BAC Shelter Adoptions 
Application for a Boonville Animal Control Shelter: 
1560 E Morgan St. Boonville, MO 6233
(660) 882-2335                                                       
**Must be 21 years of age to apply**
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Email *
Date: *
Name(s) of Applicant(s):  *
Address:  *
City, State, and Zip Code:  *
Phone Number (cell): *
Phone Number (work): *
Email Address: *
Occupation and Employer:  *
How long have you been with your current employer? *
Residence: *
*If you currently rent, we will need a signed letter giving permission from your landlord including their name, email address, and phone number 
**if you currently live with parents, we will need a signed letter from parents including their name and phone number
Type of Housing:  *
Are there children in the home? 
If yes, what are the ages? 
What pet are you interested in adopting? *
Veterinary Reference
(Please include all the information down below)
Name of Veterinarian: 
Address:
City, State, and Zip Code:
Phone number:
 *
How many pets do you currently own? *
What type of pets do you currently own?
If applicable, are they up to date on vaccinations and testing:
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If applicable, have they been surgically altered (spayed/neutered):
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Have you ever given away a pet before? 
If yes, please explain. 
 *
PLEASE READ CAREFULLY BELOW AND SIGN *
I the undersigned do herby give the Veterinarian and/or Veterinary Facility listed on the application permission to release medical information including vaccine and testing history, as to the care of my pet(s). I understand the information provided if my pet(s) are not current on vaccinations, tests or flea/tick/heartworm medications my application for adoption may be declined.  
Please sign your name below.
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