Mason County Animal Shelter Adoption Application

Mandatory questions have a red * beside them. Please answer truthfully. If you have trouble with this form, please come to the shelter to apply in person. Dogs will be adopted to the best fit applicant, not on a first come, first served basis. Your interest in adopting is appreciated!

Which dog are you interested in adopting? *
If we do not currently have a dog you are interested in, what type of dog are you looking for?
How did you hear about this pet or our shelter? *	Facebook Adopt-a-Pet Petfinder Newspaper Word of Mouth Other
Your first name *
Your last name *
Street Address *
Apartment Number (if applicable)
City *
State *
Zip code *
Primary Phone Number *
Alternate Phone
Email Address
Your age *
Date of Birth *
What type of home do you live in? *
Do you own the home you live in? *
If you do not own your home, what is the homeowner/landlord’s name? *
What is the homeowner/landlord's phone number? *
Have you ever given up an animal? *
If you answered yes that you have given up an animal in the past, briefly explain why *
Have you ever been issued a citation for your pet or had to reclaim your pet from the animal control/shelter? *
Have you ever been convicted of a crime related to the neglect, abuse, or mistreatment of an animal? *
Are there children in your home? *
If there are children in the home, what are their ages?
List all current pets in your household including species (dog, cat, etc.), breed, age, and health). If there are none, answer N/A. *
Are all dogs and cats in your household spayed or neutered? *	Yes No N/A
Are all dogs and cats in your household current on all vaccinations? *	Yes No N/A
Are all dogs and cats in your household dewormed?	Yes No N/A
Who is your veterinarian (or the veterinarian you will take this animal to)? *
Veterinarian Phone Number *
Do you plan to keep this animal inside or outside? *	Inside Outside
When you are NOT HOME, where will your pet stay? *	Indoors with access to go outside Indoors with free roam of house Indoors in a crate Outside with access to indoor area/shelter Strictly Outdoors Other
Please briefly explain your answer. *
Does your home have a pet/dog door? *
How many hours per day will the pet be left alone? *
Do you have a fenced yard? *
If you have a fence, what type and size? *
If you do not have a fence, how do you plan to keep the dog in your yard? *
If you have to move, what would you do with your adopted pet? *
What circumstance would you have to surrender your pet? Divorce? New baby? allergies? aggression? housebreaking issues? *
Are you ready for a possible 15-20-year commitment?
Have you ever taken a dog through obedience class? *
Do you plan to take this dog to obedience class? *
Can you financially afford veterinary care for your new pet including spay/neuter (required if not already done before adoption), annual check-ups and vaccines (annual rabies vaccine is require per state law), and emergency costs? *
What energy level are you looking for in a pet? *	Low Medium High Any
Please list the activities you plan on doing with your dog. *
Please list at least 2 references names and phone numbers. *
Other Information or comments