Dog Adoption Inquiry

Adoption Inquiry Yolo County Animal Shelter

140C Tony Diaz Dr. Woodland, CA 95776
Date

Month Day Year
Date
PERSONAL INFORMATION
Age (You must be 18 years or older to adopt)

18-25 26-60 Over 60
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, please check the ages of children this dog will encounter on a regular basis:

Infant - 3 years 4 years-9 years 10 years-14 years 15 years and older

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?

Yes No
If you are interested in a specific dog please include their NAME and/or ID number (ex.A143246)
How did you hear about the dog?
How did you hear about the dog?

Shelter's Facebook Page Share Through Facebook Instagram Friend Daily Democrat Enterprise Petfinder Petharbor Friendsofycas.org website Adopt-a-Pet Chewy.com Other
What size of dog are you looking for?

Small under 20 lbs. Medium 21-30 lbs. Large 30-80 XL 80 plus
What characteristics are you looking for in a dog?
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

Clear
Should be Empty:

Adoption Inquiry Yolo County Animal Shelter