OFF SITE Fort Wayne Animal Care & Control Adoption Profile

OFF SITE Fort Wayne Animal Care & Control Adoption Profile

This adoption application and payment portal is for animals who is located at an offsite location.
Name of the animal you'd like to adopt*
Animal Identification Number
This number can be found on the animal's information. It starts with an 'A' and is followed by six digits.
Name*

First NameMiddle InitialLast Name
Maiden Name
Former Last Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Date of Birth*

MonthDayYear
Adopters must be at least 18 years of age to adopt an animal from Fort Wayne Animal Care & Control.
Driver's License #/ State ID #*
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Previous Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Have you filled out an adoption application within the past 6 months?

YesNo
How many people are currently living in the home where this animal will live?*
Please include children.

Please list all the people living in your home:

Please list all the pets currently living in your home:

The information I have given here in this application is correct to the best of my knowledge. I understand Fort Wayne Animal Care & Control reserves the right to approve or reject this application.*
Please type your first and last name.
I understand that Fort Wayne Animal Care & Control has recently seen an increase in the number of feline panleukopenia (cat parvo) cases at the shelter. I have listed ALL cats living in my home and understand that the best way to protect them is to make sure they are current on all vaccinations. I understand that all cats and kittens available for adoption through FWACC have been vaccinated against feline panleukopenia, but I should still follow staff's advice on how and when to properly introduce my cat to the new cat in my home. *
We love making great matches and having conversations about what you're looking for in a pet! Please check below if you'd like to stay in touch with us.

Yes, I would like to receive promotional information from Hills Science DietOther
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