GLYNN COUNTY ADOPTION APPLICATION
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Animal Services is a department of Glynn County. We are committed to the welfare of all the animals in our care and consider pet ownership a serious responsibility. We want to ensure that each person who adopts a pet is aware of the responsibility and commitment that a pet needs. This application will aid us in determining if the adoption is in the animal’s best interest, and to assist you in finding the pet that is most compatible with your lifestyle. The adoption process takes some time because we want you to have all the necessary information and support your need for a successful adoption. We ask for your cooperation throughout the process of uniting people and pets. Thank you for your honesty and patience.
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Date:
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Name:
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Date of Birth (mm/dd/yy):
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Street Address:
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City, State, Zip Code:
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Home Phone Number:
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Work Phone Number:
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Cell Phone Number:
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Email Address:
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Please indicate residence, County, City or out of County:
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Do you RENT or OWN your home?
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If you RENT, indicate apartment complex name and phone:
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If you RENT, does your lease allow pets? YES or NO
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If you RENT, does your lease require a pet deposit? YES or NO
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If YES above, has this deposit been paid? YES or NO
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If you RENT, is there a pet weight and/or size restriction? YES or NO
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Will your animal be kept outside? YES or NO
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If YES above, do you have a fence? YES or NO
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What is your reason for adopting a pet?
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Do you have pets in your home now? YES or NO
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If YES above, what pets do you have?
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Are your pets spayed or neutered? YES or NO
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Have your pets (4 months of age or older) currently vaccinated/licensed for rabies? YES or NO
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If YES above, what veterinary clinic administered the rabies vaccination?
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Is everyone in your household aware of your intention to adopt a pet? YES or NO
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Are there any children in your household? YES or NO
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If YES above, please indicate their age:
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Does anyone in your household have allergies to animals? YES or NO
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Please list all pets you have owned in the past 5 years and what happened to them.
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Are you prepared to provide your adopted pet with the necessary veterinary care? YES or NO
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Who will be responsible for the care of this animal?
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Have you ever received a citation from or had an animal impounded by this department? YES or NO
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Are you aware that the pet you are adopting MUST BE SPAYED OR NEUTERED according to Georgia Law? YES or NO
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THANK YOU FOR TAKING THE TIME TO FILL OUT THIS APPLICATION.
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THE ABOVE INFORMATION IS COMPLETE AND ACCURATE TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT GIVING FALSE INFORMATION IS GROUNDS FOR DENYING MY APPLICATION. THIS APPLICATION REMAINS THE PROPERTY OF ANIMAL SERVICES OF GLYNN COUNTY.
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