Adoption Questionnaire

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By signing below, I certify the information I have given is true, I am at least 18 years old, and that I understand any misrepresentation of facts may result in losing my privilege of adopting a pet through Winnebago County Animal Services. I also understand that Winnebago County Animal Services has the right to deny my request to adopt an animal, and I authorize investigation of all statements in this questionnaire
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OFFICE USE ONLY Date:________________ Staff Member:______________________ ___Approved ___Denied Reason Denied:________________________ ________________________ Verifiable Identification:____________ Animal ID Number: A____________ Comments:___________________________________________________________________________________________________
After your questionnaire has been reviewed by our staff, it will either be approved or denied in conjunction with our approval guidelines. A representative will contact you to let you know if you are approved, denied, or if we need more information. Thank You.
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ID Your Cat or Dog!

Use a rabies tag, microchip, or an ID tag with your name and current phone number.

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Winnebago County Animal Services
4517 North Main Street
Rockford, IL 61103
P: 815-319-4100
F: 815-319-4101

Shelter Hours:
Monday: 11:00 AM - 7:00 PM
Tuesday-Friday: 11:00 AM - 5:00 PM
Saturday: 11:00 AM – 4:00 PM
Sunday: CLOSED
*Please note, all adoptions end 30 minutes prior to closing.

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