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 Name
Middle Initial
Last Name
Maiden Name
Former Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
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
City
State / Province
Postal / Zip Code
Previous Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Have you filled out an adoption application within the past 6 months?
Yes
No
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:
First Name
Middle Initial
Last Name
Relationship to You
Age (If under 18)
Date of Birth
Person
Spouse
Child
Parent
Roommate
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Person
Spouse
Child
Parent
Roommate
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Person
Spouse
Child
Parent
Roommate
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Person
Spouse
Child
Parent
Roommate
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Person
Spouse
Child
Parent
Roommate
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Please list all the pets currently living in your home:
Male or Female
Species
Color
Age
Time owned
Spayed/
Neutered
Animal's Name
Breed of Dog
Pet 1
Male
Female
Dog
Cat
Guinea Pig
Rabbit
Bird
Ferret
Rat
Gerbil
Mouse
Hamster
Other
Brown
Black
Tan
White
Orange
Red
Tabby
Yes
No
Pet 2
Male
Female
Dog
Cat
Guinea Pig
Rabbit
Bird
Ferret
Rat
Gerbil
Mouse
Hamster
Other
Brown
Black
Tan
White
Orange
Red
Tabby
Yes
No
Pet 3
Male
Female
Dog
Cat
Guinea Pig
Rabbit
Bird
Ferret
Rat
Gerbil
Mouse
Hamster
Other
Brown
Black
Tan
White
Orange
Red
Tabby
Yes
No
Pet 4
Male
Female
Dog
Cat
Guinea Pig
Rabbit
Bird
Ferret
Rat
Gerbil
Mouse
Hamster
Other
Brown
Black
Tan
White
Orange
Red
Tabby
Yes
No
Pet 5
Male
Female
Dog
Cat
Guinea Pig
Rabbit
Bird
Ferret
Rat
Gerbil
Mouse
Hamster
Other
Brown
Black
Tan
White
Orange
Red
Tabby
Yes
No
Pet 6
Male
Female
Dog
Cat
Guinea Pig
Rabbit
Bird
Ferret
Rat
Gerbil
Mouse
Hamster
Other
Brown
Black
Tan
White
Orange
Red
Tabby
Yes
No
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.
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Other
*
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