GCHS Online Adoption Application

Please Provide The Following Information To Submit Basic Adoption Application Online:

Please provide the following contact information:

Name

Address

Home Phone

Work Phone

E-mail

Residence: rent own

Landlord's Name

Phone Number

Do you have a fenced in yard? YES NO

Do you have children? YES NO

Ages of Children in Household

Please List Any Pets You Currently Own (breed, age, inside/outside pet, etc.).

Are your current pets Spayed and/or Neutered? YES NO

Are your current pets current on vaccinations? YES NO

Veterinarian's Name:

Clinic Phone Number:

Choose Form Of Identification:

ID Number (Include License State)

Name Of Animal You're Interested In Adopting:

How Did You Learn Of GCHS and This Animal?

I Have Read And Agree To The Adoption Guidelines.

Adoption Guideline Agreement