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2. Adoption Application

   Applicants are required to visit the Animal Services office to view the animal(s).

4. Applicant Name:*
5. Email Address*
7. Address:*
9. City*
10. State*
11. Zip Code:*
13. Mailing Address (If different than above)
15. Phone Number:*
16. Alternate Phone Number:
18. Do you have any pets currently?*
    -- Select One --YesNo
19. How many pets currently reside in the household?
21. Pet 1: name, species, age, and gender
23. Pet 2: name, species, age, and gender
25. Pet 3: name, species, age, and gender
27. Additional pets if any: name, species, age, and gender
29. Sumter County Residents: Does your pet(s) have a current Sumter County License?
    -- Select One --YesNo
30. Do you want to license your current pet(s) using the information provided?
    -- Select One --YesNo

    There is no fee to license your animal. Tags will be mailed to the address provided. 

32. Are these pets' vaccinations current?*
    -- Select One --YesNo
33. If no, why not?
35. How many dogs or cats have you owned in the past 5 years? *
36. What happened to these pets?
38. Have you ever been convicted of a crime involving an animal?
    -- Select One --YesNo
39. Have you ever surrendered an animal to a shelter in the last five years?
    -- Select One --YesNo
41. You answered yes to the previous question, what were the circumstances of the surrender? Be brief.
43. Have you ever been denied a pet adoption by any organization?*
    -- Select One --YesNo
44. Have you ever been issued a citation by Animal Services?*
    -- Select One --YesNo
46. If you answered “Yes” to the above questions, please explain:
48. How did you find this pet:

    1. Petfinder

    1. Sumter County Website

    1. Other
50. Identify Other
52. Sumter County Animal Services reserves the right to deny anyone the ability to adopt an animal without explanation. In the event an applicant is applying to adopt a certain animal, Sumter County Animal Services reserves the right to assure the animal is matched with the best home for the owner and animal. I understand the requirements and agree to comply with local Animal Ordinances including sterilization (if needed), rabies vaccinations and licensing requirements.
54. Type your name below:
Leave This Blank:


56. 1. Receive an email copy of this form.
57. Email address

    This field is not part of the form submission.

58. Submit

* indicates a required field