Weber County Animal Services
1373 North 750 West
Ogden, Utah 84404
Adoption Application
Date:_____________
Animal for Adoption:________________________ Animal ID:_____________________________
Applicant's Name:____________________________________________ DOB:___________________
Street Address:___________________________________ City:__________________ Zip:____________
Home Phone:_____________________________ Alternate Phone:_____________________________
Email:_____________________________________ Driver License:_______________________________
Why have you chosen this particular pet? ________________________________________________
______________________________________________________________________________________________
What kind of residence do you live in?
House Apartment Mobile Home Condo Duplex
Do you have a fully fenced in yard? _______________________________________________________
What type of family will this pet be living with?
Single
Couple Children Elderly
If children are present in the home, please indicate ages:________________________________
Are there any animals this will be living with? If so, please indicate species and ages:
______________________________________________________________________________________________
______________________________________________________________________________________________
Are these animals licensed for the current year? Yes No
Are these animals spayed or neutered? Yes No
What will you do with this pet if you can no longer care for it?___________________________
______________________________________________________________________________________________
I certify that my statements above are true to the best of my knowledge.
Signature:_________________________________________________ Date:___________________________
Revised May 11, 2018
Please read carefully and initial below.
If I am selected to give this animal a home, I understand I am taking the animal AS
IS. Weber County Animal Services is in no way responsible for damages caused by
this animal.
I understand that Weber County Animal Services does not have a Certified
Veterinarian on the premises and therefore, will not be able to conduct a full
examination of the animals sheltered here. As such, Weber County Shelter is not
liable for any medical issues or pre-existing conditions.
If the animal of interest is Owner Surrendered, I understand I will be notified of all
information given by the previous owner. However, Weber County does not
guarantee this information.
I undertand that Weber County has conducted an evaluation of this animal.
However, the test are not always indicative of the animals reaction to situations
and stimulant outside of the shelter.
If the animal in question is not altered, I will agree to have it either spayed or
neutered within 30 days of adoption. If I do not comply, the animal can and will be
confiscated, as accordance to local law.
I agree this animal and all other animals will be vaccinated and licensed with my
city yearly. I agree this animal will wear identification and registration tags at all
times.
I understand Weber County Animal Services has the right to refuse adoption to
anyone.
I, the undersigned, certify that I have read and agree to all of the terms as outlined
above.
Signed:_________________________________________________________________ Date:___________
Revised May 11, 2018
ANIMAL SERVICES
1373 N. 750 W., OGDEN, UT 84404
(801) 399-8244
Fax: (801) 778-6411
Thank you for your interest in adopting a Pet from Weber County Animal Services. Adoption of a new pet can be a very emotional
experience, filled with love and great expectations. There are many practical considerations that will make a pet owning experience
successful for you and your new pet. Before you proceed with your decision, there are some things we wat you to carefully consider,
and information we want to share with you.
Each year, we are forced to euthanized thousands of unwanted pets in our community. There are two major reasons for this: (1) pet
overpopulation and (2) irresponsible pet owners. Since this responsibility is ours, we reserve the right to choose where the pets under
our care are placed. If you are serious about making a lifetime commitment, we hope you will take the time to check out the animals
at our shelter, and we will do our vest to find the perfect pet for you.
A portion of the Spay/Neuter fees are paid at the time of adoption. We require that ALL of the dogs and cats adopted from our shelter
be spayed or neutered. A voucher will be issued to the animal owner, and is valid with all of the veterinarians in Weber County, as well
as most veterinarians throughout the State of Utah. Please check with your veterinarian to verify they will accept the voucher before
scheduling the appointment.
Potential adopters will be required to complete an Adoption Application, and will be interviewed by an Adoption Specialist. The
adoption process can take up to 72 hours, depending on living situations, and previously received applications.
We reserve the right to refuse an adoptionbased on information obtained in the application, interview or failure to comply with
adoption requirements, including confinement and sterilization.
Our staff will provide you with as much information as possible at the time of your adoption. Please understand that the shelter staff
may not be aware of all behavioral or medical issues with the animals. The Weber County Shelter does not have a certified
veterinarian on staff to examine or diagnose our adoption animals.
Please research the breed of animal you are looking to adopt to ensure the specific breed will fit your lifestyle. You will be embarking
on a lifetime commitment that will determine the fate of your new pet.
By signing my name below, I certify that I have read the above information. Any questions concerning these policies have been
discussed. My signature also certifies my understanding of the agreement with the above policies. I understand I am willingly entering
into a lifelong commitment to this animal. If I am unable to keep this animal, I will return it to the Weber County Shelter.
_________
___________________________________________________ _______________
Applicant Date
_________
___________________________________________________
Witness
Revised May 11, 2018