Dog Adoption Application

Society of Humane Friends
Dog Adoption Application

Please indicate which dog(s) you're interested in: *

Name *

First

Last

Address Line 1 *

Address Line 2 *

City *

State *

Zip Code *

Home Phone *

Work Phone *

Cell Phone *

Email *

Do you live in a: *

Do you: *

If you rent, please list the name and contact number of your landlord or management company: *

How long have you lived at your current address? *

How many people live in the household? *

Do you foresee moving in the near future? *

Do all members of the household know of and agree with the adoption? *

Are you age 21 or older? *

Are you currently employed? *

Are there children in the household? *

If yes, what are their ages? *

Who will be the primary caregiver for the dog(s)? *

Why do you want to adopt a dog? *

What size do you prefer? *

What age do you prefer? *

What sex do you prefer? *

Does the dog need to be housebroken? *

How many hours a day will the dog be unattended? *

Where will the dog be kept while you are not home? *

Would you take the dog to obedience training? *

Do you currently have pets? *

If yes, what type and how many? *

Are they all spayed or neutered? *

How many dogs have you owned in the past? *

Where are they now? *

Has a dog died on your premises in the last six months from distemper, parvo, or an unknown disease or cause? *

Where do your current pets live? *

Where will your new dog live? *

Where will your new dog sleep? *

Is there a yard available? *

Is it fenced? *

If yes, how tall is the fence? *

How will your new dog be exercised? *

Are your current pets up to date on shots? *

Please provide the name and phone number of your current veterinarian: *

What would you say annual preventive veterinary care would be for a dog? *

What do you plan to do with your dog when you go on vacation? *

What procedures will you use for housebreaking and correcting behavioral issues? *

Are you aware of heartworm cause and prevention? *

Have you ever taken a dog to a shelter? *

If yes, why? *

Would you object to an authorized Society of Humane Friends representative inspecting the premises where the animal will be kept both before and after adoption? *

Please provide the name and phone number of a personal reference: *

I attest that the above information is accurate. I am also relieving the Society of Humane Friends of any and all liability during the viewing and adoption process. *

I agree to the aforesaid.

NOTE: Completion of this form does NOT entitle an adoption. SOHF reserves the right to refuse any and all adoptions for ANY reason. This form is for screening purposes only.

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Society of Humane Friends Dog Adoption Application

Society of Humane Friends
Dog Adoption Application