Potsdam Humane Society Adoption Application

A complete application can be processed quickly, so please answer ALL questions to the best of your ability, leaving no blanks. For questions that are not applicable, mark “N/A.”

Once we receive your application, it will be processed and a shelter representative will be in touch with you. Please allow 24 – 48 hours minimum for processing.

Personal Information

Housing Situation

Employment Status



Current Situation Information

Past and Present Pet Information

If yes, complete the following:

Animal Welfare Information

Do you know that pets from PHS are to be brought back to PHS if needed to rehome?

Additional Information

No refunds are given on dogs over four months of age. A partial refund may apply on dogs under 4 months depending on circumstances. Cats and kittens have a full refund if returned with in 30 days of adoption date. On return of a pet all adoption papers must be returned with the animal. Please be sure this is the pet you want.

Thank you for offering a home to an animal in our care.

Important: Do you understand the pets we have usually have no or little history to go with them? They have often been surrendered by their owners, picked up as strays, or have been abandoned. We try to evaluate their temperament, but that is not always a true measure of how a pet will behave when become a part of your family. Giving a pet a chance at a new and loving life can take work.

Extra Dog Adoption Questions

Your gift to the animals saves lives!

Your contribution to Potsdam Humane Society goes straight to work helping hundreds of animals. Even small donations make a difference. When we combine the generosity of the many animal lovers throughout the North Country, we can make a difference in the lives and welfare of our furry friends!


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Secure Monthly Donation
Simply click the PayPal button below, and a page will open allowing you to select an amount, make your donation monthly and even dedicate it to someone special!
Is my donation secure?

Yes, we use industry-standard SSL technology to keep your information secure. Your sensitive financial information never touches our servers. We send all data directly to PayPal’s PCI-compliant servers through SSL.

Is this donation tax-deductible?

Your gift is tax deductible as per your local regulations, as we are a tax exempt organization. We will email you a donation receipt. Please keep this, as it is your official record to claim this donation as a tax deduction.

Can I cancel my recurring donation?

Of course. You always remain in full control of your recurring donation, and you’re free to change or cancel it at any time.