Adoption Application

Name of the Pet You are Interested in:
Your First Name:
Your Last Name
Your Physical Address:
Zip Code:
Your mailing address (if different):
Primary Phone Number:
Secondary Phone Number:
Email Address:
Are you over the age of 18?
How many adults in household?
Are there children in your household?
Do you rent or own your home?
Do you have a fenced yard?
Do you currently own pets?
Please tell us what kind of pets and how many:
How did you hear about GCAO?
Is there a specific pet or type of pet you are interested in? Please explain:
Have you ever adopted a pet from us before?
Have you ever surrendered an animal to us before?
Please explain if you entered yes to either of the two previous questions.

1. I agree to the animal I adopt being sterlized prior to my taking the animal home. In the event the animal is too young or otherwise unable to be sterlized immediately, I agree to have the animal sterilized and understand that failure to comply with this requirement may result in seizure of the animal by GCAO or legal action. In the event of legal action, I agree to pay any and all attorney fees and costs and that venue shall be in Grant County, Washington.

2. I will hold Grant County Animal Outreach (GCAO) and the operating veterinarian, its employees and volunteers harmless and free from any liability should the animal become sick or die due to sterilization complications.

3. I understand that I am responsible for any and all veterinary expenses incurred, except for the sterilization surgery. I will have the animal vaccinated against diseases recommended by the veterinarian. I agree to return the animal immediately for an exchange to GCAO if it becomes ill within the first two(2) weeks after adoption. 4. I shall observe all local animal control and licensing ordinances. (License must be purchased within thirty(30) days of acquiring a new pet or by the time the animal is six(6) months of age.)

5. I shall provide sufficient food, water, shelter, veterinary care and humane treatment and companionship to the animal at all times.

6. I shall retrieve this animal from any animal shelter should be impounded and pay any associated fees or charges.

7. I shall not release this animal for research, study or experimentation.

8. I shall keep this animal in my possession and not sell, abandon or give it away. If, due to circumstances beyond my control I am unable to keep the animal, I shall contact GCAO and return it GCAO. In the alternative, if I am able to find a suitable home for the animal, I will notify GCAO of the new owner's information. GCAO expects each companion animal that it places to maintain residence with the person who originally took responsibility for the animal.

9. I shall allow a GCAO representative to examine the animal and its living conditions and if either is found unsatisfactory, I will correct the situation or surrender the animal.

10. I am not adopting this animal for the sole purpose of being guard-dog and/or I agree this cat will have on-going human companionship.

11. I am not adopting this animal as a gift for another individual with the exeption of a member of my immediate family.

12. GCAO may refuse service to any person wanting to adopt an animal. I understand that NO CASH REFUNDS WILL BE GIVEN.

I hereby agree to abide by the above policies.
 Adopt Now
 Hours and Location
Monday - Saturday 12:00-6:00 p.m.

Moses Lake Animal Shelter
6725 Randolph Road
Moses Lake, WA 98837

Phone: 509-762-9616
Animal Control: 509-762-1160