Adoption Application

METRO ANIMAL CARE & CONTROL ADOPTION APPLICATION
Name *

First Name Last Name
Spouse/Partner/Roommate/ in home
Address *

Home address

Street Address Line 2

City State / Province

Zip
State *
Email *
example@example.com
Phone Number *

Area Code Phone Number
Driver License Number and State *
Please attach a photo of your ID, state issued driver's license, or passport. *

Browse Files
(Please use a .JPG or .PNG file type when uploading your ID.) Cancel of

Which Animal Are You Interested In?
(List the pet's name, Animal ID Number, or other information if known)
We will do our best to match you up with a pet that best fits your needs. MACC reserves the right to deny adoptions at our discretion. As the potential adopter, we require that you know if there are any restrictions where you live and what they are. To help us better serve you, please answer all questions below. MACC discourages the act of declawing cats. If you are considering adopting a cat, please speak with an adoption counselor about alternatives to this practice
What type of pet are you looking for? *
Why are you adopting? *
What energy level are you looking for? *
Are you adopting for someone else? If 'Yes' the answers below apply to them also. *
Does anyone in your home have allergies to pets? *
How many hours per day will the pet be left unattended? Less than: *
How do you plan on confining your pet outside? *
Do you have any current pets? *
If yes, how many:
Dogs
Cats
Other

Have you ever adopted or fostered a pet from MACC or another shelter? *
Have you ever had to surrender a pet to MACC or another shelter? *
If 'Yes', what was the reason?
Are there minor children in the home? *
How many?
What ages are they?
Are you able to provide food and vet care for your pet for the next 10+ years? *
Do you have a veterinarian currently? *

Yes No
Who is your current veterinarian?
Are you prepared to housebreak/train a new dog or cat?
If yes, how do you plan on doing this?
If you must move in the next 10+ years, would you take your pet with you? *
Have you ever been cited to court for any animal related ordinances or laws? *
Are you now, or have you ever been placed on a court order regarding pets? *
Has Animal Control ever been called out to your home? *
If you answered yes to any of the last three questions, please explain:

I certify that the information provided on this form is true and correct. I am also financially able to care for this animal. understand that proper food and veterinary care can be costly, and I am able to meet those requirements. I authorize Metro Animal Care & Control to investigate all statements made in this application. I understand that any misrepresentation of facts may result in my losing the privilege of adopting a pet from Metro Animal Care & Control.
Date *

Month Day Year
Date
Signature *

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METRO ANIMAL CARE & CONTROL ADOPTION APPLICATION