Animal Adoption Form

Adoption Interest Form

If you are interested in adopting an animal you have seen at Giles County Animal Shelter (GCAS), please complete the information below.

Interest Forms that are selected to proceed with our adoption process will be called the morning the animal becomes available for adoption. We can also send text message updates if you are selected, however, your form will be void if no response is made after 24 hours.

Please refer to the Adoption Interest policies in this form for further information.

Your Contact Information
First Name *
Last Name *
E-mail *
Phone Number *

Area Code Phone Number
Cell Phone *

Area Code Phone Number
Would you like to receive text messages if your application is selected?

Yes No

Dog or Cat Preference
We are hoping to adopt a: *

Puppy under 6 mo Dog over 6 mo Kitten under 6 Mo Cat over 6 mo
Please specify the animal's name if there is an animal currently in the shelter you are interested in adopting?
List Animal's Name
1st Color Preference *
1st Gender Preference *
2nd Color Preference *
2nd Gender Preference *
Are you willing to take a dog or cat that does not match your stated preferences? *
Is this your first dog or cat? *
Do you have other pets in the home? *
Please list species breed and age of other pets and specify if they are spay/neutered:
Would you describe your other pets as dominant or submissive with other animals?
Please list for each pet
Do you already have a veterinarian?
If yes, who?
Please tell us a little about where the dog or cat will live (we know circumstances change).
Type of housing *
Do you: *
If other, please explain:
Does your landlord allow pets?
Do you have a fenced yard? *
Is any head of household currently serving our country in the US Military? *
How many adults in your home? *
How many minor children in your home? *
How many children are under the age of two (2) years old?
Are all adults in the home in agreement to adopt a dog or cat? *
Does anyone in the home have allergies to dogs or cats? *
Where will the dog or cat spend most of its time? *
Will your pet be an inside or outside animal? *
How many hours will the dog be left alone (without a potty break) each day? *
Is this pet being adopted as a surprise or gift for anyone? *
Have you or any one in the pet’s future household ever been arrested, charged or convicted for animal cruelty or animal hoarding? *

Ownership Commitment
Do you agree to contact us in the case that you need to re-home this pet for whatever reason? *
Poodles require professional grooming approx. every 8 weeks, and it can cost $100+ each time. Lack of grooming can cause serious skin problems. Are you committed to this necessary expense? *

What to expect
Please understand that the owner could reclaim the animal. If this occurs, it will most likely not be possible for us to notify you. The animal will be updated as “Claimed by owner” on Facebook.
- Adoption Interest requests are processed in the order in which they are received.
- No adoption guarantee is expressed or implied.
- While it is rare that we do not accept an animal for adoption through the Adoption Interest process, GCAS reserves the right to determine if an animal is suitable for adoption and alternatively, to work with rescue groups to place animals if we feel it is in their best interest.
- If you are called about adopting the animal, you will need to return to the shelter to complete the adoption paperwork. Standard adoption criteria and fees apply to animals selected through this process.
- If you have questions: call 931-363-2300, message us on Facebook, email us at shelter@gilescountytn.gov
Your Signature *

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