Animal I am interested in adopting:
I understand that BCAS is very concerned about the security and safety of the animal I would like to adopt, as well as its ability to keep track of all animals adopted. I understand BCAS will not share this information for any reasons not connected to applicable lawsuits or legal reasons.
The name of the veterinarian(s) I use for my companion animals is (if more than one, please list all veterinarians consulted in the last 5 years;)
List of all people living in the house and/or who have regular contact with my animal(s) and their relationship to me (include family, friends, domestic employees, etc.):
List of two references – people who know me (but are NOT RELATED to me) and my companion animal(s) and have been to my home recently:
I understand an Animal Enforcement Officer may visit my home for a home inspection before my adoption application is approved.
I understand that if I am approved for adoption, I will also need to carefully read the Adoption Agreement. The Adoption Agreement represents the legal contract between the adopter and BCAS. I understand that if I am approved to adopt an animal, I must comply with all stipulations listed on the Adoption Agreement. This Agreement must be signed before the animal can be taken home.
I have read this Application in its entirety, and I agree that all statements contained in this document are made by me and are truthful. I make this statement under penalty of perjury under the laws of the state of Georgia.