Adoption Questionnaire

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Please complete this questionnaire to begin the adoption process at Montgomery County Animal Services and Adoption Center (MCASAC) in Derwood, Maryland.

Email *

I am interested in adopting a... *

Please note, if you are ONLY interested in small dogs or kittens, they are our most popular animals. We recommend you also look into other area shelters and rescues on www.Petfinder.com.

ONLY a Kitten

Kitten

Cat

ONLY a Small Dog

Small Dog (under 30 lbs.)

Medium Dog (30- 50 lbs.)

Large Dog (50 lbs. and over)

Other:

Required

Are you 18 or older? *

Yes

First Name *

Last Name *

Phone Number *

Street Address *

Apt. #

City *

State *

Zip Code *

Country

COUNTY (e.g. Montgomery, Prince George's) *

When you arrive for your adoption appointment, will you be able to provide a copy of your driver's license or another government-issued photo ID? *

Yes

Please describe the kind of pet you are looking for: *

We would love to know the AGE, SIZE, and PERSONALITY you are looking for. What activities would you like to do with your new pet? Any deal breakers? Are you interested in anyone in particular (please provide name and A#)?

How would you describe your experience level with this type of pet? (We love first time adopters!) *

Who will be living with your new pet? Adults? Children? What are the ages of the children? *

Do you currently own any pets? *

Yes

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