butler, IN 46721

260.868.2409

Please fill out all fields marked with an asterisk (*) to complete the form.


Applicant Information:
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House
Condo/Apartment
Mobile Home
Student Housing
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Rent
Own
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Employment Information:

Please fill out for all of the adults in the household.

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Current & Past Animals Information:
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Please list your current veterinarian name & phone number, as well as any other vets you have had in the past 5 years.
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References:

Please list at least 2 personal references.

Only 1 can be a relative.

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Adoption Application Questions:
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I agree to the following:
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Please note that you should allow 3 to 5 business days for your adoption application to be processed.