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Lexington Humane Society

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Lexington Humane Society
1600 Old Frankfort Pike, Lexington, KY 40504
(859) 233-0044
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First Contact Form

Please fill out this form truthfully and completely. Forms with missing, misleading, or inaccurate information will be rejected.

I am registering for(Required)

Tier 1: I am committed to adopting ($50 service fee)

Tier 2: I am considering adopting ($30 service fee)

Your Name(Required)

First Last

Your Phone(Required)

Will you accept text messages?(Required)

Yes

No

Your Email Address(Required)

Date of Birth(Required)

MM slash DD slash YYYY

You must be 18 years of age or older to adopt.

Your Address(Required)

Street Address Address Line 2 City State ZIP Code

Do you own or rent/lease this property?(Required)

Own

Rent/Lease

Landlord's Name(Required)

First Last

Landlord's Phone(Required)

Forms without valid landlord information will be rejected. Records will be checked.

Driver's License Number (or other valid ID number)(Required)

Please include the state where your ID was issued.

In the past have you adopted from

LHS

Another Shelter

How soon are you hoping to adopt?

Please list the type/breed and age of any animal(s) currently in the home.

Please list the ages of any small children in the home.

Does anyone in the home have animal allergies?

Yes

No

Unknown

What type of animal are you looking for?

Dog/puppy

Cat/kitten

Other

Preferred breed

Please provide at least 1 breed (or breed mix). Remember that this is a service to match you to your ideal pet. “Any” or “all” will not be accepted.

Do you have experience with this type/breed of animal?

Yes

No

Preferred gender

Female

Male

No Preference

Preferred age

Under 6 months

6 months-1 year

1-3 years

Over 3 years

No preference

Other

This pet will primarily live

Indoors

Outdoors

Both

How many hours per day will this pet be alone

Less than 4

4-8

More than 8

Energy level

I can adjust my lifestyle to fit my pet’s needs

Low (light exercise/lots of down time)

Moderate (daily walk/daily play time)

High (daily walk or jogging/LOTS of play time)

Grooming needs

No preference/any level of grooming need

Minimal/light brushing

Regular upkeep/regular brushing

Heavy upkeep/professional grooming

Other preferences

Likes cats

Likes dogs

Good with children

Can be alone/crated much of the day

Alternate contact name and phone number(Required)

Required by the microchip company

What circumstances, if any, would cause you to relinquish this pet in the future?(Required)

Consent(Required)

By submitting this completed form, I state that I understand and agree with the process and expectations associated with the service Tier (Tier-1 or Tier-2) option that I have selected. I also understand that forms with missing or incorrect information will be rejected. *

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Phone: (859) 233-0044
Fax: (859) 259-1598
1600 Old Frankfort Pike, Lexington, KY 40504

© 2026 Lexington Humane Society.