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1250 Cox Avenue, Bainbridge, GA 39819
Adopt a Dog
Adopt a Cat
Need Assistance with a Stray Animal?
Please Contact Animal Control at 229-515-0172.
Pet Adoption Application
Address Line 2
District of Columbia
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Which animal(s) are you interested in?
Please indicate why you are interested in adopting an animal
Companion for Other Pet
Companion for Self
Will anyone in your household be surprised by the adoption of this animal?
If yes, who will it be and why?
How many adults live in the household?
Do any children live in your household?
If yes, how many? Please list their ages
What pets do you currently have (please list pet's name and owner's name as listed at vet)?
In addition to those listed above, what other pets have you had in the last five years? *
Please describe what happened to each of those pets (put to sleep, run over, died of old age, given away, killed, etc., ...please be specific) *
Have your current pets been spayed or neutered?
Are your current pets up-to-date on their shots?
Please list your veterinarians name and phone number
What percentage of time will the animal live indoors?
Do any of your current pets spend any time outdoors?
If yes, please describe
How much interaction will members of your household have with the animal? *
Have you ever had problems with fleas or ticks?
If yes, how did you handle it?
Who will be primarily responsible for the daily care of this animal? *
When home alone, where will the animal stay? *
Run of the House
One Room of The House
Where will the animal sleep at night? *
Do you have a pet door?
Have you ever given up a pet in the past?
If yes, please describe.
If your animal develops chronic or serious medical problems, what will you do? *
Where you live?
Single Family Home
Do you have a fenced yard?
If no, how do you plan to contain the animal on your premise?
If you move, will your pets go with you?
If no, please explain
Are you willing to allow a representative from Bainbridge-Decatur County Humane Society, Inc. visit your home by appointment?
How did you hear about the Bainbridge Decatur Humane Society? *
I have adopted this pet from the Bainbridge-Decatur County Humane Society, Inc. Animal Shelter, to be a companion for me and my immediate family. If at any time in the future I find that I cannot keep (or choose not to keep) the animal, I agree to return it to the Bainbridge-Decatur County Humane Society, Inc Animal Shelter.
I understand that the Bainbridge-Decatur County Humane Society, Inc. Animal Shelter does not guarantee the health of any animal at the time of adoption or thereafter. Should my veterinarian find the animal to be unhealthy, it is agreed that I may return the animal to the Bainbridge-Decatur County Humane Society, Inc Animal Shelter within 15 days of adoption and exchange it for an animal with an equal adoption fee.
I promise, contract and agree to abide by my city, county, and state animal control ordinances and statutes, with regard to animal care, inoculations, custody, control and humane treatment. I agree to provide at least the minimum annual veterinary treatment recommended by my veterinarian. I understand that pursuant to State Law:
"4-14-3(2) Entering into a written agreement with the person acquiring such animal guaranteeing that sterilization will be performed by a licensed veterinarian within 30 days after acquisition of such animal in the case of an adult animal or within 30 days of the sexual maturity of the animal in the case of an immature animal;..."
This pet must be spayed or neutered within the time period stated by a licensed veterinarian.
I understand, contract and agree that the Bainbridge-Decatur County Humane Society, Inc. or the City of Bainbridge Animal Control Officer may examine and make inquiry about said animal at any time and if not satisfied with conditions may reclaim custody of said animal.
I understand, contract and agree that failure to comply with any of the above requirements to the satisfaction of the Bainbridge-Decatur County Humane Society, Inc Animal Shelter will void this adoption agreement and will also require me to return and release the animal to the Bainbridge-Decatur County Humane Society, Inc. Animal Shelter without charge or recourse of any character for licensing, fee, service fees, maintenance, care fees, or other.
I understand and agree that the Bainbridge-Decatur County Humane Society, Inc. Animal Shelter cannot and will not allow any refunds for adoption fees. The Bainbridge-Decatur County Humane Society, Inc., the City of Bainbridge, or its agent will not be responsible for any accident, injury or illness to any persons or animals resulting from an adopted Bainbridge-Decatur County Humane Society, Inc. animal.
I understand and consent to the release of the above information to Hill'S Pet Nutrition, Inc. for their exclusive use In providing adopters with product coupons and information.
I certify that I have read and understood the above and agree to abide by its contents