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Adoption Application

  1. Adoption Form Image

  2. Thank you for considering the adoption of one of our wonderful animals. Understand that this can be a 10-15 year commitment to this animal. Our goal is to make the best possible match between people and animals. By answering the questions below, you will help us achieve the best possible match for you and your new companion.

  3. Rental Notice

    If you rent, the Norfolk Animal Care Center reserves the right to verify your landlord's current pet policy.

  4. Which of the following best describes your reasons for adopting a shelter animal? (Check all that apply)*

  5. Please list the last four (4) pets that you’ve owned, including ones you currently still have:

  6. Your adoption counselor with discuss the following with you:

    - New Home Adjustments - Health/Veterinary Care - Expense - Identification - City Pet Laws - Potty/Litter Training - Daily Care Requirements - Feeding - Behavior Problems and Training

  7. By signing below, I certify that the information I have given is true and that I recognize that any misrepresentation of the facts may result in my losing the privilege of adopting a pet. I understand that the Norfolk Animal Care Center has the right to deny my request to adopt an animal, and I authorize the investigation of all statements in the application.

    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.

  8. Electronic Signature Agreement*

  9. Leave This Blank:

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