Williamson County Regional Animal Shelter Adoption

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Wilco Regional Animal Shelter Adoption Form

Name:

Spouse's Name:

Street:

City:

Telephone:

Cellular Phone:

Work phone:

Driver's License #:

# of House Members:

Ages of Children:

Do you own or rent your residence?:

RentOwn

Please select either house or apartment.

Do you live in a house or apartment?:

ApartmentHouse

give the name of your landlord if renting

If renting, name of landlord:

give the # of your landlord if you have one.

Phone # of Landlord:

Have you owned a pet before.:

YesNo

How many pets do you currently have?:

Name of Veterinarian and/or Clinic:

What are you reasons for adopting this animal? (Check all that apply):

Companion for Me
For a Child
Gift
Replace a previous pet
Mouser
For Protection
Hunting
Other

Will this animal be kept:

IndoorsOutdoorsBothOther

How will this animal be confined to your property?:

Fenced YardChainKennelOther

Are all members of the household in agreement with adopting this animal?:

YesNo

There are many aspects to consider when introducing a
new pet to your household as well as other issues that
will involve a commitment of time and money. These include:
Are any members of your family allergic to pets? If you move,
what will you do with your pet(s)? Are you prepared to commit
10-15 years to this animal? Are you prepared to deal with
behavior issues such as separation anxiety, digging, chewing,
jealousy between animals, etc? Would you be prepared to take
the animal to obedience training if necessary? Are you familiar
with local ordinances and state laws that regulate the care and
welfare of the animal? What will you do with your animals when
you go on vacations?

By signing below, I certify this information is true and accurate.

Signature:

Date:

Select Date

Submit

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