Adoption Application Dog

Expression of Interest: Dog Form

Thank You For Your Interest In Giving A Pet In Need A Loving Home!

"*" indicates required fields

Agreement*

I have read the above and understand the adoption procedure:

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Name of dog you’re interested in adopting: OLD*

1st Choice 2nd Choice

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Animal ID (If known, usually found on SDHS website): OLD*

Adopter information

Name*

Occupation*

Address*

Home Phone Number*

Work Phone Number

Cell Phone Number*

Email*

1. Please complete the following for ALL human members of the household, including yourself:

Family Member #1 Name*

First and Last Name

Family Member #1 Age*

Age

Family Member #1 Relationship*

Relationship to Applicant

Family Member #2 Name

Family Member #2 Age

Family Member #2 Relationship

Family Member #3 Name

Family Member #3 Age

Family Member #3 Relationship

Family Member #4 Name

Family Member #4 Age

Family Member #4 Relationship

Family Member #5 Name

Family Member #5 Age

Family Member #5 Relationship

Family Member #6 Name

Family Member #6 Age

Family Member #6 Relationship

Is your household aware?*

Is everyone in the household aware that you have applied to adopt a dog/puppy from SDHS?

2. Please list the current pets residing in your home:

Do you currently have pets living with you?*

Do you currently have pets living with you?

Pet #1 Name

Name

Pet #1 Species & Breed

Species & Breed

Pet #1 Age

Age

Pet #1 Sex

Sex

Pet #1 Spayed/Neutered

Spayed or Neutered

Pet #1 Declawed

Declawed

Pet #1 Indoor or Outdoor

Indoor or Outdoor

Pet #1 Where did you get the pet

Where did you get the pet?

Pet #1 Where is the pet now?

Where is the pet now?

Pet #2 Name

Name

Pet #2 Species & Breed

Species & Breed

Pet #2 Age

Age

Pet #2 Sex

Sex

Pet #2 Spayed/Neutered

Spayed or Neutered

Pet #2 Declawed

Declawed

Pet #2 Indoor or Outdoor

Indoor or Outdoor

Pet #2 Where did you get the pet

Where did you get the pet?

Pet #2 Where is the pet now?

Where is the pet now?

Pet #3 Name

Name

Pet #3 Species & Breed

Species & Breed

Pet #3 Age

Age

Pet #3 Sex

Sex

Pet #3 Spayed/Neutered

Spayed or Neutered

Pet #3 Declawed

Declawed

Pet #3 Indoor or Outdoor

Indoor or Outdoor

Pet #3 Where did you get the pet

Where did you get the pet?

Pet #3 Where is the pet now?

Where is the pet now?

Pet #4 Name

Name

Pet #4 Species & Breed

Species & Breed

Pet #4 Age

Age

Pet #4 Sex

Sex

Pet #4 Spayed/Neutered

Spayed or Neutered

Pet #4 Declawed

Declawed

Pet #4 Indoor or Outdoor

Indoor or Outdoor

Pet #4 Where did you get the pet

Where did you get the pet?

Pet #4 Where is the pet now?

Where is the pet now?

Are all animals up to date with vaccinations?

Are all animals in the home up to date on vaccinations?

Describe the pets you’ve had in the past:

Have you ever had to rehome a pet? If so, please explain the situation:

3. In what type of dwelling do you live (e.g., house, apartment, condo?):*

4. Please list the vet clinic you (plan to) use:*

5. Have you previously had a pet with special needs (behavioural or medical)?*

6. Are you open to adopting a dog with special needs (behavioural or medical)?*

7. Please share the personality traits you are looking for in your new dog:

8. Anything else you’d like to share with us?

Please select the first preferred date for your appointment.

Please select the second preferred date for your appointment.

Thank you for your patience and understanding during these uncertain times. We look forward to speaking with you soon. Until then stay safe and healthy!

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