- Yakima Humane Society

Please note you must be at least 18 years old to adopt.

Applicant Information

Please list the Animal ID # of the animal you are interested in adopting.* First Name:* Last Name:* Applicant's Age:* Address:* Address 2: City:* State:* Zip:* Phone Number:* Email Address:*

Emergency Contact

Required for Microchip Registration

First Name:* Last Name:* Phone Number:* Alternate Phone Number

Household

What type of housing do you live in?* Do you rent or own your home?* Will this pet be in the presence of children frequently?* My adopted pet will primarily be* Do you have a fenced yard?* Will you be declawing the adopted pet?*

Long Term Care

What will happen to this pet if you move?* Do you have a Veterinarian for your pet(s)?* If yes, please list the name of the clinic: How many pets do you currently own?*
Breed / Age / Gender / Spayed or Neutered / How long owned? / What happened to him or her?

By submitting this form, you certify that this information is true and understand that false information may result in nullifying this adoption. This questionnaire remains the property of the Yakima Humane Society.

Adoption Center

2405 W Birchfield Rd
Yakima, WA 98901
509-457-6854
Get Directions

Clinic Center

106 S 6th Ave
Yakima, WA 98902
(509) 426-2460
Get Directions