Animal Adoption Application

 Step 1 of 1

Rock Springs Animal Control Adoption Application

Shelter Phone 307-352-1455

Fax 307-352-1468

Please complete all sections of application.

* Denotes a required field
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ZIP*
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Second portion of ZIP Code is optional.
 
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Date of Birth*
 Date of Birth
Phone Number*
-- ext
*
*
 
Spouse/Significant Other Date of Birth 
 Spouse/Significant Other Date of Birth
Spouse/Significant Other Phone Number 
-- ext
 
*
 
 
 
*
 
Phone number for landlord, if applicable 
-- ext
If you rent, you must fill out the Landlord Approval Form and return the completed form to Animal Control before adoption can move forward.
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*
 
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*

List all dogs, cats, and other pets currently at your residence.

 
 
 
 
 
 
 
 
 
Second Pet
 
 
 
 
 
 
 
 
 
If you have additional pets, please list them below. Include name, breed, age, color, sex, if the animal is spayed or neutered, rabies tag number, license number and the veterinarian.
 

Please list all pets from the last five years that you no longer own.

 
 
 
 
 
If you have additional pets to enter, please list them below. Include name, breed, and sex and a description of why you no longer own the animal and where it is now.
 
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By initialing above, I certify that the answers given on this application are true and complete to the best of my knowledge and understand that submission of this application does not guarantee adoption.

Contact Us

City Hall (more)
212 D St
Rock Springs, WY 82901
Get Directions

  • Phone: (307) 352-1500
  • Fax: (307) 352-1516
  • Staff Directory