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




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YesNo
YesNo

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YesNo
InsideOutside

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High EnergyMedium EnergyLow Energy

NoYesPartial
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NoYes
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List all pets that you now own or live with:

DogCatOther

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DogCatOther

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DogCat

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DogCatOther

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DogCatOther

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DogCatOther

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DogCatOther

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DogCatOther

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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.

Please do not submit until application is complete.  Only press submit once.