Adoption Application

You must be at least 18 years old to fill out an application.

To begin the adoption process, please fill in the online adoption application and click SUBMIT APPLICATION.

An * next to a question indicates a required field. If the question does not pertain to you, indicate "N/A" or your application will not be submitted.

*Name of pet you are applying for:
*Your name:
*Email Address:
*Address
*City
*State, Zip Code
*Home Phone
Work Phone
*Length of time at address:
*Do you: Own your home
Rent
If you rent, please provide your landlord's name and telephone number
*Occupation:
*Why do you want to own a dog or cat?
*Have you owned a dog or cat before? Yes
No
*Do you own any pets now? Yes
No
If so, what kind/sex/age have you owned? (Please list species, breed, sex, name, rabies tag number for current pets)
For pets you no longer own, what happened to them?
*Please list the name and phone number of your current vet or vet for pets you owned in the past
If you do not have a past or current vet, please list two personal references and their telephone numbers
*Is someone home during the day at your residence? Yes
No
Name(s):
*Where will the pet be kept during the day?
*Where will the pet be kept during the night?
*Who else lives in your home? (Names, ages, relation to applicant)
*Do you have a fenced in yard? Yes
No
If your yard is not fenced, how do you plan to confine your pet in your yard? (Question does not pertain to cats)
*Describe your exercise plan for your new pet?
*Have any of your animals ever been impounded by Animal Control, Humane Society, rescue organization, or Department of Agriculture? Yes
No
If yes, where and for what reason?
*Have you ever relinquished any animals to any Animal Control Agency, Humane Society, rescue organization, or Department of Agriculture? Yes
No
If yes, why was/were the animal/animals relinquished?
*Are you willing to have a Second Chance representative visit your home to verify it is suitable for the adopted pet (by appointment only)? Yes
No
*List your pet preferences (species, breed, sex, age, color, size)
How did you hear about DeWitt County/Second Chance adoption program?

Application must be filled out completely. Any false statements or answers will be cause for any applicant to forfeit any right to adopt any animal from the DeWitt County Animal Shelter or Second Chance for Pets Foundation. DeWitt County reserves the right to determine who is suitable to adopt any animal.