Fort Wayne Animal Care & Control Adoption Profile
This adoption application and payment portal is for animals who are available for adoption.
THIS APPLICATION IS FOR ADOPTION ANIMALS AT FORT WAYNE ANIMAL CARE & CONTROL'S SHELTER LOCATED AT 3020 HILLEGAS ROAD.
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I understand that this application is only for adoption animals housed at the shelter.
Name of the animal you'd like to adopt
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*PLEASE READ: If you are interested in adopting a dog: YOU MUST BRING ALL DOGS LIVING IN YOUR HOME TO THE SHELTER FOR A MEET AND GREET. We will not hold an animal for you to return home to pick up your dogs and come back.
Animal Identification Number
This number can be found on the animal's online profile. It starts with A an is followed by six digits.
Your Name
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First Name
Middle Initial
Last Name
Maiden Name
Former Last Name
Phone Number
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-
Area Code
Phone Number
Email
*
example@example.com
Driver's License #/ State ID #
*
Your Date of Birth
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-
Month
-
Day
Year
Adopters must be at least 18 years of age to adopt an animal from Fort Wayne Animal Care & Control.
CURRENT Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
PREVIOUS Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Have you filled out an application within the past 6 months?
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Yes
No
How many people are currently living in the home where this animal will live?
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Please include children.
Please list all the people living in your home:
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First Name
Middle Initial
Last Name
Relationship to You
Date of Birth
Person
Spouse
Child
Parent
Roommate
Person
Spouse
Child
Parent
Roommate
Person
Spouse
Child
Parent
Roommate
Person
Spouse
Child
Parent
Roommate
Person
Spouse
Child
Parent
Roommate
Please list all the pets currently living in your home:
Male or Female
Species
Color
Age
Time owned
Spayed/
Neutered
Animal's Name
Breed of Dog
Pet 1
Male
Female
Dog
Cat
Guinea Pig
Rabbit
Bird
Ferret
Rat
Gerbil
Mouse
Hamster
Other
Brown
Black
Tan
White
Orange
Red
Tabby
Yes
No
Pet 2
Male
Female
Dog
Cat
Guinea Pig
Rabbit
Bird
Ferret
Rat
Gerbil
Mouse
Hamster
Other
Brown
Black
Tan
White
Orange
Red
Tabby
Yes
No
Pet 3
Male
Female
Dog
Cat
Guinea Pig
Rabbit
Bird
Ferret
Rat
Gerbil
Mouse
Hamster
Other
Brown
Black
Tan
White
Orange
Red
Tabby
Yes
No
Pet 4
Male
Female
Dog
Cat
Guinea Pig
Rabbit
Bird
Ferret
Rat
Gerbil
Mouse
Hamster
Other
Brown
Black
Tan
White
Orange
Red
Tabby
Yes
No
Pet 5
Male
Female
Dog
Cat
Guinea Pig
Rabbit
Bird
Ferret
Rat
Gerbil
Mouse
Hamster
Other
Brown
Black
Tan
White
Orange
Red
Tabby
Yes
No
Pet 6
Male
Female
Dog
Cat
Guinea Pig
Rabbit
Bird
Ferret
Rat
Gerbil
Mouse
Hamster
Other
Brown
Black
Tan
White
Orange
Red
Tabby
Yes
No
The information I have given here in this application is correct to the best of my knowledge. I understand Fort Wayne Animal Care & Control reserves the right to approve or reject this application.
*
Please type your first and last name.
I understand that filling out this application online DOES NOT hold my place in line for this animal nor is this application valid until I arrive at the shelter located at 3020 Hillegas Road. I understand that all adoptions are FIRST COME TO THE SHELTER, FIRST SERVE and my application will not be considered or processed until I arrive at the shelter and notify staff that I am present.
*
Please type your first and last name.
We love making great matches and having conversations about what you're looking for in a pet! Please check below if you'd like to stay in touch with us.
Yes, I would like to receive promotional information from Hills Science Diet
Yes, I would like to be kept up-to-date about what's going on at Fort Wayne Animal Care & Control
Other
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