Dog Adoption Inquiry

Adoption Inquiry Yolo County Animal Shelter

140C Tony Diaz Dr. Woodland, CA 95776
Date

MonthDayYear
Date
PERSONAL INFORMATION
Must be 18 years or older to adopt

Age 18 -24 yearsAge 24-60 years60 plus
Name
Address
City
State
Zip Code
Cell
Home
Email
example@example.com
HOUSEHOLD INFORMATION
How many people are in the household?
Adults
Children
If applicable: Child's age

Infant - 3 yrs4-6 yrs7-11 yrs plus12 yrs plus
Will you be bringing children with you? PLEASE NOTE: Children under the age of 5 and those children needing special assistance must be accompanied by two adults.

YesNo

Please list pets currently living in the house AND any pets this dog may interact with on a regular basis

Are you interested in meeting a specific dog?

YesNo
If you are interested in a specific dog please include their NAME and/or ID number (ex.A143246) *You may choose more then one dog.
How did you hear about the dog?

Shelter's Facebook PageShare Through FacebookInstagramFriendDaily DemocratEnterprisePetfinderPetharborFriendsofycas.org websiteAdopt-a-PetChewy.comOther
What size of dog are you looking for?

Small under 20 lbs.Medium 21-30 lbs.Large 30-80XL 80 plus
I hereby certify the information provided above is true and understand that if any information is proven false, all agreements or contacts made by Yolo County Animal Services may be subject to cancellation.
IMPORTANT NOTE:

Once your form has been submitted you will automatically receive by email a link so that you can schedule a meet and greet. Please call 530-668-5237 should you have any questions.
Adopter’s Signature
Should be Empty:

Adoption Inquiry Yolo County Animal Shelter