Aransas County Animal Care Adoption Application

We are glad you have come to adopt a new pet from our shelter. The following information is requested so that we may assist you in the selection of a new pet. The consultation and application process is designed to help us determine if the adoption is in the animal's best interest, and to assit you in finding an animal compatible with your lifestyle.

Your Name?

Address

Apt

City

State

Zip

Cell Phone

Work Phone

Home Phone

E mail Address

Date of Birth

Pleae describe from the options below the pet you would like to adopt:

What kind of pet are you looking for?

Puppy

Dog

Cat

Kitten

Size of pet?

Toy

Small

Medium

Large

Personality

Active/Energetic

Lap Dog

Laid Back

Other

Other Personality Traits?

Reasons

Watch Dog

Companion

Mouser

Hunting

Child Pet

Companion For Other Pet

Barn Cat

Other

Other Reasons?

Do you have a breed preference?

If you are interested in adopting a cat or kitten, please answer the question below:

Where will your cat be kept?

Indoors

Outdoors

Both

N/A

Do you intend to declaw your cat?

Yes

Undecided

Not Applicable

Cat Hearworm Prevention

Undecided

Yes

If you are interested in a adopting a dog or a puppy, please answer the following questions:

Where will your dog be kept?

Indoors

Outdoors

Both

Not applicable

Will your dog have access to a yard?

Yes

Is it fenced?

Yes

If your yard is fenced, what is the height of the fence?

Will you use a leash when your dog is off property?

Yes

Do you plan on putting your dog on heart worm prevention?

Yes

Undecided

Do you own any pets at this time?

Yes

1st Other Pet's Name

Breed/Species 1

Other Pet's Age 1

About your 1st Other Pet (check all that apply)

Current Rabies

Takes Heart Worm Prevention

Spayed or Neutered

2nd Other Pet's Name

Breed/Species 2

Other Pet's Age 2

About your 2nd Other Pet (check all that apply)

Spayed or Neutered

Current on Rabies

Takes Heart Worm Prevention

3rd Other Pet's Name

Breed/Species 3

Other Pet's Age 3

About your 3rd Other Pet (check all that apply)

Spayed or Neutered

Current on Rabies

Takes Heart worm Prevention

4th Other Pet's Name

Breed/Species 4

Other Pet's Age 4

Other Pet 4 - Altered

Spayed or Neutered

Current on Rabies

Takes Heart worm Prevention

If you have no pets at this time but have owned pets in the past 2 years what happened to them?

Who is your veterinarian?

Phone number?

Address

City

State

Zip

In which of the following do you live?

House/Mobile

Apt/Condo

Do you own or rent?

Own

Rent

What is the name of your land lord?

What is the phone number of your land lord?

Please click Continue to proceed with your application, you will be given the opportunity to review the information provided, and make any corrections to the form on the next screen before you sign the document for submission to the Animal Care Services team for review.