Host an Adoption Event Request Form

Thank you for your interest in hosting an adoption event with the Humane Society of North Myrtle Beach! Please complete the form below so we can learn more about your request. Submission does not guarantee approval. A team member will contact you once your request has been reviewed.

Host an Adoption Event Request Form

Business/Organization Name(Required)

Contact Person Name(Required)

First Last

Email(Required)

Phone(Required)

Website or Social Media Link(Required)

Event Details

Proposed Date(Required)

MM slash DD slash YYYY

Alternate Date (if applicable)

MM slash DD slash YYYY

How many animals would you like at the event?(Required)

2-3 animals

6-12 animals (If so, your space must accommodate our Mobile Adoption Center *full-size school bus)

Event Start Time(Required)

Hours

:

Minutes

AM PM AM/PM

Event End Time(Required)

Hours

:

Minutes

AM PM AM/PM

Event Address(Required)

Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code

Is this an indoor or outdoor event?(Required)

Indoor

Outdoor

Estimated number of attendees(Required)

Event Description(Required)

Please describe your event and how animals will be incorporated

Logistics & Support

Will tables, chairs, or tents be provided?(Required)

Yes

No

Is there climate-controlled space available (if outdoor)?(Required)

Yes

No

Is there adequate parking for transport vehicles?(Required)

Yes

No

Additional Information

Are you able to provide the suggested minimum donation of $250 or $500 to support staffing and transport?(Required)

Yes

No

Donation & Acknowledgement

Anything else we should know?(Required)

Signature(Required)

Date(Required)

MM slash DD slash YYYY