Adoption Form

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CONTACT CASPER

METRO ANIMAL CONTROL AND WELFARE

APPLICATION FOR ADOPTION

Please enter a value for Name

Name:

Please enter a value for Date of Birth

Date of Birth:

Select Date

Please enter a value for Home Address

Home Address:

Please enter a value for Mailing Address

Mailing Address:

Please enter a value for City

City:

Please enter a value for State

State:

Please enter a value for Zip Code

Zip Code:

Please enter a value for Previous Address (If less than 5 years)

Previous Address (If less than 5 years):

Please enter a value for Home Phone Number

Home Phone Number:

Please enter a value for Work Phone Number

Work Phone Number:

Please enter a value for Cell Phone Number

Cell Phone Number:

Please enter a value for Place of Employment

Place of Employment:

Please enter a value for Spouse's Name

Spouse's Name:

Please enter a value for Spouse's Date of Birth

Spouse's Date of Birth:

Please enter a value for Spouse's Place of Employment

Spouse's Place of Employment:

Please enter a value for Drivers License or I.D. Number

Drivers License or I.D. Number:

Please enter a value for State

Drivers License or I.D. State:

Please enter a value for Do You Own or Rent

Do You Own or Rent:

Own
Rent

If you rent, you must complete the Landlord Approval Form and return it to Metro.

Please enter a value for Is this a gift for someone

Is this a gift for someone?

Yes
No

Please enter a value for If so, what is their name?

If so, what is their name?

Please enter a value for How will you confine and exercise this animal?

How will you confine and exercise this animal?

Please enter a value for Do you have children?

Do you have children?

Yes
No

Please enter a value for Ages?

Ages?

Please enter a value for List any pets you have had for the last 5 years and where they are now

List any pets you have had for the last 5 years and where they are now:

Please enter a value for Are your animals spayed or neutered?

Are your animals spayed or neutered?

Yes
No

Please enter a value for If no, why not?

If no, why not?

Please enter a value for Are your animals vaccinated?

Are your animals vaccinated?

Yes
No

Please enter a value for Name of Vet:

Name of Veterinarian:

Please enter a value for Are your animals licensed?

Are your animals licensed?

Yes
No

Please enter a value for Would you allow a home visit by a representative of MAC?

Would you allow a home visit by a representative of Metro Animal Control?

Yes
No

Please enter a value for Will you spay or neuter this animal?

Will you spay or neuter this animal?

Yes
No

Please enter a value for Animal Interested in?

Please specify any particular animal you are interested in:

All pets adopted from Metro MUST BE SPAYED OR NEUTERED within thirty (30) days for animals over six (6) months of age, and as specified for puppies and kittens. Failure to have the animal spayed or neutered may result in the animal being reclaimed by Metro Animal Control and Welfare. Proof that the animal was spayed/neutered must be presented to Metro Animal Control and Welfare within 30 days of the animal being spayed/neutered.

Adoption fees are: CATS-$35.00 DOGS-$50.00

Fees include: first set of shots, a free examination at participating local veterinarians, a microchip, license, ID tag, cat carrier, and a collar/leash.

IMPORTANT: If your application is denied, you have the right to appeal, in writing, to the Metro Animal Control and Welfare Manager within three (3) days of the date of denial. Metro Animal Control and Welfare is under no obligation to hold the animal you are interested in during the appeal process.

APPLICATIONS WILL NOT BE APPROVED UNTIL YOU ARE IN FULL COMPLIANCE WITH EXISTING CITY, COUNTY AND STATE STATUTES, TO INCLUDE LICENSING OF ALL ANIMALS.

ANIMAL ADOPTIONS ARE ON A FIRST COME, FIRST SERVE BASIS TO APPROVED APPLICANTS ONLY, WHO ARE FIRST ON THE PREMISES.

APPROVAL OF YOUR APPLICATION IN NO WAY OBLIGATES METRO ANIMAL CONTROL AND WELFARE TO HOLD ANY ANIMAL YOU ARE INTERESTED IN.

BY CLICKING SUBMIT I CERTIFY THAT THE LISTED INFORMATION IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE AND THAT FALSIFICATION OF INFORMATION CAN BE CAUSE FOR DENIAL OF THE APPLICATION.

City of Casper · 200 N. David, Casper Wy, 82601 · (307) 235-8400
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