Adoption Application

Animal

Name of the animal I am interested in adopting *

My Information

Full Name *

Mailing Address *

Country

City

State

Zip code

Physical Address *

Country

City

State

Zip code

Phone *

Secondary Phone

Email

Please enter if you have an email address.

Date of Birth *

You must be at least 21 years old to adopt an animal.

About My Home

Please list the name, age, and relationship to you of each person living in your household:

Does anyone in your home have allergies to pets? *

Yes

No

My living situation *

Do you rent or own? *

Rent

Own

Provide the name, phone number, and email of your landlord:

Why do you want to adopt at this time? *

Do all adults in your household know of your plan to adopt an animal? *

Yes

No

Have your children ever been around pets? *

Yes

No

N/A

Do your pets get along with other animals? *

Yes

No

N/A

Will this pet be *

Average hours per day the pet will be alone *

Where will your new pet be kept during the day? *

Where will your new pet be kept during the night? *

Have you adopted an animal from the Park County Animal Shelter before? *

Yes

No

Please give the animal's shelter name and the approximate adoption date

If you have other pets, please give species, age, and gender for each pet

If you have other pets, are all of them spayed or neutered? *

Yes

No

N/A

If you have other pets, are all of them current on their vaccinations? *

Yes

No

N/A

If you are adopting a cat, do you plan to declaw? *

Yes

No

N/A

Please give your current/last veterinarian's name, phone number, and location *

May we contact this vet as a reference?

Yes

No

References

Reference #1

Name *

Phone *

Reference #2

Name *

Phone *

Reference #3

Name *

Phone *

Wrap Up

How did you hear about Park County Animal Shelter?

Please check the boxes below to indicate you have read and understand the following PCAS policies: *

I accept that adoption applications are reviewed on a first come, first serve basis.

I accept that an approved application does not guarantee the adoption of nor place a "hold" on any animal at the Shelter.

I accept that PCAS is looking out for the best interest of the animal and that PCAS reserves the right to deny any adoption if they feel it is not the right fit for the animal.

Signature *

By typing my name on the line above, I am attesting to the truthfulness of my answers. Falsification of any of the above may be grounds for removal of an adopted animal and/or fines of up to $250.00. The PCAS reserves the right to refuse any application, on any grounds.

reCAPTCHA is required.

Animal

My Information

About My Home

References

Reference #1

Reference #2

Reference #3

Wrap Up

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