MCAS Adoption Application

Mono County Animal Services

ADOPTION APPLICATION
Thank you for considering adoption through Mono County Animal Services! Companion animals are fun, loving, playful, and also a lot of work. Before you start this application, please ensure you can fully commit to the care of a shelter animal before you decide to adopt one.

If you know you are ready to be a Paw Parent, please complete this application for adoption form as thoroughly as possible. The form can take up to 20-30 minutes to complete. Once submitted, someone from our team will follow-up with you soon.

(Note: We reserve the right to refuse any adoption that we feel will not suit the animals' requirements.)
Name of the animal you are interested in:
Your Name

First NameLast Name
Email
A confirmation will be sent to this email.
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Driver's License Information

License NumberIssuing State & Expiration Date
PET SECURITY & SAFETY
Select the option that best describes your current home or primary residence:

HouseApartmentCondoBoatDormitoryOther
If Other type of residence, please explain:
Select the option that best describes your residency:

OwnerRent/ TenantOther
Do you have permission from your landlord to have an animal live on the property?

YesNoUnsure
Landlord's Name:
Landlord's Phone #:
Please enter a valid phone number.Format: (000) 000-0000.
How many members are in your household (including yourself)?
Are there any babies, toddlers or young children that live in your household?

YesNo
What are their ages?
Does every member of your household agree to the adoption of this pet?

YesNo
PET SECURITY & SAFETY
Please select the type of living situation you plan for this animal:

Indoor (Only)Indoor/ Outdoor (Combo)Outdoor (Only)
Do you have any other pets in the household?
What kind of pets/animals?

Dog(s)Cat(s)Bird(s)Reptile(s)LivestockOther
If Other type of animal, please explain:
Please describe the other dog(s) that live in your household?
(i.e. breed, age, sex, etc.)
Are your dogs currently licensed?

YesNo, but I plan on licensing them
Do you have a private fenced yard?

YesNoOther
Do you share your yard with anyone else?

YesNo
PET SECURITY & SAFETY
Have you ever had a dog before?

YesNo
How many years of experience do you have as a dog owner?
Are you willing to train your pet?
By checking the following boxes, I am agreeing to the following statements:*

All information I shared in this form is accurate and true to the best of my knowledge.I understand that filling out this application form is NOT a guarantee of adoption.If my application is approved, I agree to pay the appropriate adoption fee of $67.00 (canine) or $41.00 (feline) and a potential deposit of $40.00 if the animal I am interested in is too young to be altered, which will be returned to me upon the submission of a certified veterinary proof of alteration.
Initials here:
Today's Date:*

MonthDayYear
Date
Please verify that you are not a robot or a cat.*
Should be Empty:

Mono County Animal Services