Henry County Humane Society - Geneseo
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    Adoption Application

    ​This questionnaire must be completed by anyone interested in adopting a pet from the Henry County Humane Society-Geneseo.  We at the HCHS-G try to place our animals into permanent, responsible homes while matching the pet to you and your lifestyle.  NOTE:  THE PROVIDING OF FALSE INFORMATION HEREIN WILL RESULT IN THE FORFEITURE OF ADOPTION FEES AND ANY ANIMALS ADOPTED.  We reserve the right to refuse an adoption based on poor or incomplete vet history.

    If you are adopting a dog or puppy:


    If adopting a cat or kitten:

    (Example: Sadie, Dog, our home. Doug, cat, deceased)

    Personal References


    ​We reserve the right to have inspections of the pet and the living conditions at any time.  I authorize HCHS-G to contact the veterinarian office named above to confirm the medical records/history of my pets.    
    If form does not submit, please go through the form and assure that you have completed all of the information - errors will highlight.
Submit
Henry County Humane Society - Geneseo
14606 Roos Hill Road

 Geneseo, IL 61254
​(309) 944-4868
info@henrycountyhumanesociety.org
DONATE now!
  • Home
  • Events
  • About
    • Our New Facility
    • Board of Directors
  • Adoption
  • Volunteer
    • Foster
  • Donate
    • Sponsor A Pet
  • Contact