Adoption Application
Please complete this form if you are interested in adopting a canine/feline from Macomb County Animal Control.
All information collected is kept confidential and necessary for the approval process.
Email address *
APPLICANT NAME (First and Last) *
Your answer
ADDRESS *
Your answer
CITY *
Your answer
State *
Your answer
ZIP CODE *
Your answer
PHONE NUMBER (Including area code) *
Your answer
EMAIL ADDRESS *
Your answer
DRIVERS LICENSE NUMBER (confidential) *
Your answer
DATE OF BIRTH *
Applicants must be a minimum of 18 years old in order to be approved for adoption.
MM
/
DD
/
YYYY
I CURRENTLY LIVE IN A *
THE RESIDENCE IS: *
HOW LONG HAVE YOU LIVED AT THIS ADDRESS? *
Your answer
DO YOU PLAN ON MOVING IN THE NEAR FUTURE? *
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