AdoptionApplication
  • Adoption Application

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  • Is there a particular animal you are interested in*
  • Do you plan on moving in the next 6 months?
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  • Are you a veteran or active duty military? *your adoption may qualify for our "Pets for Patriots Program"
  • Residence Information

  • My home is:

  • Describe your Homes Activity Level
  • Do you have a fenced yard?

  • Does Anyone in your Household have Allergies to Animals?
  • Are all members of your Family agreeable to Adopting a pet?
  • Current/Past Pets

  • Do you have any pets currently?
  • Are all of your pets currently spayed/neutered
  • Are all of your current pets on Heartworm prevention? (dogs only)
  • Are all of your current pets on flea/tick prevention?
  • If you have any dogs, are you willing to bring them to our shelter for a "meet and greet"?
  • Dog Adoption Questions

  • Are you looking to adopt a dog?*
  • Do you have a preference for gender?
  • Do you have an age preference? *select as many as you like
  • What size dog (size fully grown) are you looking to adopt? *select all that apply

  • Are you willing and able to medicate your new pet with age-appropriate vaccines (1-2x/year) and monthly prevention medications at a minimum?
  • What energy level pet are you looking for?
  • How do you plan to exercise your new dog on a normal day?

  • We cannot guarantee a pet to be housebroken, are you equipped to train with love and patience? (We are happy to provide tips for potty training!)
  • Are you familiar with crate training?
  • Where will your new dog live most of the time? (Where it sleeps, eats, hangs out)

  • Have you ever adopted from a shelter/rescue before?
  • Cat Adoption Questions

    Please complete the following questions if you plan to adopt a cat(s). (SKIP THIS PAGE IF NOT PLANNING TO ADOPT A CAT)
  • Are you looking to adopt a cat?*
  • Do you have a preference for gender? *you may select both
  • Do you have an age preference? *select as many as you like
  • Are you willing and able to medicate your new pet with age-appropriate vaccines (1-2x/year) and monthly prevention medications at a minimum?
  • Do you plan to declaw your new cat?
  • Where will your new cat live most of the time?

  • Have you ever adopted from a shelter/rescue before?
  • References

    Please NO FAMILY MEMBERS as references
  • Vet Reference

    Please put the vet you use for current/past pets. By including this information you authorize SJBHS to obtain medical records. Please email info@sjbhumanesociety.org if you would like to list multiple vets. If you have no past or current vet, please provide information for the vet you plan to use for the new pet.
  • This is my:
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  • I certify that the above information is accurate and complete to the best of my knowledge. I understand that the SJBHS has the right to reclaim the animal if any given information is found to be false. I authorize the release of veterinarian information related to my current and past pets. I understand that there are costs associated with owning a pet, that these costs can range from $400-$800 annually, and that there may be additional costs due to injury or illness.

     

    I understand that this application does not guarantee the adoption of any pet and the requested pet will be adopted out to whomever is determined to be the best fit for the animal.  I understand that I may be denied adoption for certain animals and not others according to specific needs of the pet.  I understand that the pet I request may be adopted before my application is processed, that advertisement of said pet continues while my adoption is pending, and that the only way to guarantee a particular pet is "reserved" is by receiving a notifaction of approval from SJBHS adoption coordinator by phone or e-mail and placing a 48-hour hold fee for said animal.  Hold fees are non-refundable and expire after 48 hours if the animal is not picked up, unless special arrangements have been made with SJBHS adoption coordinator.


    By signing this electronic application, I will comply with the adoption contract if I am approved to adopt from SJBHS.

     

  • Date
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