Adoption form

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Please correct the field(s) marked in red below:

Please call the Washington County Animal Shelter at (479) 695-3450 if you encounter problems filling out this application. 

Please note: 

Applicants must be 21 years of age or older to adopt a dog or 18 years or older to adopt a cat.

Pet that I want to adopt
 *
Is the pet a cat or a dog
 *
Is the pet a cat or a dog
Contact Information
 *
Contact Information
Home Address
 *
Home Address
List all of the pets you currently have in your home
Dog or cat Breed Pet's name Age Male or female Spayed or neutered Comments
Pet 1
Pet 2
Pet 3
Pet 4
Pet 5
Please choose which best describes your home
 *
Please choose which best describes your home
If you rent, please provide the name and phone number of the property owner or manager.
If you rent, please provide the name and phone number of the property owner or manager.
Please list your most recent Veterinary Clinic. We will contact your Veterinary Clinic.
Please list your most recent Veterinary Clinic. We will contact your Veterinary Clinic.