Request edit access
Animal Adoption Application 
Adoption fees are $10 per adult animal and $5 for animals under six (6)months of age, additional costs based on animal are below.

All animals MUST have a Rabies vaccination for any animal over the age of three (3) months.  For animals under three (3) months of age will require a proof of appointment with adopter's veterinarian prior to being released.   Rabies vaccination that have been completed while in the care of Warrick County Animal Control will be included in adoption cost.

All animals MUST be altered per Warrick County Ordinances prior to leaving the Warrick County Animal Control facility.  Spay or neuter surgery completed while in the care of Warrick County Animal Control will be included in adoption cost.

All animals receive microchipping from Warrick County Animal Control unless previously microchipped.

All animals must be provided food, water, shelter, and may not run at large in the city or county. 

All animals must have a valid yearly rabies vaccination as Indiana State Law Requires. 

By submitting this form you understand and agree to the above statements and information, and that there will be no refunds for any reason. 
Sign in to Google to save your progress. Learn more
Email Address: *
Name: *
Address, City, State, Zip: *
Phone Number: *
Date of Birth: *
MM
/
DD
/
YYYY
Drivers License #: *
Rent, Lease, or own? *
Landlords Name and Number 
Have you or anyone else in your household ever been accused of animal abuse or neglect? *
If yes, who and when?
Do you have other animals? If yes, breed, sex, age, and if spayed or neutered.  *
Name of veterinarian and phone #? *
Name of Animal you want to adopt? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Warrick County Govt.. Report Abuse