DOG ADOPTION APPLICATION

Name*

First NameLast Name

Birthday*

Date

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Cell Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Work Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Preferred Contact Method*

Best time to contact?*

How did you hear about St. Animal Pet Adoptions?*

Please provide us with some information regarding your interest in adopting a pet from St. Animal Pet Adoptions.*

Do you live in a:*

Do you:*

OwnRentLive with parentsOther

Describe your homes activity level*

Busy/NoisyModerate comings/goingsQuiet with occasional guests

If renting, please provide landlord's name, address & phone number:

What pet are you interested in?*

Please note you can specify more than one dog:

Do you have a fenced yard?*

YesNo

If yes, what kind? How high?

Do you have any other pets?*

YesNo

If yes, please list all pets in the household. Include name, breed, age, sex.*

If no, please tell us about previous pets you have had.*

Are their shots current?*

YesNoN/A

Are they on heartworm and flea/tick prevention?*

YesNoN/A

Are the spayed or neutered?*

YesNoN/A

Veterinarian name, clinic name and phone number*

If no current pets, please tell us the vet you used for your previous pets.

May we contact your veterinarian?*

YesNo

Where will you keep the animal?*

During the day?*

At night?*

May we visit your home? (Depending on the animal, it may be in person or video call.)*

YesNo

How much time will they spend alone?*

How do you plan to exercise your dog? Enrichment activities?*

Does anyone in your household have allergies to dogs?*

YesNoUnknown

Please list all of the adults (first & last name) that live in your home.*

Do you have children?*

YesNoSometimes

If so, what are their ages?

Do your children understand the responsibilities of caring for animals?*

YesNoN/A

Is everyone in the family on board with adding a new adopted pet to the family?*

YesNoOther

How much time are you (and your family) prepared to spend with the adopted animal?*

In case you experience a life change (for example, a move, a divorce, a new baby), how with this affect the adopted animal?*

Do you understand that adopting a pet is a commitment for the animal's entire lifetime? Are you willing to accept that responsibility?*

YesNo

Name and phone number of your personal reference # 1:*

Name and phone number of your personal reference # 2:*

Terms of Adoption All pets must be spayed or neutered prior to adoption. If, for any reason or at any time, I am unable to care for my adopted pet, I agree to return my adopted pet to St. Animal Pet Adoptions; I further agree never to abandon my adopted pet or deposit my adopted pet at an animal shelter or research facility; however, before returning my adopted pet to St. Animal Pet Adoptions, I agree to exhaust all options available to me including, but not limited to, obedience training, a behaviorist, crate training or veterinary advice to solve any physical or behavioral problem that may occur with my adopted pet or between me and my adopted pet. I agree that by accepting my pet for adoption, I am accepting guardianship of the animal. I understand this means that St. Animal Pet Adoptions is not responsible for any damage to person or property that may be caused by my adopted pet after the date of the adoption and I accept full responsibility for my adopted pet from the date of the adoption forward.

Do you agree to these terms?*

YesNo

SIGNED:*

First NameLast Name

DATE:*

Date

Please verify that you are human*