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Liberty Humane Society - Dog Application

Liberty Humane Society
235 Jersey City Blvd., Jersey City, NJ 07305
Telephone: 201-547-4147 Fax: 201-547-8381
Email: lhs@libertyhumane.org
www.libertyhumane.org

The mission of our trained adoption counselors is to find the best pet for your family and to place animals into life long loving homes. If we do not have the perfect dog for you, we will keep your application on file.
Do you live with *
Is everyone in your household in agreement on adopting a pet? *
Is anyone in your household allergic to animals? *
Do you own your home? *
Do you live in a *
 
What setting? *
Are you planning to change residence in the near future? *
What will the dog’s living situation be? *
 
When home alone, the dog will be: *
 
Are you looking to adopt a dog (check all that apply)... *
What types of activities are you hoping to do with the dog (check all that apply)? *
Do you prefer a dog that is (check all that apply) *
 
You do not want a dog that (check all that apply) *
 
Do you have experience training a dog? *
How did you learn your training techniques?
 
If you’ve had other pets in the past, please elaborate: *
 
Please provide names and phone numbers of two references (neighbors, friends, etc.). Relatives may not be used as references.
By signing below, I certify that the information I have provided on this form is true, correct, and accurate.
I understand and agree that falsification of any of the above information is grounds to disqualify my adoption application and nullify all adoption(s) and/or adoption agreements between the applicant(s) and Liberty Humane Society
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Thank you for your interest in adopting from Liberty Humane Society!

If you have any questions, please contact us at lhs@libertyhumane.org or feel free to call (201) 547-4147 ext 0