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Adoption Application
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* Indicates required question
Date
*
MM
/
DD
/
YYYY
Pet you are interested in?
*
Your answer
Full Name
*
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Phone
*
Your answer
Email
*
Your answer
Are you at least 18 years old?
*
Yes
No
Do you have consent of all adults in your household for this adoption?
Yes
Ne
Clear selection
Do you understand SSAL has the right to refuse any adoption for any reason?
*
Yes
No
Vet Reference.
*
Your answer
Are you willing to submit to a home visit?
*
Yes
No
What kinds of pets do you have in your home?
Cats
Dogs
Birds
Other
Are your pets spayed/Neutered?
Yes
No
Clear selection
If not why?
Your answer
Have you ever surrendered an animal?
*
Yes
No
What is your housing situation?
*
House
Condo/Townhome
Mobile home
Apartment
Farm
Do you have children in your household? If so ages.
*
Your answer
Will the pet be kept indoors or outdoors?
Indoors
Outdoors
Both
Clear selection
How will you keep this pet confined on your property?
*
Will be indoors
Kennel
Fenced yard
Invisible fence
A tie out
Required
Are you familiar with the animal laws in your town?
Your answer
All pets making the transition to a new home need time to adjust to a new family and may require house training and behavior training. Are you willing to provide any needed training>
Yes
No
Clear selection
Signature
*
Your answer
Submit
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