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Adoption Application

Please take a few minutes to read and complete this application. Please answer each question completely and honestly. We will not process incomplete applications, so please answer all of the questions on this application. The information you provide is confidential and will not be used for any other purpose.

In order to be considered as an adopter, you must:
-Be 19 years of age
-Have a current state or military photo ID
-Be able to pay the entire adoption fee when adopting

-All animals currently in your home (cats/dogs) must be spayed or neutered and up to date on their vaccinations.  Cats will need to be current on rabies and distemper and dogs will need to be current on rabies, distemper and Bordetella.

First Name *
Last Name *
Address Line 1 *
City *
State/Province *
Postal Code *

If you rent or live with friends/family, please provide a name and phone number for your landlord or the owner of the house.

Animal History Information: Please list current pets

Current Pets

Pet #1

Pet #2

Pet #3

By electronically signing below you agree to the following:

I understand that all vaccinations, testing, and vet care from the time I take my new pet home will be my responsibility and that the Animal Shelter of Northeast Nebraska will not be liable for any present or future illness or any other needs of my adopted pet.

I understand that if my application is not approved, it is not for reasons of personal bias, but for the welfare of the animals and part of the policy set forth by the ASNN's board of directors.

I understand that by adopting a pet from the ASNN I am agreeing to allow my personal information to be used to register the microchip associated with the pet(s) I adopt.

Mobile User Warning
Your application may not process completely if you are using a mobile device. Please contact us by phone, Facebook messenger or email to verify we have received your application.
Electronic Signature

Thank you for opening your heart to a homeless pet!