Adoption Application

2. Adoption Application

   Applicants are required to visit the Animal Services office, and then view the animal(s) if approved.

   **Please follow up on your adoption application status after submitting**

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. Driver's License or ID #:*
19. Is this home your:*
    -- Select One --Full TimeSeasonalVacation
21. How long have you lived at your current address?*
    -- Select One --Less than 2 yearsBetween 2 to 3 years4 years or more
22. If less than 2 years, please list previous addresses below:
24. What are your reasons for adopting? Please be brief.*
26. Do you have any pets currently?*
    -- Select One --YesNo
27. How many pets currently reside in the household?
29. Pet 1: name, species, age, and gender
31. Pet 2: name, species, age, and gender
33. Pet 3: name, species, age, and gender
35. Additional pets if any: name, species, age, and gender
37. Sumter County Residents: Does your pet(s) have a current Sumter County License?
    -- Select One --YesNo
38. 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. 

40. Are these pets' vaccinations current?*
    -- Select One --YesNo
41. If no, why not?
43. How many dogs or cats have you owned in the past 5 years? *
44. What happened to these pets?
46. Have you ever been convicted of a crime involving an animal?
    -- Select One --YesNo
47. Have you ever surrendered an animal to a shelter?
    -- Select One --YesNo
49. Reason for surrendering and approximate date?
51. Have you ever been denied a pet adoption by any organization?*
    -- Select One --YesNo
52. Have you ever been issued a citation by Animal Services?*
    -- Select One --YesNo
54. If you answered “Yes” to the above questions, please explain:
56. How did you find this pet:

    1. Petfinder

    1. Sumter County Website

    1. Other
58. Identify Other
60. 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.
62. Type your name below:
64. Please watch your email for our response to your application within 12 business hours of your Submission.

    You can call us at 352-689-4400 to check your application status.
66. ALL ANIMALS ARE FIRST COME, FIRST SERVE TO APPROVED ADOPTERS.
Leave This Blank:


68. 1. Receive an email copy of this form.
69. Email address

    This field is not part of the form submission.

70. Submit

* indicates a required field