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If you are interested in adopting an animal from the New Albany Animal Shelter, you must fill out an application.

You have three options for completing the adoption questionnaire:

1. Visit the shelter and fill out an application there.
2. Download or print the application (click here for Word format or here for Adobe PDF format), and take it with you to the shelter.
3. Fill out the application below online prior to your visit.

New Albany/Floyd County Animal Shelter

Adoption Questionnaire

Name: Age:

Driver's License #:

Address:

City: State:  Zip:

Home Phone: Work Phone: E-Mail:

I would like to be contacted by e-mail phone postal mail any.

Please use my Home Phone Number Work Phone Number. The best time to contact me is .

Our goal is to make the best match possible for the pet and your household. You can help us do this by providing the following information. Please understand that this questionnaire is not an adoption contract.

I Own Rent or Live with my parents

My home is a: House Apartment Condo Other

If you answered "Rent" above, please provide us with your Landlord's contact information:

Landlord's Name:

Landlord's Address:  Landlord's Phone:

City: State: Zip:

There are adults in my family.
There are children, ages .
I have pets at home.

They are:
Name Type of Pet Age Sex Spayed Neutered Unaltered
M F
M F
M F

My veterinarian is .
I authorize the NAFC shelter to contact him/her for information .

I have had dogs cats other pets before.
Please explain what happened to them in the space below.

I want to adopt a dog cat  other pet.

I am interested in adopting:

Breed preference   Size preference

I want to adopt this pet because:

My new pet will sleep .

My new pet will be alone hours a day.

I have a fenced-in yard. Yes No

If you answered "yes" to the above question, please describe the type and size of fence:

If you answered "no" to the above question, please explain how you will keep your pet confined?

If I adopt, I understand that my pet will be spayed or neutered by a specified date. Yes No

I expect it will cost $ to care for my pet properly for the next year. (Consider food, vet care, inoculations, and license fees.)

If my adopted pet does not work out, I will .


I have adopted pets from this shelter before. No. Yes When?

I understand that since most shelter animals have unknown medical backgrounds, I must be prepared to take my adopted pet to a local licensed veterinarian within 3 working days for a complete physical examination and any necessary medical treatment, and that I will be financially responsible for all medical treatment now and for the life of my pet.

Please use the space below for any additional comments.

The New Albany/Floyd County Animal Shelter makes no representations or guarantees about any animal’s temperament or health, and the city of New Albany/Floyd County Animal Shelter is not liable for any future injury or damage that may be caused by this animal.

Please click the Apply button to Preview your application.


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