LIVINGSTON COUNTY HUMANE SOCIETY

CHILLICOTHE ANIMAL SHELTER
1400 South Mitchell Road
Chillicothe MO  64601
660-646-1006
EMAIL

 

Thank you for your interest in a pet from Chillicothe Animal Shelter!
  Please follow the steps below to submit your Application and Contract. 

  • Below is our Online Adoption Application.  Please fill out ALL questions on the application, missing information will NOT be processed and your application will not be approved.  If you have any questions about the application, please call us at the number above between the hours of 9AM to 4PM, Monday through Saturday.   Once your application has been submitted, it will be reviewed and we will be contacting you with your approval status.  We ask that you understand that filling out an application does not guarantee that you will be able to adopt the animal you're interested in, nor does filling out an application guarantee that we will hold a particular animal for you.  The application is the first step in the approval process, once its status has been determined, we will be in contact with you for further details and completion of the adoption process.

 

  • PLEASE READ THE FOLLOWING CAREFULLY!  Once you have completed and submitted your Online Adoption Application, you will be redirected to our Online Adoption Contract.  It is very important that you read this and fully understand our rules and policies, this is a legal and binding document.  You will be asked to enter some basic information again and, as well, to electronically sign the Contract.  If we do not receive the Adoption Contract with the Adoption Application, your Application cannot be processed.  If you experience any problems with the redirect, you may return to this page and access the Adoption Contract manually by CLICKING HERE

  • Thank you.
      Chillicothe Animal Shelter

    WWW.CHILLICOTHEANIMALSHELTER.COM

     

    LIVINGSTON COUNTY HUMANE SOCIETY ONLINE ADOPTION APPLICATION

    Please read carefully and provide all requested information.  This is your Adoption Application.

     

    Pets Name *
    Pets Description (Ex: Lab Mix, Black, 6 Years) *
    PERSONAL INFORMATION  
    Your Name *
    Your Address *
    City *
    State *
    Zip/Postal Code *
    Your Phone Number *
    E-mail Address: *
    Drivers License Number *
    Vehicle License Number *
    Employer *
    Employers Address *
    City *
    State *
    Zip/Postal Code *
    Employer Phone Number *
    Length of Employment *
    HOUSING/FAMILY  INFORMATION  
    Residence (House, Apartment, Condo) *
    Do You Rent Or Own Your Home? * Own
    Rent
    If You Rent, Please Provide Landlords Name
    Landlords Phone Number
    Does Residence Have a Yard? * Yes
    No
    If Yes, Is Yard Fenced? Yes
    No
    If Fenced, What Type of Fencing and How High?
    Number of People Living At This Address *
    Number of Adults *
    Number of Children *
    Number of Seniors *
    Is Everyone In Family Agreed Upon Adopting Pet? * Yes
    No
    PET CARE INFORMATION  
    Pet Housing (Fenced Yard, Kennel, Kept In House, Etc) *
    Will Pet Be Left Alone During the Day? * Yes
    No
    If Yes, Approx. How Many Hours?
    What Provisions Will Be In Place if Pet Is Left Alone? (Crated, Kept in Fenced Yard, Kept In House, Etc)
    Is Adopting This Pet A Lifetime Commitment For You? *
    What Animals Do You Currently Own? * Dog(s)
    Cat(s)
    None
    DOGS CURRENTLY OWNED: Please Give Ages, Breeds, Sizes
    CATS CURRENTLY OWNED: Please Give Breeds, Ages
    Are All Currently Owned Pets Spayed/Neutered? Yes
    No
    If No, Please Tell Us Why
    Have You Ever Given Up A Dog or Cat? * Yes
    No
    If Yes, Please Tell Us Why
    Have You Ever Relinquished A Pet To A Shelter? * Yes
    No
    If Yes, Please Tell Us Why
    VETERINARY INFORMATION  
    Veterinarians Name *
    Veterinarians Address *
    City *
    State *
    Veterinarians Phone *
    REFERENCE  
    Name of Personal Reference *
    Phone Number of Personal Reference *
    SIGNATURE  
    I Certify That The Above Information is True and Accurate: Type Name *
    OFFICE USE ONLY: Microchip Number
    * Required Contact form by myContactForm.com

     

    Copyright 2009 Livingston County Humane Society