Pre-Adoption Application
Pre-Adoption Application

GLOUCESTER COUNTY ANIMAL SHELTER
PRE-ADOPTION APPLICATION
1200 N. Delsea Drive, Clayton, NJ 08312
856-881-2828  856-881-0538(Fax)

You must be at least 18 to submit application!









DogPuppyCatKittenOther

Rent HouseOwn House
Rent ApartmentMobile Home
CondoTownhome
Dorm


NoYes





Please provide 2 references (Friend, Relative or other)
NOT LIVING WITH YOU





InsideOutside
InsideOutside
WalksChainYardDog Run

NoYesPartial

NoYes
NoYes
NoYes
NoYes

List the pets you own or live with now and for the past 7 years:

DogCatOther

NoYes
NoYes

DogCatOther

NoYes
NoYes

DogCatOther

NoYes
NoYes

DogCatOther

NoYes
NoYes

DogCatOther

NoYes
NoYes




House pet/CompanionGuard dog inside
Guard dog outsideHunting
Barn CatWant to save
For the childrenGift for someone

I certify that the information given by me in this application is true and complete.  I further understand that falsified information that I give will terminate action of the adoption process.  I hereby authorize release disclosure of records and or other information concerning all of the above inquiries, including but not limited to tenancy information and veterinary records. IF SUBMITTING ELECTRONICALLY I MAKE THE ABOVE CERTIFICATION AS IF SIGNED PERSONALLY.  IN ADDITION I CERTIFY THAT I AM AT LEAST 18 YEARS OF AGE.
Once Application is submitted, you will be contacted by our staff.