Each field is required. Please type N/A if it doesn't apply to you.
CURRENT/PAST PET INFORMATION
Please tell us about any pets that you have had in the past 5 years.
There are yearly vaccines that your new animal needs to remain healthy. Required vaccines for dogs are the Rabies vaccine and DHPP/DHLPP (commonly known as distemper). Required vaccines for cats are the Rabies vaccine and FVRCP (commonly known as feline distemper). Please check with your veterinarian for their recommendations.
Our goal is to place animals into permanent, caring, and loving homes. We will do what is best for the animal being considered for adoption. Some need county homes, some need adult-only homes, some need homes where they will not be left alone for long periods of time. Please understand that if you are refused, it is because it is in the best interest of the animal. We reserve the right to hold an application for 24 hours before adopting out an animal so that we may review it. Please understand that Cedar Rapids Animal Care & Control is not a veterinary clinic and that this animal may be harboring a medical condition which is not apparent during its stay at the shelter, and that should such a condition become apparent after adoption, you assume full responsibility for any related veterinary care. We strongly recommend that you take your new pet to a veterinarian for a health examination within one (1) week of adoption.
By signing (typing your name in the box) below, you have stated that all information on this application is true to the best of your knowledge. The Cedar Rapids Animal Care & Control has the right to refuse an adoption if it is found that information stated on the application has been falsified.
Once you hit Submit, please wait for the form to process your responses. This can take up to 15 seconds to complete, so please be patient.