Adoption Application
Animal ID # (*)
must contain only 0-9,a-z,A-Z characters
Animal’s Name (*)
must contain only 0-9,a-z,A-Z characters
Due Out Date (*)

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First and Last Name (*)
must contain only 0-9,a-z,A-Z characters
Address (*)
must contain only 0-9,a-z,A-Z characters
City (*)
must contain only 0-9,a-z,A-Z characters
County (*)
must contain only 0-9,a-z,A-Z characters
State (*)
must contain only a-z,A-Z characters
Zip Code (*)
must contain only 0-9,a-z,A-Z characters
Home phone (*)
must contain only 0-9,a-z,A-Z characters
Work phone (*)
must contain only 0-9,a-z,A-Z characters
Cell Phone (*)
must contain only 0-9,a-z,A-Z characters
Date of Birth (*)
must contain only 0-9,a-z,A-Z characters
Driver’s license number (*)
must contain only 0-9,a-z,A-Z characters
State (*)
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Expiration (*)
must contain only 0-9,a-z,A-Z characters
Today’s Date

Email address (*)
is not a valid e-mail address.
1. Have you adopted from Fulton County Animal Services before? (*)
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If Yes, What kind of Pet did you Adopt?
When?

2. Are you adopting an animal for: (*)
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3. Do you live in a: (*)
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4. Do you own your home: (*)
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If you are renting your home, does your landlord allow pets:
Landlord’s name and phone number: (*)
must contain only 0-9,a-z,A-Z characters
5. How many times have you moved in the past five years? (*)
is not a number.
6. Number of people in the home: (*)
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Adults (*)
must contain only 0-9,a-z,A-Z characters
Children (*)
must contain only 0-9,a-z,A-Z characters
Room Mates (*)
is not a number.
Ages of Children: (*)
must contain only 0-9,a-z,A-Z characters
7. Reason for adopting this pet (Family Pet): (*)
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7.a Other than family pet reason for Adoption:
If Other, Please State Reason.
8. Are you looking for an: (*)
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9. Where will the pet stay during the day? (*)
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10. Where will the pet sleep at night? (*)
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11. If adopting a dog, do you have a fenced yard?
If yes, how high and what kind of a fence?
If you do not have a fence, how will the dog get exercise
and use the bathroom?
12. If adopting a cat, do you plan to have him/her declawed?
13. How many hours on an average workday will your pet be unattended? (*)
must contain only 0-9,a-z,A-Z characters
14. Are you familiar with heartworm prevention? (*)
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15. Do you have a regular veterinarian? (*)
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Veterinarian’s Name (*)
must contain only 0-9,a-z,A-Z characters
Clinic
Phone (*)
must contain only 0-9,a-z,A-Z characters
16. May we call your veterinarian for a reference
and to verify previous pet care?
17. How many companion animals have you owned in the past five years?
(include those you currently own)
List Pet Types:
If you no longer have some or all of these animals,
what happened to them:



I certify that the above information is true. I understand and agree that this adoption placement is conducted solely for the purpose of providing long-term care for the adopted animal(s). Should a representative of Fulton County Animal Services ask to see the animal(s), reasonable access will be granted. If it is determined that the animal(s) are not properly cared for, the animal(s) may be reclaimed by FCAS. Further, I agree to pay any reasonable expenses, including legal fees that may be incurred by FCAS in the event that the adopted animal placed into my custody is reclaimed by FCAS. This application remains the property of FCAS.

Thank you for submitting your application online. Please be advised that you will still need to come to the shelter and interact with the pet before being considered for adoption.

Signature (*)
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Date (*)

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ADOPTION COUNSELOR ONLY:
Comments: ________________________________________________________

_________________________________________________________________

_________________________________________________________________

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Result: Approve _____ Decline _____
Adoption Counselor:________________________ Date:_ _/_ _/_ _ _ _