Small Animal Adopter Application

Small Animal Adopter Profile

REQUIREMENTS: 18+ Years of Age | Valid Photo ID | Provide Proof of Address | Pay Entire Adoption Fee Today. Any falsification of information, not meeting required policies or laws, etc. may result in a denial of your application. For a full list of policies please see our website.
I'm applying for the pet named (if known)
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State

Zip Code
Phone Number *

Area Code Phone Number
Email *
example@example.com
Do you... (Please check all that apply): *

Own Rent Live with Parents Mobile Home School Housing
Renters: List the phone number for your landlord, lot manager, or HOA contact
Live with Parents: List your parent's phone number
How many children live in the home? *
Under the age of 18
What are their ages?
I am a

First-Time Small Animal Owner Experienced Small Animal Owner
What type of small animals are you looking to adopt?
Will this pet be housed with another animals of the same species?

Yes No
What type of housing will you provide?
Your handling comfort level is...

Uncomfortable Comfortable Willing to Hand Train Experienced Hand Trainer
Have you ever had to rehome or give away a pet? *

Yes No
If yes, please let us know the situation
Please list your current employer *
Please list your current veterinarian, if applicable *
Do you currently have pets, of have you had pets in the last 5 years?

Yes No
Animals History Information: List Current Pets and any within the past 5 years
Pet 1...
Name of Pet
Current or Previous?

Current Previous
Type of Pet
If other, please list
Spayed/Neutered?

Yes No
Indoors, Outdoors, or Both?

Indoor Only Outdoor Only Indoor/Outdoor
Date of last Rabies Vaccination
Vet visit this year?

Yes No
Pet 2...
Name of Pet
Current or Previous?

Current Previous
Type of Pet
If other, please list
Spayed/Neutered?

Yes No
Indoors, Outdoors, or Both?

Indoor Only Outdoor Only Indoor/Outdoor
Date of last Rabies Vaccination
Vet visit this year?

Yes No
Pet 3...
Name of Pet
Current or Previous?

Current Previous
Type of Pet
If other, please list
Spayed/Neutered?

Yes No
Indoors, Outdoors, or Both?

Indoor Only Outdoor Only Indoor/Outdoor
Date of last Rabies Vaccination
Vet visit this year?

Yes No
Pet 4...
Name of Pet
Current or Previous?

Current Previous
Type of Pet
If other, please list
Spayed/Neutered?

Yes No
Indoors, Outdoors, or Both?

Indoor Only Outdoor Only Indoor/Outdoor
Date of last Rabies Vaccination
Vet visit this year?

Yes No
Pet 5...
Name of Pet
Current or Previous?

Current Previous
Type of Pet
If other, please list
Spayed/Neutered?

Yes No
Indoors, Outdoors, or Both?

Indoor Only Outdoor Only Indoor/Outdoor
Date of last Rabies Vaccination
Vet visit this year?

Yes No
Please upload a copy of your Photo ID *
Files must be smaller than 2.5MB. Please take a clear photo of an entire state or government photo ID. No selfies or pictures of yourself please. Applications without proper or clear photo id will not be processed. If your file is too big, screenshot it and then upload the screenshot.
Please upload a copy of proof of address (ex. utility bill) *
Files must be smaller than 2.5MB. Please take a clear photo of your proof of address. Applications without clear photos of proof of address will not be processed. If your file is too big, screenshot it and then upload the screenshot.
How did you hear about us? (Check all that apply) *

Radio Newspaper TV Social Media Website Friend Billboard
By signing below, I certify that all statements and answers on this application and verbally given to the adoption counselor are true and that any false information may result in denial of this application. I understand that if my application is not approved, it is not for reasons of personal bias. I understand that once this application has been turned in, the answers I have provided may not be changed. This application will be the sole property of the SFAHS.
Signature *

Click and hold to electronically sign your name. You must sign your full name. Anything besides a full signature will make the application incomplete and it may not be processed. Clear
Today's Date *

Month Day Year
Date
Please verify that you are human *
Newsletter

Yes! I want updates and cute pets in my email inbox via the SFAHS newsletter!
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Small Animal Adopter Profile