How to Adopt
Online Adoption Application
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Online Adoption Application
READ THESE INSTRUCTIONS BEFORE FILLING OUT THIS APPLICATION:
To move through the application, use the TAB key or your mouse--DO NOT USE the return/enter key.
Take time to answer the questions below. This is only a basic application to let the shelter know of your interest. A more detailed application will be required once you have visited your potential new pet at the shelter.
Applications missing information will not be processed.
When you are finished filling out the application be sure to click on the SUBMIT button on the bottom.
If you need help with this application or have questions about it please email us at firstname.lastname@example.org or call us at (920) 722-9544.
PLEASE FILL OUT THIS APPLICATION AS COMPLETELY AS POSSIBLE.
Name of Animal
Have you met the animal? If yes, when?
Your Legal Name
Maiden Name (if applicable)
Date of Birth
Driver's License Number
Occupation (or other source of income)
List other adults living in your household (18 yrs or older). Include name, maiden name (if applicable) and date of birth for each person:
List any children living in your household (under 18 yrs). Include name and age of each child:
If renting provide landlord's name:
If renting provide landlord's phone:
Pets in the Last 5 Years
List pets you had or that lived with you in the past 5 years:
Include each pet's name, breed, age and sex (M/F).
If you had pets in the last 5 years, list veterinarian(s) who cared for each pet:
Include pet's name and veterinarian name and phone for each pet. PRIOR TO SUBMITTING APPLICATION PLEASE CALL YOUR VET CLINIC(S) TO RELEASE YOUR PET RECORDS.
If you had pets in the last 5 years, where are they now?
Were all of these pets neutered or spayed?
If pets were not neutered/spayed, please explain:
Please read this carefully.
I understand that NAS has the right to accept or deny my application and will follow up on adoptions.
I realize that NAS does not approve adoptions on a first-come, first-serve basis and adoption approval is based on the animal’s best interest.
I understand and agree that all pets in my household must be properly vaccinated before bringing my new pet home.
I certify that I am at least 18 years of age and that the information I have given is true.
I recognize that any misrepresentation of facts may result in my losing the privilege of adopting a companion animal.
I am fully aware that I am adopting a living creature and, as such, that the Neenah Animal Shelter is unable to guarantee the health of the animal. If the animal I adopt becomes ill, I certify that I am financially and/or emotionally prepared to treat this animal at my expense.
WAIT...BEFORE YOU SUBMIT...Did you fill in this application completely? This is only a basic general interest application. You will be asked to complete a more detailed application when you come to the shelter during open hours to meet and spend time with your potential new pet.
© 2014 Neenah Animal Shelter. All rights reserved.
951 County Road G Neenah, WI 54956 | T: 920-722-9544 | E: