Animal Request Form

 

Adoption  ♦  Adoption Fees  ♦  Selecting A Pet
 


Are you looking for a specific breed of animal?  Maybe one with certain characteristics?
We might be able to help!

Gibson County Animal Services receives many different animals throughout the year.  We also network with other shelters and rescue groups on a regular basis.  If you're looking for a specific type of companion, please complete the form below and click submit.  Upon submission of your form, we will place your information in our file.  If we come across an animal that closely matches your request, we will contact you.

Name:
Address:
City: State: Zip:
Telephone (Day): Telephone (Evening):
Email Address:

Breed Desired:

Weight Limit:

GENDER: Male: Female: No preference:

HOUSEBROKEN: Yes: No: No preference:

HAIR LENGTH: Short: Medium: Long: No preference:

AGE RANGE (Please specify months or years): No younger than:
No older than:

WHERE WILL YOUR PET BE HOUSED? Inside: Outside: Both:

DO YOU OWN ANY PETS NOW? Yes: No:

If so, please provide your veterinarian's name and telephone number:
Veterinarian's Name:
Telephone:
What names are the records kept under?:

WHICH BEST DESCRIBES YOUR LIVING SITUATION?
I own my home: I rent an apartment alone:
I rent an apartment with a roommate: I live with my parents: I rent a mobile home:

Apartment Complex Name (if applicable)::

Mobile Home Court Name (if applicable)::

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