Pet Adoption Application

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Applicant's Name

Applicant's Date of Birth

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Applicant's Physical Address

Contact Phone #

Email Address

Animal Name or ID Number

Animal Type

Dog

Cat

Animal Sex

Male

Female

Animal Color / Description

Do you own or rent the property intended to house this animal?

Own

Rent

Name of Property Owner

Contact # for Property Owner

Contact Information

Physical & Mailing Address:
1241 Helen Highway
Suite 100
Cleveland, Georgia 30528

Office of Public Safety:
(706) 865-9500

911-Communications Division:
(706) 865-0911 -- 24 Hour Number
(706) 219-2079 -- 24 Hour FAX

Emergency Management Division:
(706) 865-9500

Fire Services Division:
(706) 865-9500