Adoption Application

Contact Information

First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
-

Email*

Home Phone*

Cell Phone*

*=required

We kindly ask that if you are not ready to bring a dog home and have vacations or other commitments planned in the foreseeable future, please wait to apply until your schedule is free. We cannot hold dogs to accommodate your schedule.

Acknowledged

Which animal are you interested in

If the animal you are interested in is not listed, or if you are interested in multiple animals, please enter their name(s) here:

Why are you interested in adopting a pet at this time?

What is your Date of Birth?*

How many people reside in your household?*

Please list household members by gender and age, one per line:

Are you employed outside the home?

Yes

What is your place of employment?

Have you ever owned pets before?

Yes

List pets you currently own by species/gender/spayed/neuter

Who in the household will care for the pet?

Since we are a match-making rescue, it helps us to know a little bit about your lifestyle. How would you best describe yourself?

Detailed and Focused	Easy Going
Mellow and Tend Toward Homebody	Physically Active
Quiet and Independent	Social and Busy

What is your ideal dog relationship?

Athletic	Cuddly and affectionate
Independent	Lively
Low Key

Are you a tactile person loving dog affection, or are you happier just having your pal nearby?

Have you ever given up a pet? If yes, please explain:

Describe your experience and approach with dog training:

How will your pet be exercised and for how long will he/she be exercised?

Will the animal be kept inside or outside?

Inside Only	Outside Only
Inside and Outside

How much time will the animal spend alone during the day? Please provide a minimum and maximum:

Where will the animal be kept when you are home?

Where will the animal sleep?

Where will the animal be kept when you are not home?

In what type of home do you live?

Do you own or rent your home?

Rent

Own

If you rent, have you received the approval of your landlord to have an animal? Can you provide us with this proof of approval?

Yes

Is your yard fenced?

What is the height of the fence?

What type of fence?

Please list three references (not family members). Please provide their phone number AND email address:*

Do you have a criminal record of any kind?*

Yes

Please provide your Veterinarian's Name and Phone Number:

How did you hear about us?

I certify that the information entered on this applicant is true. Enter your name and date*

I would like to receive email updates from Saving Great Animals. Please include my name and email on SGA's contacts list.

Yes

*=required