Contact Information (*=required)
Salutation		(none)Det.Dr.MissMr.Mrs.Ms.Rev.
First name*
Middle name
Last name*
Company name
Address (line 1)*
Address (line 2)
City*
State*		ALARASAZCACOCTDCDEFLFMGAGUHIIAIDILINKSKYLAMAMDMEMHMIMNMPMSMTN/ANCNDNENHNJNMNVNYOHOKORPAPRPWRISCSDTNTXUTVAVIVTWAWIWVWY
Country		United StatesAfghanistanArgentinaAustraliaAustriaBelgiumBoliviaBrazilBulgariaBurmaCambodiaCanadaChileChinaColombiaCongoCosta RicaCubaDenmarkEcuadorEgyptEl SalvadorFinlandFranceGermanyGreeceGuatemalaHollandHong KongHungaryIndiaIranIraqIrelandIsraelItalyJamaicaJapanMexicoNicaraguaNorwayParaguayPeruPolandPortugalPuerto RicoRussiaScotlandSouth KoreaSwedenSwitzerlandTaiwanThailandUnited KingdomUruguayVenezuelaVietnam
ZIP or postal code*
Address type		HomeBusinessMailingPermanentPhysical
Phone number(s) and type(s)		Cell Home Alternate Work
		Cell Home Alternate Work
E-mail and type*		BusinessHome

Adoption Application
Which pet are you interested in?
Do you want this pet for (check all that apply)		Yourself  Your Children  Friend/Relative  Watchdog  Companion  Hunting/Mouser  Indoor Pet  Outdoor Pet  Indoor/Outdoor  Business/Guard  Other
Who will be responsible for this Pet's care?
What type of home do you live in?		House  Apartment  Mobile Home  Duplex  Other
How will you keep this pet on your property?		Fence  Chain  Leash  Other
Do you		Own   Rent   Live with a Relative   Live on Military base  Other
Do you have roommates or other adults in your home that need to have knowledge of this adoption?		Yes  No
Landlord/Property Owner
Landlord Phone
Do you reside inside the city limits of your communtiy?		Yes   No
Do you have		Fenced yard   Patio   Balcony   None
If you had to move, what would you do with this pet?
How many hours a day will this pet spend alone?
Have you ever owned a pet before?		Yes  No
Please list current and/or most recent pets (owned w/in last 2 years)
Name and Breed/Type of Pet
Is this pet Spayed/Neutered?		Yes   No
Does this pet have a CURRENT rabies vaccine?		Yes   No  NA
Name and Breed/Type of Pet
Is this pet Spayed/Neutered?		Yes   No
Does this pet have a CURRENT rabies vaccine?		Yes   No
Name and Breed/Type of Pet
Is this pet Spayed/Neutered?		Yes   No
Does this pet have a CURRENT rabies vaccine?		Yes   No
Name and Breed/Type of Pet
Is this pet Spayed/Neutered?		Yes   No
Does this pet have a CURRENT rabies vaccine?		Yes   No
Please list any additional pets below:
Are all of your pets licensed with your city/county?		Yes   No   NA
Veterinarian's Name/Clinic
Veterinarian's Phone
Are you familiar with your city/county Animal Ordinances?		Yes  No
Are you familiar with vaccination requirements in your city/county?		Yes  No
Are you familiar with pet licensing in your area?		Yes  No
Are you familiar with leash laws in your area?		Yes  No
I certify that the information I have provided is true, and I authorize San Marcos Animal Shelter staff to contact those I have listed above to confirm my statements and inspect my proprety/home if necessary. I also certify that I am at least 18 years of age as I submit this application and that I have never been convicted of animal cruelty or neglect. I understand that the priority of the San Marcos Animal Shelter is to find homes that are appropriate for each animal’s individual personality and lifestyle. I am aware that this application DOES NOT GUARANTEE an adoption and the City of San Marcos Animal Shelter reserves the right to APPROVE OR DECLINE an adoption based on the needs/lifestyle of the applicant AND the needs/lifestyle of the pet I am interested in.
Signature
Driver's License #/State
Date of Birth
Date