Marion County Adopter Contact Information

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Adopter Contact Information

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Get a head start on the adoption process by filling out the information below.  When you are ready to adopt a pet, please visit the shelter and let us know that you've filled out information online.  When you are ready to adopt a dog, this information will be used to help auto fill your adoption application. 

Contact Information
First Name: *  
Last Name: *  
House Number: * (ex: 5155 for 5155 Silverton Rd NE)  
Street Name: *  
City: *
State: *  

* Zip Code:

Home Telephone: *  
Work Telephone:  
 Cell Phone:  
E-mail Address:
Spouse's Occupation
  Pet Restrictions
  Landlord's Name:
  Landlord's Telephone:  
  If yes, please explain
  How did you hear about us?
  Why would you like to adopt a dog?


* Required Information