In 2008, after many years of fundraising and planning, the Northwoods Animal Shelter moved to our newly renovated building on Selden Road in Iron River, MI.

906-265-PETS

Northwoods Animal Shelter Upper Michigan Iron County Iron River Crystal Falls MI

Copyright  2024 NORTHWOODS ANIMAL SHELTER 930 Selden Rd. Iron River, MI 49935 906-265-7387 | northwoodsanimalshelter@hotmail.com Website by North Country Website Design.

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Adoption Application

General Information

Primary Applicant's Last Name:

Primary Applicant's First Name:

Home Phone Number:

Co-Applicant's Last Name:

Co-Applicant's First Name:

Cell Phone Number:

Street Address:

City:

State:

Zipcode:

Email Address:

Birthdate (MM/DD/YYYY):

Number of Years at Residence:

Have you ever adopted at this shelter?
Yes
No

Interested in adopting...
Dog
Cat
Other

Compatibility Information

Is anyone in your household allergic to animals?
Yes
No

Are all persons in your household aware you are applying for a pet?
Yes
No

How many children are in the home?

What are their ages?

Who is this pet for?
Myself
My Family

Type of Dwelling?
House
Apartment

Do you own or rent?
Own
Rent

If renting, what is your landlord's name?

Landlord's number?

Where will your pet be kept?
Inside
Outside
Both

Fenced yard?
Yes
No

Please list current and other animals you have owned in the past.

Pet #1

Breed of Pet:

Name of Pet:

Male or Female: Male Female

Is the pet spayed/neutered? Yes No

If no, why?

Still with you? Yes No

If no, why?

Pet Age:

Pet #2

Breed of Pet:

Name of Pet

Male or Female: Male Female

Is the pet spayed/neutered? Yes No

If no, why?

Still with you? Yes No

If no, why?

Pet Age:

Pet #3

Breed of Pet:

Name of Pet:

Male or Female: Male Female

Is the pet spayed/neutered? Yes No

If no, why?

Still with you? Yes No

If no, why?

Pet Age:

Veternary Information

Current Veterinarian or Veterninary Clinic/Hospital:

Vet Phone Number:

Name on the Vet Account

Personal References

Reference #1 Full Name:

Reference #1 Phone:

Reference #1 Additional Information about Reference:

Reference #2 Full Name:

Reference #2 Phone:

Reference #2 Additional Information about Reference:

Reference #3 Full Name:

Reference #3 Phone:

Reference #3 Additional Information about Reference:

Emergency Contact Information

Emergency Contact Full Name:

Emergency Contact Phone:

By typing my name and date below, I authorize Northwoods Animal Shelter to contact my veterinarian, lanlord, personal references, and anyone else necessarry to confirm how I have cared for animals and validate authorization for owning a pet.

Type name for signature:

Type date for signature:

Upper Michigan spaying dog, spaying cat, neutering dog, neutering cat, Upper Peninsula

906-265-PETS

Northwoods Animal Shelter Upper Michigan Iron County Iron River Crystal Falls Humane Society

Copyright  2024 NORTHWOODS ANIMAL SHELTER 930 Selden Rd. Iron River, MI 49935 906-265-7387 | northwoodsanimalshelter@hotmail.com Website by North Country Website Design.

Adoption

Application

General Information

Primary Applicant's Last Name:

Primary Applicant's First Name:

Home Phone Number:

Co-Applicant's Last Name:

Co-Applicant's First Name:

Cell Phone Number:

Street Address:

City:

State:

Zipcode:

Email Address:

Birthdate (MM/DD/YYYY):

Number of Years at Residence:

Have you ever adopted at this shelter?
Yes
No

Interested in adopting...
Dog
Cat
Other

Compatibility Information

Is anyone in your household allergic to animals?
Yes
No

Are all persons in your household aware you are applying for a pet?
Yes
No

How many children are in the home?

What are their ages?

Who is this pet for?
Myself
My Family

Type of Dwelling?
House
Apartment

Do you own or rent?
Own
Rent

If renting, what is your landlord's name?

Landlord's number?

Where will your pet be kept?
Inside
Outside
Both

Fenced yard?
Yes
No

Please list current and other animals you have owned in the past.

Pet #1

Breed of Pet:

Name of Pet:

Male or Female: Male Female

Is the pet spayed/neutered? Yes No

If no, why?

Still with you? Yes No

If no, why?

Pet Age:

Pet #2

Breed of Pet:

Name of Pet

Male or Female: Male Female

Is the pet spayed/neutered? Yes No

If no, why?

Still with you? Yes No

If no, why?

Pet Age:

Pet #3

Breed of Pet:

Name of Pet:

Male or Female: Male Female

Is the pet spayed/neutered? Yes No

If no, why?

Still with you? Yes No

If no, why?

Pet Age:

Veternary Information

Current Veterinarian or Veterninary Clinic/Hospital:

Vet Phone Number:

Name on the Vet Account

Personal References

Reference #1 Full Name:

Reference #1 Phone:

Reference #1 Additional Information about Reference:

Reference #2 Full Name:

Reference #2 Phone:

Reference #2 Additional Information about Reference:

Reference #3 Full Name:

Reference #3 Phone:

Reference #3 Additional Information about Reference:

Emergency Contact Information

Emergency Contact Full Name:

Emergency Contact Phone:

By typing my name and date below, I authorize Northwoods Animal Shelter to contact my veterinarian, lanlord, personal references, and anyone else necessarry to confirm how I have cared for animals and validate authorization for owning a pet.

Type name for signature:

Type date for signature:

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