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Jefferson County Humane Society Adoption Application

Thank you for your interest in adopting a loving forever pet. Please take time to fill out our adoption application.

Why are you wanting to adopt this pet? Please click all that apply! Required
Have ever owned your own animals?
I knowledge and accept having a Veterinarian Background Check. Required
Have you ever applied to adopted from Jefferson County Humane Society? Required
Have you ever brought one of your pets to Jefferson County Humane Society? Required
Please understand it may take your new pet serveral weeks to adjust to your home... Are you prepared to allow this much time to adjust? Required
Yes, I understand if for any reason the pet won't work out for me or my family, I will return the animal to Jefferson County Humane Society. Required
We receive food for our dogs and cats through Hills at a very reduced cost. Hills would like to be able to send our adopters information and coupons. It is our understanding they will do this through emails however we will be providing your name, address, phone number and email address. Required

Please check yes to opt-in.

*AGREEMENT NOT TO DECLAW CATS:

By adopting a cat from Jefferson County Humane Society, I acknowledge and agree to never declaw the cat or allow anyone else to do so. Required
In the event that I violate this agreement, ownership of the cat will immediately be transferred back to JCHS. Furthermore, both parties agree that I will be responsible for paying JCHS liquidated damages of $500, along with all veterinary expenses related to the cat's declawing complications, as well as any attorney fees and court costs incurred in enforcing this agreement.a cat from Jefferson County Humane Society, I acknowledge and agree to never declaw the cat or allow anyone else to do so. Required

Thank you for applying to adopt with us! We'll get back to you soon.

15295 K4 Highway, Valley Falls, Kansas 66088

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