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DRAFT Adoption Interest Questionnaire

  1. Placer County Animal Services Logo

  2. Adoption Interest Questionnaire

    Thank you for choosing to adopt a pet from Placer County Animal Services! This questionnaire will help guide additional conversation with you to ensure that this pet is the right fit for you and your family. We will spend some time discussing the adoption process during a meet and greet with the pet you are interested in. If you are applying to adopt a dog, please be aware that all dogs four months of age or older are required to be licensed.

  3. Are you 18 years old or older?*

  4. We welcome adopters who rent, or live in an apartment or condo. We want to alert you that some landlords and management companies have size and breed restrictions, limits on number of pets, and/or require pet deposits or additional fees.

  5. Tell us about pets at home (select all that apply)*

  6. Adoption Guidelines & Policies

  7. Things to Consider Before Adoption:

  8. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  9. Check "I agree" box above, and then type your name in the Electronic Signature box as your signature.

  10. Leave This Blank:

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