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Adoption Application

  1. Hanover County Animal Control
    Adoption Application
    To be considered for adoption, Applicant must be at least 18 years old and carry a valid/current state-approved identification card or driver’s license.
  2. Hanover County Animal Control reserves the right to decline an adoption.
  3. Do you own or rent the above-listed address?
  4. If you rent, do you have your landlord's permission to have a pet in the residence?
  5. Do you have plans to move from the above-listed address in the near future?
  6. Applicant must provide copy of lease or written documentation from landlord approving adoption.
  7. Are there currently other pets in your home?
  8. Have you previously owned a pet?
  9. If you have other dogs or cats in your home, are they spayed/neutered?
  10. Do you have a regular veterinarian?
  11. Has any member of your family ever experienced animal-related allergies?
  12. Why are you interested in adopting a pet?
    Check all that apply.
  13. Where would the new pet sleep?
  14. Where would the pet stay when left alone?
  15. If Outdoors:
  16. Where would the pet stay when you are at home?
  17. Under what circumstances would you be unable to keep the pet?
    Check all the apply.
  18. Before signing this document, please verify that all information provided above is true and accurate.
  19. I affirm that I have never been convicted of animal cruelty, neglect or abandonment. (Va. Code §3.2-6546)
  20. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  21. Leave This Blank:

  22. This field is not part of the form submission.