I'm interested in adopting a
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Dog
Cat
What qualities are you looking for in your new pet?
Good with Dogs
Good with Cats
Good with Children
Senior Animal
Animal with Special Medical needs
Animal with Special Behavioral needs
Animal that has waited the longest
Have you found an animal that you are interested in adopting on PetFinder or the IACS Facebook page?
Yes
No
If you answered yes, what is the animal's name?
Adopter Information
Please fill out your contact information below.
Name
*
First Name
Last Name
Please enter your birthdate (You must be 18 years of age to adopt from Indianapolis Animal Care Services)
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Month
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Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Preferred Phone Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
Can IACS send you emails periodically? (e.g. newsletters, adoption promotions, and announcements)
Yes
No
Do you have other animals in the home?
*
Yes
No
If YES, please tell us about your current pets (species, age, sex, if they are spayed/neutered, and breed)
Are there any children in the home?
*
Yes
No
If yes, please list the ages of the children.
Do you own or rent your home?
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Own
Rent
If renting, it is important to make sure you have permission from your landlord and follow any requirements of the pet policy (deposit, monthly pet fee, maximum pets allowed, breeds not allowed, etc.). Have you discussed adding a pet with your landlord?
Yes
No
Not Applicable
Alternate Contact Information
This information will be used for microchip purposes only. The alternate contact person is the person that would be contacted in the event of an emergency with your pet if you cannot be reached. This should be a person that is easily reached and someone that you trust to make decisions for your pet in the event of an emergency.
Name
*
First Name
Last Name
Alternate Phone Number (used for microchip purposes)
*
Please enter a valid phone number.
I certify that all information I have provided in this application is true and correct to the best of my knowledge. I also acknowledge that falsification of the above can result in a denial of my application/adoption. I also understand that all of this information is considered to be public record and if requested must be released, per the Access to Public Records Act.
*
I agree
Today's Date
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Month
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Day
Year
Date
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