APA  (812) 283-6555
 or (812) 246-4999

 

702 E. 11th St.
P.O. Box 4276
Jeffersonville, Indiana  47131


We Are A NO KILL Shelter!
Email: info@apa-pets.org
 

 

STEP 1:  ANIMAL INFORMATION:

What is the type / name / gender and color of the animal you are interested in adopting?

  Type: Dog Cat Bird Other
  Name:
  Gender:
  Color:

STEP 2:  YOUR INFORMATION:

What is your  name / address / contact info?

  First Name:
  Last Name:
  Your Address:
  City  
  State:         Zip: 
  Email:
  Home Phone:
  Other Phone:

STEP 3:  LIVING CONDITIONS:

 To ensure the quality of living conditions for the animal, we must know the following information:

  Names and number of persons currently living in household (list children & ages):
 
   
  Number and types of pets under your care: 
 
   
  If you do not currently have a pet, but have had one in the past,
please explain what happened to the animal:
 
   
  In what type of housing do you live?
  Own Home Rent Home Apartment
   
  If you rent, does the landlord allow pets?
  Yes No
  Landlord's Name:
  Landlord's Phone:
   
  Where do you plan to keep your pet?  
  If outdoors, is your yard fenced? Yes No
   
  Where do you plan to keep your pet while you are at work?
 
  Where do you plan to keep your pet while you are on vacation? 
 
   
  What veterinatian do you plan to take the animal to?
  Vet Name:
  Vet Phone:

STEP 3:  REFERENCES:       

  Reference 1:  
  Name:
  Phone:
  Reference 2:  
  Name:
  Phone:
     
  Any comments or suggestions?

By submitting this form, you understand and agree to the following:

  1. Adopting a pet is a life-time commitment.
  2. By adopting the pet, I will be subject to periodic checks to ensure proper treatment of the pet.
  3. If I am unable to keep the pet, I will notify APA.
  4. By adopting this pet, I ensure proper veterinary care, shelter, diet and treatment.
  5. I must either spay or neuter a puppy or kitten by 6 mos. of age.

 

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Last Updated:  Monday October 15, 2007 11:22 AM
Comments or Suggestions:  webmaster@apa-pets.org
 

Animal Protection Association is a member of Pet Groups United along with the following wonderful organizations....

Animal Care Society of Louisville,  Shamrock Foundation, Inc., Shamrock Greyhound Placement,
Neuter Town, Alley Cat Advocates,
and Metro Animal Services of Louisville, KY

We are excited to announce a new fundraising partnership with Ecomiles.