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Request to Adopt Application Form

  1. Request to Adopt Application Form
    Applicants must be at least 18 years of age.
  2. McPherson Animal Shelter
    1115 W Woodside Street
    McPherson, KS 67460
    Phone: 620-245-2583
  3. Do you rent or own?
  4. Does your lease permit pets?
  5. Will an adult be home during the day?
  6. Have you ever adopted a shelter pet before?
  7. Who are you adopting for?
  8. What type of pet are you looking for? Check all that apply.
  9. What is your reason for adopting a pet?
  10. Do you own any pets at this time?
  11. Are their shots up to date?
  12. Are they spayed or neutered?
  13. Do your pets live indoors or outdoors?
  14. Is your yard fenced?
  15. Will the adopted pet live indoors or outdoors?
  16. Will the adopted pet spend the night indoors or outdoors?
  17. When my pet is outside, shelter will be provided by a:
  18. Have you ever had a dog die of distemper, parvo, or any unknown cause?
  19. Have you ever had a cat die of distemper, leukemia, or any unknown cause?
  20. Will you provide your pet the proper medical care?
  21. Would you object to animal control officers periodically stopping by to check on the adopted animal and the premises where it is kept?
  22. Have you ever been charged with an offense against animals or for not having proper licensing for an animal?
  23. This form must be complete and on file at the McPherson Animal Shelter a minimum of 24 hours before an animal may be adopted or removed from the shelter.
  24. This form will be valid for 6 months from the date of application. If a suitable animal is not adopted or located in this time period, the application will be removed from further consideration.
  25. This application must be completed by all persons interested in adopting a pet from our shelter. Please do not consider this an invasion of your privacy. Staff at the McPherson Animal Shelter are doing their best to place all animals in permanent, responsible homes, and at the same time find a suitable pet for you. We thank you for your cooperation in taking the time to fill out this application form.
  26. I understand that sterilization of the animal within 2 weeks of the date of adoption is required by State Law.
  27. Internal Use Only
  28. Leave This Blank:

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