Jefferson Township Municipal Pound

Pre-Adoption Form

Phone Number

Do you own or rent your home ?

How long have you been at this address?

How would you describe your home?

What is your household activity level?

What is your experiences as a pet owner?

What children will be at home?

Who will the new pet be for?

Who will be the primary caregiver?

What kind of pet are you thinking about adopting?

What Veterinarian have you used ?

Please tell us in as much detail as possible what you are looking for. Do you have a preference of male vs. female ? What kind of temperament/personality characteristics are you looking for?

Have you had or have current of previous pets, if so what kind?

Vaccination Status Current pets

Spay/Neuter Status Current pets

Health Department Adoption Fees

Dog adoption fee, under one year - $200

Dog adoption fee, over one year to five years - $150

Dog adoption fee, over five years - $100

Cat adoption fee, kittens under one year - $150

Cat adoption fee, over one year to six years - $125

Cat adoption fee, over six years - $100

Our pets for adoption are INSIDE only , We will do a Vet check and if approved we will notify you ..

Thanks for your interest