ADOPTION APPLICATION

Adoption Application

Thank you for choosing to adopt a shelter pet. You can submit your Adoption Application online using this form. Our staff and volunteers have an obligation to ensure that the animals left in our care are placed into responsible, loving forever homes. Our adoption process may take 2-5 days and this application must be filled out completely. A copy of your application will be emailed to our adoption coordinators when you submit your online adoption application.Our goal is to assist you in selecting a pet appropriate for your family and lifestyle and to ensure "a good quality of life" for each pet adopted.

Name:

Date:

Pet(s) you are interested in:

How did you hear about our shelter?:

Street address:

City:

State:

Zip Code:

Phone:

Email:

Drivers License #:

Are you 20 years or older?

I live in a(n):

If you rent, are pets allowed?

If you rent, are there any pet restrictions?

Landlord Name and Phone Number:

Are you a student?

Parent name and phone number if you are a student:

Does everyone in your home know you are planning to adopt a pet?

Ages of children in your home separated by commas:

Is anyone in your home allergic to cats or dogs?

REFERENCES

Please list 3 references, including 2 non-family members.

Reference 1

Phone Number:

Reference 2

Phone Number:

Reference 3

Phone Number:

CURRENT AND PREVIOUS PETS

Have you ever surrendered an animal to a shelter/rescue?

If you answered yes, please explain the situation:

Is this your first time owning a pet?

My reason for wanting a pet:

Please list the species/animal name/age/spayed or neutered/whether you currently own or a previous pet/amount of time owned. This list should include all animals you have owned and all animals living with you.

If any pets are no longer living with you, what happened to them? Are they deceased, rehomed, surrendered?

Are your current pets up to date on vaccines?

Have your current pets been around:

Please provide the name and phone number of veterinarian(s) that provided care for your current or previous pets:

CHARACTERISTICS YOU ARE SEEKING IN A PET

Filling out this section helps us match you with a pet that fits your lifestyle and family. If you have no preferences then you may skip this section.

I would like my pet to have:

Are there any specific characteristics that you are seeking in a pet? For example, are you seeking a small dog vs a large dog, or perhaps a dog that loves to play ball? Are you looking for a more playful cat or a more docile temperament? Perhaps you have a specific breed or color in mind.

I would like the age range of my pet to be:

QUESTIONS FOR ADOPTING A KITTEN/CAT

Please fill out this section if you are interested in adopting a kitten/cat. If you are interested in adopting a puppy/dog then skip this section and move to the next section below.

Where will the kitten/cat be kept?

Are you planning to declaw your pet?

How many litter boxes do you plan to provide?

QUESTIONS FOR ADOPTING A PUPPY/DOG

Please fill out this section if you are interested in adopting a puppy/dog. If you are interested in adopting a kitten/cat then skip this section and go back to the section above.

If planning to adopt a dog/puppy, where will the dog/puppy spend the majority of its day?

If you have a fenced yard, what type of fencing is it?

If you do not have a fenced yard, how do you plan to exercise or potty your dog/puppy?

THINGS TO CONSIDER WHEN ADOPTING A PET

Do you understand that this pet is not guaranteed to be litter box trained and/or housebroken?

Are you willing to work with behavior or litter box/housetraining issues?

Do you have the means/funds to provide vet care for your pet?

Are you committed to providing annual vet care for your pet?

What would you do if your pet were diagnosed with an unexpected illness?

I would return this animal for?

List other reasons you would consider for returning this pet:

Is there any additional information that you would like to share with us to help us in placing the animal that will be the best fit for your household?

By submitting this form, I certify that all information I have given in this application for a companion dog/cat is true and correct to the best of my knowledge and belief. I give Blackford County Animal Shelter permission to contact the veterinarian(s) and landlord I have listed for the purpose of verifying information. I also understand that Blackford County Animal Shelter has the right to APPROVE or DENY any applicant based on the suitability and verification of the information included in this application and in accordance with policies established by the Board of Directors.

Signature:

After you click the submit button, scroll back to the top of this page and you should see a success message. Thank you for applying!

Address

2520 N 200 E
Hartford City, IN 47348

Contact

Email: bcasadopt@gmail.com
Phone: (765)348-5284

Hours:

Sun: 10:30-12:30 | 4:30-6:30
Mon: 10:30-12:30 | 4:30-6:30
Tue: 10:30-12:30 | 4:30-6:30
Wed: 10:30-12:30 | 4:30-6:30
Thur: 10:30-12:30 | 4:30-6:30
Fri: 10:30-12:30 | 4:30-6:30
Sat: 10:30-12:30 | 4:30-6:30

Above hours are for donation drop offs, pet reclaims or other services.

Adoptions are by appointment only and require an approved application.

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