APPLICATION FOR CANINE ADOPTION

SECOND CHANCE ANIMAL ADOPTION, INC.
6647 Lincoln Street, Bonners Ferry, ID  83805
Shelter: 208-267-7504

Second Chance Animal Adoption, Inc., is an independent shelter and adoption agency governed by a Board of Directors.  Adoptions are reviewed by a shelter committee that makes an adoption selection based on the Policies and Procedures of Second Chance Animal Adoption, Inc.  I understand that filling out an application does not guarantee adoption of the pet I have selected.  Your application will be submitted, and your references checked. If you are selected, you will receive a phone call from the Shelter Manager for a meet and greet. Thank you for your interest.

Please put your initial on the line to show that you have read the above statement. _____________

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Dog's Name *
Sex:
Clear selection
Age:
Applicant's Name: *
Ages of children: *
Address: *
City & State: *
Zip: *
Address where pet will reside if different from above:  

Address:
City & State:
Zipcode:
Home phone: *
Work phone: *
Cell phone: *
Email address: *
Driver's license #: *
Are you over 18 years of age? *
Do you own your own home? *
Do you rent your home? *
If you rent, please describe your landlord's animal policy:
If you rent, do you have your landlord's permission to keep a pet in your home?
Clear selection
Landlord's Name:
Landlord's Phone:
Do you have other pets or do you have livestock or chickens? *
If yes, how many and what type? Please include farm animals. Are they fenced or free roaming?
Are your pets spayed/neutered?
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If no, please explain why:
Vet's Name:
Vet's City:
Vet's Phone:
Where will your new pet spend most of its time? *
If Other, please explain:
Where will your pet sleep at night? *
How many hours per day will your pet be alone? *
How do you plan to confine your new pet on your property?
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If you are using Fencing, what is the height of the fence?
If you are using Fencing, what is the type of fence?
What type of shelter will you provide outside for your new pet?
Have you ever returned to a shelter, given away or sold an animal? 
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If Yes, please explain:

What are your plans for this pet if you can no longer provide a home?

 *

Do all the people residing in your home want a new pet?

 *
If no, please explain: 
Are you planning to move soon? *
Does anyone in your home fear dogs? *
Is anyone in your home allergic to dogs or cats? *
I/We live in a  *
Describe yard/acreage *
What activity level do you prefer? *
If Other, please describe:

Please check all that apply. My adopted dog will…

 *
Required
My reasons for wanting to adopt a dog: *
If Other, please describe:

Condition(s) that would cause me to return my adopted pet:

 *

Please describe how you house train dogs:

 *

Please describe how you discipline dogs:

 *
Please list 3 references that we may contact concerning this adoption. Please include their phone numbers.
Name: *
Phone: *
Name: *
Phone: *
Name: *
Phone: *

Where did you first learn about this pet?

 *
Filling out this application does not guarantee the adoption of any particular animal. Adoption is a 10-20 year commitment; please seriously consider this prior to adoption.
Signature: *
Date: *
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STAFF USE ONLY:
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STAFF ONLY: Signature:
STAFF ONLY: Date:
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