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 are available for adoption at PETSMART OR PET SUPPLIES PLUS.
THIS APPLICATION IS FOR PETS THAT ARE AVAILABLE FOR ADOPTION THROUGH FWACC AT PETSMART OR PET SUPPLIES PLUS ONLY! THIS APPLICATION IS NOT VALID FOR ADOPTION ANIMALS BEING HOUSED AT THE SHELTER - LOCATED AT 3020 HILLEGAS ROAD. IF YOU ARE LOOKING FOR THE APPLICATION FOR ANIMALS AT THE SHELTER PLEASE GO TO FWACC.ORG.*

I understand that I am filling out an application for a pet being housed at Petsmart or Pet Supplies Plus and this application is not valid for animals being housed at the shelter's adoption center located at 3020 Hillegas Road
Name*

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

Area CodePhone Number
Email*
example@example.com
Driver's License #/ State ID #*
Date of Birth*

MonthDayYear
Adopters must be at least 18 years of age to adopt an animal from Fort Wayne Animal Care & Control.
Have you filled out an adoption application within the past 6 months?

YesNo
Name of the animal you'd like to adopt*
Animal Identification Number
This number can be found on the animal's online profile. It starts with A an is followed by six digits.
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
Person
Person
Person
Person

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
Pet 2
Pet 3
Pet 4
Pet 5
Pet 6

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. *
*
Date
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 Diet
OFFICE USE ONLY

Please leave the following field blank - they are for OFFICE USE ONLY.
Person Number:
Person Info Updated:
My Case:
City Limits:

YesNo
Other Pets:
Animals Linked:
Should be Empty:

OFF SITE Fort Wayne Animal Care & Control Adoption Profile

OFFICE USE ONLY