Dewitt County Animal Shelter
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"Until one has loved an animal, a part of one's soul remains unawakened."
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Application
Name of pet applying for:
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Your Name:
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Phone Number
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Email Address:
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Home Address:
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Length Of Time At Address:
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Do You
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Own
Rent
If you own, does your homeowners insurance allow the breed your applying for:
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If you rent please provide your landlords name and phone number:
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Occupation:
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Why do you want to own the animal your applying for:
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Have you owned a dog or cat in the past 7 yrs:
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Yes
No
Do you own a dog or cat now:
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Yes
No
Please list current pets(breed, species, sex, name):
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If you had previous pets, what happened to them:
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Please list the name and phone number of your current vet, or vet for pets you owned in the past:
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If you have not owned a pet, what experience do you have with caring for pets:
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Please list two personal references and their phone numbers (non-relatives):
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Is someone home during the day at your residence:
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Yes
No
Names:
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Where will the pet be kept during the day:
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Where will the pet be kept at night:
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Who else lives in your home (name, age, relation):
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Do you have a fenced in yard:
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Yes
No
If so describe the fencing (type and height):
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If your yard is not fenced in, how do you plan to confine your pet:
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Describe your exercise plan for your pet:
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If applying for a dog, would you be willing to take it to obedience classes if necessary:
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Yes
No
Have any of your animals (past or present) ever been impounded by Animal Control, Humane Society, rescue organization, or Department of Agriculture:
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Yes
No
If yes, where and for what reason:
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Have you ever relinquished any animals to any Animal Control Agency, Humane Society, rescue organization, or Department of Agriculture:
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Yes
No
How did you hear about the Dewitt County Animal Shelter
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Submit