Northwoods Animal Shelter, Iron River, Michigan, Rescue Pets, Rescue Dogs, Rescue Cats, Rescue Abused Animals, Humane Society
906-265-PETS
Copyright 2022 NORTHWOODS ANIMAL SHELTER 930 Selden Rd. Iron River, MI 49935 906-265-7387 | northwoodsanimalshelter@hotmail.com Website by North Country Website Design.

Adoption Application

ADOPT A PET MAKE A DONATION

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:
kitten, dog, puppy, doggy, pet, animals, neglected pets, neglected animals, spay, neuter

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: