JFSAR Pre Adoption clean Logo
  • Please fill out this pre-adoption form. The foster home volunteer will either call you or contact you via email. The volunteer can answer your questions about the dog/cat you are interested in adopting.

    Justice for Samson Animal rescue wants to be sure this pet is a good match for your home. This questionnaire must be completed by anyone interested in adopting a pet. Our goal is to place animals into permanent, responsible homes and at the same time match you with a pet which is suitable for you and your lifestyle. If you need assistance, please email us your questions at justiceforsamson@yahoo.com

  • Name of dog you are interested in or breed you are looking for

  • 13. Have you ever adopted a pet from any Humane society

  • Date Application Form submitted:

  • Signature Required

  • I agree that all the above questions have been answered truthfully.

    Any misrepresentation on my part will result in forfeiture of fees or donations

    paid and surrender of the animal adopted.

  • Should be Empty: