Animal Services Co-Location Shelter Registration Form
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10 Johnston County Animal Services Johnston County Animal Services 115 Shelter Way Smithfield , NC 27577 Telephone 919 934 - 8474 115 Shelter Way Smithfield , NC 27577 Telephone 919 934 - 8474 Fax 919 934 - 0753 wwwjohnstonnc.gov Owner Information Name _______________________________________________________________ Address _____________________________________________________________ City _________________________________State __________________________ Telephone # ___________________________Alternate Phone # ________________ Animal Information Animal Name ________________________________________________________ Breed _______________________________________________________________ Sex __________________________ Spayed or Neutered Yes No Color _______________________________________________________________ Age ________________________________________________________________ Pet's Special Needs ____________________________________________________ Disclosure Information I am a resident of Johnston County I am agreeing to house my pet s at the co - location shelter for the duration of the disaster event , according to all set requirements I understand if I leave this shelter without my animal s they will be transported to Johnston County Animal Services at 115 Shelter Way , Smithfield , NC , Telephone 919 - 934 - 8474 Fax 919 - 934 - 0753 I understand that after three working days my pet s becomes the property of Johnston County and Animal Services has the legal right to dispose of such animal s as its representatives deem necessary Owner Signature _ ____________________ Shelter Witness ____________________ Date _ _________________ Disaster Event _ _________________________________ White Pet Registration Copy Yellow Human Registration Copy Pink Owner CopyPage