Adoption Application
Thank you for considering the adoption of a dog or cat from Arenac County Animal Control (ACAC.) In order to best serve you, and match the needs of the animal with a potential new owner, we ask that you take a moment to complete the application below. ACAC will be contacting your references to ensure that the adopted animal will be taken care of responsibly. We reserve the right to accept or deny your application based on the information you provide. Completing the application does not guarantee that you will be approved for the animal you are considering. Applicants must be 18 years or over. If you have any questions, please ask before completing the application.
Date
-
Month
-
Day
Year
Date
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Animal of Interest or Pet Name or ID#
1. How many dogs do you currently own?
2. How many cats do you currently own?
3. Are all the dogs and cats in the household spayed or neutered? (Check all that apply.)
Yes - All dogs and cats in the household are spayed or neutered
No - All dogs and cats in the household are not spayed or neutered
Other - I choose not to spay or neuter the dogs or cats in the household
Other - (please explain in Box #15)
4. Are all the dogs in the household currently vaccinated for rabies and licensed annually?
Yes - All Dogs are up to date and licensed
No - All Dogs are not up to date.
Other (please explain in Box #15)
5. May we contact your veterinarian for a reference?
Yes
No
6. Please list your current Veterinarian's Name & Phone number.
7. Where do you plan to keep your adopted pet?
Inside
Outside
Both
8. What method of containment do you plan to use for your new pet? (Check all that apply.)
Crate
Cable Tie Out
Outside Kennel
Chain With Dog House
Fenced In Yard
9. What is your housing situation? (Check all that apply.)
Rent
Lease
Own
10. Are you allowed to have pets at your current residence?
Yes
No
11. If renting or leasing, please provide the landlord or property management name and phone number.
12. Are children living in the household?
Yes
No
13. Please provide the name and phone number of a person who can attest to your character.
14. What will you do with your adopted pet should you not be in a position to care for it?
15. Is there any additional information or clarification you would like to provide regarding your application?
I certify below that the information I have given is accurate and complete.
Full Name
Submit
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