Apply to Adopt a Pet

Thank you for your interest in adopting a pet from DCAAC! Once an animal has been chosen, please allow 24-48 hours to process your application. The process may be delayed if we are unable to contact your references. After the 24-48 hours, please call the shelter at (256) 304-0474 to see if the application has been approved. The adoption center receives large quantities of phone calls and emails each day; we apologize that we do not have the resources to call all applicants.

First name

Last name

Phone

Email

Birthday

Month

Day

Year

Are you 18+?

Yes

No

Multi-line address

Country/Region

Address

City

Zip / Postal code

Name of Landlord/Property Manager and Phone Number (with area code) (N/A if not applicable)

Living Situation

I live alone

I live with others

Number of Adults living at this Residence

Number of Children living at this Residence

List the Names of all people who live at this residence (first, middle Initial, and Last), plus their Dates of Birth (N/A, if not applicable)

Employer's Name (N/A if not applicable)

Employer's Phone Number

1st Reference: Name and Relationship to Applicant

1st Reference Phone Number (Note, they will be called during the hours of 9:00 a.m. and 5:00 p.m.)

2nd Reference: Name and Relationship to Applicant

2nd Reference Phone Number (Note, they will be called during the hours of 9:00 a.m. and 5:00 p.m.)

Pet Experience

First time pet owner

Knowledgeable/experienced

Other

Have you found the pet you want to adopt yet?

Yes

No

If no, skip to the next section.

Chosen Animal's Name:

Chosen Animal's Breed:

Chosen animal's details:

Male

Female

Chosen Animal's Age:

Are you familiar with the breed you have chosen?

Yes

No

Somewhat

Where will the pet be kept, most of the time?

Inside Only

Outside all of the time (please explain below)

Outside some of the time (please explain below)

Other

How long are you gone during the day?

How long will the dog be home alone daily? (N/A if not applicable)

List Current Pets (N/A if not applicable) Type of Animal, Name, M/F, Spayed/Neutered, Inside/Outside

Current pets up to date on rabies and distemper vaccinations

Yes

No

NA

Veterinary Clinic Name & Phone Number (Please list name on account)

Have you applied for an animal at DCAAC before?

Yes

No

Have you adopted from at DCAAC before?

Yes

No

Have you ever brought an animal to a shelter?

Yes

No

Who will care for your pets if you are on vacation or gone for a longer period than normal?

It is estimated to cost at least $500 per year to support a pet, not including medical emergencies. Is this an expense you can afford?

Yes

No

It may take your new pet a month or longer to adjust to its new home. Are you prepared to allow this much time?

Yes

No

Check that you agree:

I am 18 years or older.

Proof of home ownership or landlord verification is required.

All information provided is accurate.

By signing below, I acknowledge that I have read and understand the conditions or this application.

Signature

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