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Animal Control and Rescue Adoption Application

  1. St. Joseph Animal Control and Rescue Adoption Application and Worksheet
    701 Lower Lake Rd. St. Joseph, MO 64504 Phone: (816) 271-4877 Fax: (816) 271-5362
    St. Joseph Animal Control and Rescue reserves the right to refuse an adoption.

  2. Have you selected a specific animal?*

  3. The animal log number of the pet you wish to adopt must be listed on this application if you have selected a specific animal.

  4. Application Questions:

  5. 1. Have you or anyone in your household been convicted of animal abuse/neglect?

      1. 2. Do you intend to use this animal for experimental or research purposes?

          1. 3. Do you have a recent history (12 months) of abandoning your animal at Animal Control and Rescure or elsewhere?

              1. 4. If you rent, does your lease allow for pets?

                1. The following questions will assist our adoption counselors in helping to match you with the type of pet you are interested in adopting.

                2. 1. What type of pet are you here to adopt?

                3. 2. What size of animal are you looking for?

                4. 3. What best describes the pet you are looking for? Check all that apply

                5. 4. How many people live in your household?

                6. 6. How many pets have you had in the last five years?

                7. Please initial that you understand the following:

                8. I understand that long haired animals require routine grooming that be time consuming and expensive.

                9. I understand that animals require routine and preventative veterinary care.

                10. I understand that pursuant to City Code or Ordinance 5.33 I my animal must be provided with adequate care which means normal and prudent attention to the needs of an animal, including wholesome food, clean water, shelter, and health care as necessary to maintain good health in a specific species of animal.

                11. I understand that if this pet is for a minor, pursuant to City Code of Ordinance 5.32 the parent or guardian of a minor child is responsible for the adequate care of any animal owned by, in the control of or harbored by that minor child.

                12. By typing my name below, I certify that the information provided in this Application and attached documents is true and complete, and that any misrepresentation or omission made in this Application may result in the denial, suspension or revocation of any previously (or subsequently) approved application. I also understand that the St. Joseph Animal Control and Rescue reserves the right to refuse an adoption application.

                13. OFFICE USE ONLY

                14. Approved

                15. Declined

                16. Adoption Counselor/Animal Care Specialist

                17. Supervisor

                18. Date Approved/Declined

                19. Date Notified

                20. Explanation

                21. Leave This Blank:

                22. This field is not part of the form submission.