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Online Adoption Application

  1. Porter County Animal Shelter Online Adoption Application
  2. Thank you for your interest in adopting a rescued pet. The following information is requested so that our adoption counselors can assist you in the selection of a new pet. The animal's welfare is our foremost concern. All questions with a red * required an answer. You will not be able to submit this form until all required questions are answered.
  3. About You & Your Contact Information
  4. Do You Have A Spouse/Partner?*
  5. Enter NONE if not applicable.
  6. Are You A Senior (Age 55 Or Older)?*
  7. Our Seniors For Seniors adoption program was developed to help senior humans rediscover the joys of having a dog or cat in their lives, and the program places senior cats and dogs (typically over 7 years of age) with senior citizens who are 55 years of age or older. Our knowledgeable staff will help you select a companion who fits into your lifestyle and housing situation and our ADOPTION FEE WILL BE WAIVED, subject to an approved adoption application.*
  8. Are You A Veteran or Active Duty Military?*
      1. Our Pets For Vets adoption program was developed to match Veterans with the right pet, changing both lives for the better. The Veteran saves the animal and welcomes him/her into a loving home. Our knowledgeable staff will help you select a companion who fits into your lifestyle and housing situation and our ADOPTION FEE WILL BE WAIVED, subject to an approved adoption application and proof of veterans' status.*
      2. Have You Ever Given Away A Pet For Any Reason?*
          1. Do You Currently Or Have You Previously Owned A Pet?*
              1. Have you seriously considered the costs involved with adopting a new pet, including but not limited to annual vet visits, food, toys, supplies, housing and damage to your property?*
                  1. Are You Interested In Adopting A Dog Or A Cat?*
                      1. Is there one or more dogs at the Shelter that you are particularly interested in adopting?*
                      2. Are You Interested In A "Special Needs" Dog (Medical Or Behavior?)*
                      3. Are You Seeking A Guard Dog?*
                      4. Do You Have A Fenced Yard?*
                      5. Is there one or more cats at the Shelter that your are particularly interested in adopting?*
                      6. If You Have Had Cats, Have Any Of Them Been Declawed?*
                      7. Do You Plan To Declaw Your New Cat?*
                          1. CURRENT Pet Ownership Information
                          2. Do You Currently Own Pets?*
                          3. Are All Pets In Your Household Current On Vaccinations?*
                              1. What Species Of Pets Do You Currently Own?*
                                Check all that may apply
                                1. In Order To Properly Evaluate Your Application, You Will Need To Provide Us With Information About Your Current Pets Below*
                                2. Pet #1 Gender*
                                3. Is Pet #1 Spayed/Neutered?*
                                4. Is Pet #1 An Indoor Or Outdoor Pet?*
                                5. Do You Own Another Pet?*
                                    1. Pet #2 Gender*
                                    2. Is Pet #2 Spayed/Neutered?*
                                    3. Is Pet #2 An Indoor Or Outdoor Pet?*
                                    4. Do You Own Another Pet?*
                                        1. Pet #3 Gender*
                                        2. Is Pet #3 Spayed/Neutered?*
                                        3. Is Pet #3 An Indoor Or Outdoor Pet?*
                                        4. Do You Own Another Pet?*
                                            1. Pet #4 Gender*
                                            2. Is Pet #4 Spayed/Neutered?*
                                            3. Is Pet #4 An Indoor Or Outdoor Pet?*
                                            4. Do You Own Another Pet?*
                                                1. Pet #5 Gender*
                                                2. Is Pet #5 Spayed/Neutered?*
                                                3. Is Pet #5 An Indoor Or Outdoor Pet?*
                                                4. Do You Currently Have Any Other Pets Not Listed Above?*
                                                    1. Shelter Staff Will Ask For Information About Any Other Current Pets Not Listed Above When You Are Called For A Phone Interview.*
                                                    2. PREVIOUS Pet Ownership Information
                                                    3. In The Past TEN YEARS, Have You Previously Owned Pets That Are NOT Currently In Your Household? This includes pets that are deceased or have been lost, stolen, sold or given way.*
                                                        1. What Species Of Pets Have Your Previously Owned In The Last Ten Years?*
                                                          1. In Order To Properly Evaluate Your Application, You Will Need To Provide Us With Information About Your Previous Pets Below, Including Pets That Are Deceased Or Have Been Lost, Stolen, Sold Or Given Away.*
                                                          2. Previous Pet #1 Gender*
                                                          3. Was Previous Pet #1 Spayed/Neutered?*
                                                          4. Was Previous Pet #1 An Indoor Or Outdoor Pet?*
                                                          5. Have You Previously Owned Another Pet?*
                                                              1. Previous Pet #2 Gender*
                                                              2. Was Previous Pet #2 Spayed/Neutered?*
                                                              3. Was Previous Pet #2 An Indoor Or Outdoor Pet?*
                                                              4. Have Your Previously Owned Another Pet?*
                                                                  1. Previous Pet #3 Gender*
                                                                  2. Was Previous Pet #3 Spayed/Neutered?*
                                                                  3. Was Previous Pet #3 An Indoor Or Outdoor Pet?*
                                                                  4. Have You Previously Owned Another Pet?*
                                                                      1. Previous Pet #4 Gender*
                                                                      2. Was Previous Pet #4 Spayed/Neutered?*
                                                                      3. Was Previous Pet #4 An Indoor Or Outdoor Pet?*
                                                                      4. Have Your Previously Owned Another Pet?*
                                                                          1. Previous Pet #5 Gender*
                                                                          2. Was Previous Pet #5 Spayed/Neutered?*
                                                                          3. Was Previous Pet #5 An Indoor Or Outdoor Pet?*
                                                                          4. Have You Previously Had Any Other Pets That Are Not Listed Above?*
                                                                              1. Shelter Staff Will Ask For Information About Any Other Previous Pets Not Listed Above When You Are Called For A Phone Interview.*
                                                                              2. Household Information
                                                                              3. Which Option Best Describes Your Home?
                                                                              4. Do You Own Or Rent?*
                                                                              5. Are Any Of Your Household Members Children?*
                                                                              6. Do have children that visit often?*
                                                                              7. Do All Of The Adults In Your Household Consent To The Adoption Of A Pet?*
                                                                                  1. Does Anyone In Your Household Have A Known Pet Allergy?*
                                                                                      1. Disclosures, Notices & Consents
                                                                                      2. The Porter County Animal Shelter will not adopt "bully breed" dogs to: Gary, Merrillville, Hammond, East Chicago, Whiting Indiana or other areas that have proven inhospitable for our animals. PCAS is also unable to adopt to Whispering Sands Mobile Home Park and Grand Prairie Subdivision. *
                                                                                      3. I Am Age 21 Or Older*
                                                                                      4. I Have & Will Be Required To Provide Identification Showing Proof Of Current Address*
                                                                                      5. Porter County Animal Shelter Reserves The Right To Refuse Adoption To Any Person For Any Reason.*
                                                                                      6. Adoption Approval Or Refusal Decisions Are Made Solely At The Discretion Of The Porter County Animal Shelter.*
                                                                                      7. Falsifying Information On This Adoption Application Will Result In Disqualification From Adoption.*
                                                                                      8. All Adoption Applicant's Homes May Be Screened For Suitable Placement Of Animals.*
                                                                                      9. By Providing Your Electronic Signature Below, You Give Permission For The Porter County Animal Shelter To Investigate And Confirm The Information Provided. You Further Agree that This Information Can Be Shared With Other Humane Societies Or Rescue Groups.*
                                                                                      10. By Providing Your Electronic Signature Below, You Hereby Give Permission To May Landlord, Apartment Complex, Mobile Home Park, Homeowner's Association or Neighborhood Association To Release Information To The Porter County Animal Shelter Concerning My Pet Deposit Or Any Other Rules Regarding Pet Ownership.*
                                                                                      11. By Providing Your Electronic Signature Below, You Hereby Give Permission For Any Veterinarian Providing Service To Me To Release All Medical Information On Any/All Of My Animals, Past & Present, To Porter County Animal Shelter.*
                                                                                      12. By Providing Your Electronic Signature Below, You Affirm That The Information Provided In This Online Adoption Application Is True & Correct And Agree To The Requirements Of The Porter County Animal Shelter's Adoption Process.*
                                                                                      13. Please Type In Your Full Legal Name.
                                                                                      14. Leave This Blank:

                                                                                      15. This field is not part of the form submission.