Austin, Minnesota
We no longer have open
public adoption hours.
We now schedule appointments
for adoptions with Completed
Adoption Applications. You can
download/submit Adoption
Application Forms, and view bios
and pictures of our available
animals under the "Adoption
Info" Menu item above.
CONTACT INFO:
First Name*
Last Name*
Email*
Phone Number:*
Age Over 21?
Address1: (House # and Street)*
Address2: (City / State / Zip Code)*
Employer:*
Spouse/Partner's Employer:
HOUSING INFO:
In what type of home do you live* Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Farm
Do you own or rent your home* Choose one: Rent Own
If rent, enter landlord's name and phone:
HOUSEHOLD INFO:
How many adults in your home?*
How many Children?*
Children's Ages?
Is any member of the household allergic to animals?
Has any member of the household been convicted of a felony?
If yes, explain:
PETS CURRENTLY LIVING WITH YOU
Pet's Name, Breed, and Age?
Gender/Status?
Pet's Name, Breed, and Age
FORMER PETS
Pet's Name and Breed?
What happened to this pet?
Name of your Regular Vet Clinic?*
Vet Phone Number & Contact Name?
ADOPTED PET INFO:
Which animal are you interested in? Choose an animal: Abby Ackston Adeline Alan Alex Alma (aka Pretty) Andrea Angelo Apollo Argo Aries Art Athena Ava Baby Bagheera Barkley Beckham Belle Benny Beth Billy Blu (long term resident) Bronco Buster Charlie Chester Chip Christian Clarissa Claudia Dani (longterm resident) Dayle Deli Dexter Dona Ed Emerald Faith Finny Fizz Flynn Forest (Sponsored Fee) Franklin Frieda Gabe Gabriel Gary GARY Glenn Goldie Greta Grey Hayden Hickory Hudson Ingrid James Jasmine Javvy Jewel Jim JT Karina Karlie Kate Katrina Kias Kindra Kipper Kirby Lainey Lance Leah Lexus Lizzy Lucinda Lucky Lucky (Sponsored Fee) Lucy Ludwig Lynn Mango Max Maxine Michonne Middy Milo Mittens Moe Moxie Muffin Mya Myla Nellie Nelson Noel Noodle Nova Oakley OLI PATTY PIPER Podge Quill QUINT Randi Reuben Rhonda Riggs Roberta Rocky Rome Romeo Rosita Rowen (Sponsored Fee/longterm resident) Rudy Sabrina Sebastian Shadow Shontell Simba Smokey Sonya Story Superman Tami Teddy Theresa TIMMY Toby Keith Todd Velvet Vicki Wild Bill Wilson Yolanda
Where will your pet live?
If Other, explain:
How will the pet be prevented from running at large?*
How many hours per day will your pet be alone?*
I have friends or family that visit regularly. They are:
Is someone in the proposed home, or someone who may be a regular visitor nervous or unsure of pets?
I understand that the adoption is subject to my agreement to take care of the animal in a safe and healthy manner and that ownership of the pet may be revoked by the Mower County Humane Society ("MCHS"), if MCHS determines, in its sole discretion that I have provided false information on this application or have not followed the terms of this agreement. An MCHS representative will be granted the right to visit my home at any time prior to or after any adoption to assess the conditions, such that there is adequate food, water, correct shelter and proper health care for any pet. If MCHS finds, in its sole discretion, that I am in violation of these terms, the animal may be removed from my home (or its placement) at any time and without advance notice. Adopter understands that the animal will be returned to MCHS if the adoption does not work. The animal will not be privately re-homed. I understand and agree to the above statement.
I understand the MCHS is a volunteer organization which places animals in homes and that my adoption fee is a nominal amount intended to partially offset MCHS costs. I understand that MCHS makes every effort to ensure the health of animals and that it makes no warranty, representation or guarantee as to the health of any animal. I agree to waive any claim against MCHS arising out of any adoption or this application, and agree to hold harmless MCHS, its officers, volunteers or agents from any claim, loss, injury or damages as well as indemnify and defend MCHS, its officers, volunteers or agents to the fullest extent of the law regarding any related claim, loss, injury or damages. I understand and agree with the above statement.
Name / Date:*
---------------------------------------------------- MCHS USE ONLY-------------------------------------------------------
NAME OF ANIMAL: Choose an animal: Abby Ackston Adeline Alan Alex Alma (aka Pretty) Andrea Angelo Apollo Argo Aries Art Athena Ava Baby Bagheera Barkley Beckham Belle Benny Beth Billy Blu (long term resident) Bronco Buster Charlie Chester Chip Christian Clarissa Claudia Dani (longterm resident) Dayle Deli Dexter Dona Ed Emerald Faith Finny Fizz Flynn Forest (Sponsored Fee) Franklin Frieda Gabe Gabriel Gary GARY Glenn Goldie Greta Grey Hayden Hickory Hudson Ingrid James Jasmine Javvy Jewel Jim JT Karina Karlie Kate Katrina Kias Kindra Kipper Kirby Lainey Lance Leah Lexus Lizzy Lucinda Lucky Lucky (Sponsored Fee) Lucy Ludwig Lynn Mango Max Maxine Michonne Middy Milo Mittens Moe Moxie Muffin Mya Myla Nellie Nelson Noel Noodle Nova Oakley OLI PATTY PIPER Podge Quill QUINT Randi Reuben Rhonda Riggs Roberta Rocky Rome Romeo Rosita Rowen (Sponsored Fee/longterm resident) Rudy Sabrina Sebastian Shadow Shontell Simba Smokey Sonya Story Superman Tami Teddy Theresa TIMMY Toby Keith Todd Velvet Vicki Wild Bill Wilson Yolanda
TAG # AND YEAR
CLINIC:
ADOPTION FEE:
DATE ADOPTED:
DATE ADOPTION DENIED:
MCHS REP: