Mobile County Animal Shelter
Adoption Application
(ALL APPLICANTS MUST BE 19 YEARS OLD AND UP)
7665 Howells Ferry Road, Mobile AL 36618 www.mobilecountyal.gov (251) 574-DOGS (7940) / (P) (251) 574-7941 (F)
PLEASE PRINT CLEARLY
How many hours will this animal be kept outdoors? _________________________________________________________________
Where will the animal sleep? ___________________________________________________________________________________
When outside, how do you intend to keep the dog on your property? (Check all that apply)
FENCED YARD LEASH FENCED PEN TIE-OUT
Do you have (or do you have plans for)?: FENCED YARD DOG RUN DOG HOUSE CRATE
All Alabama residents are required to keep their dogs confined at all times
. By ensuring confinement you are protecting your pet
and neighbors as well as abiding by State Laws.
Have you previously adopted an animal from the MCAS? Yes No
Have you or anyone in your household been issued a citation or had an animal impounded by the Mobile County Animal Control
Department? Yes No If yes, under what name(s):_______________________________________________________
Reason for Citation:_______________________________________________________________________________
Are you able to provide the necessary care for your adopted pet, in accordance with the state statue and the county ordinance?
Yes No If no, please explain:______________________________________________________________________
Complete this sentence: I need an animal who will tolerate being alone __________ hours a day.
What is your plan for your pets in the case of a Hurricane Evacuation?___________________________________________________
____________________________________________________________________________________________________________
I HEREBY CERTIFY AND AFFIRM THAT THE ANSWERS GIVEN ABOVE IS ACCURATE AND TRUE TO THE BEST
OF MY KNOWLEDGE AND BELIEF. I FURTHER ACKNOWLEDGE THAT MOBILE COUNTY ANIMAL CONTROL
MAKES NO WARRANTY IN REGARD TO THE HEALTH OR CONDITION OF ADOPTED ANIMALS. I FURTHER
ACKNOWLEDGE THAT ADOPTED ANIMALS MAY HARBOR A CONTAGIOUS DISEASE THAT MAY BE
TRANSMITTED TO OTHER ANIMALS I MAY OWN. I THEREBY HOLD HARMLESS, MOBILE COUNTY FROM
ANY REPERCUSSIONS ASSOCIATED WITH THIS ADOPTION.
___________________________________ _________________________________________ ________________
PRINT NAME SIGNATURE DATE
FOR OFFICE USE ONLY:
APPROVED
REJECTED
COMMENTS: ____________________________________________________________________________________________
____________________________________________________________________________________________
REASON FOR REJECTION: _______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________ ____________________________________ ________________
PRINT NAME SIGNATURE DATE
Animal ID #: ______________ Intake #: ______________ Receipt #: _________________ Time: _____________
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signature
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