(Physical address) 2783 Highway 6 Trail, South Amana IA (Mailing Address) PO Box 444 Williamsburg, IA 52361 319-622-7387 email@example.com
Safe Haven of Iowa County has assumed responsibility for the welfare of every animal that enters our care. Our purpose is to place an animal in a responsible home for the rest of its life. This must be a home where it will receive veterinary care when needed, and where it will be controlled so as not to become a free roaming animal, or add to the surplus of animals already in the community.
The animal you are adopting has been surrendered, abandoned, or in some way displaced. It may have been abused or neglected. There may be only limited, if any, information available regarding the animals previous environment.
To ensure these ends, we have formulated this application form to assist our staff in the careful selection of home placements for our companion animals available for adoption. Only those persons who are adults of legal age will be eligible to adopt from our shelter.
PLEASE NOTE: IF YOU DO NOT RECEIVE AN "AUTOMATED ACKNOWLEDGEMENT EMAIL" A FEW MINUTES AFTER YOU HAVE SUBMITTED YOUR APPLICATION IT DID NOT GO THROUGH AND YOU MUST TRY AGAIN OR CONTACT US AT
Please acknowledge you are not a robot before proceeding with the application: