Dog Adoption Application

Thank you for your interest in adopting a dog from our shelter. We screen our applications and strive to find the best fit for our dogs and your household. Our screening steps include confirming home ownership, landlord permissions, vet references and fence pictures (if required). Having all information entered correctly helps our volunteers to easily complete the screening process and keeps your application in the queue – very important if we receive many applications for your selected dog.

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Name of dog you are interested in adopting. If you are not sure of a particular dog, enter "View": *

Your Name: *

First

Last

Physical Address *

Address Line 1

Address Line 2

City

State

Zip Code

County *

Physical address and mailing address the same?

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Primary contact number: *

Alternate contact number:

Email: *

Your Age: *

A home visit may be required prior to adoption. Are you agreeable to this? *

Do you live in a: *

House
Mobile
Apt/Condo

Do you: *

Own your home
Rent

If you own your home, is the ownership in your name? *

If not in your name, please provide the ownership or trust name. *

If you rent, are pets allowed? *

If you rent, to ensure your application moves quickly through our screening process, please provide the name and phone number for your landlord. *

First

Last

Landlord Phone Number *

Number of Adults in Household: *

*Please note: After your application is approved, we will schedule a meet and greet. We will need all adults, children and any dogs who live in your home to attend the meet and greet.*

Do you have children in your household? *

Please tell us how many, and how old your children are: *

This helps us determine if a certain dog is the right fit for your family

Have your children been around dogs before? *

My home has: *

No yard
A yard, no fence
A partially fenced yard
A fully fenced, secure yard

If you have a fenced yard, please describe the type of fence, height and, if partial, where are the gaps? *

To speed up the application process, you can email fence photos or a short video to spchs330@gmail.com. Please include your name and the dog's name in the subject line. Ideally, the photos will show the entirety of your fence.

List any pets you currently have, or have had in the past five years. Please include name, type of pet, age and where they are now. If you have not had pets, just say "no pets". *

How many of these pets are spayed/neutered? Or say "no pets" *

Are your animals current on all required vaccinations? *

Yes
No
Do not have animals.

If no, please explain *

Please select your current vet clinic. If you do not have current animals, select any vet clinic you have used in the last 5 years. If not on the list, select "Other". If you do not have a veterinarian, select "Do Not Have A Vet": *

If you have recently moved and perhaps have only been to a new vet in your area once or twice, please tell us your regular vet from your previous location.

If you selected "Other", please provide the name of your vet clinic: *

Vet Phone: *

Is your account with your veterinarian clinic listed in your name? *

Yes
No
Do not have a vet

If you answered no, what is the name on the account at your vet? *

If available, please provide current pet(s) copy of vaccination record.

Click or drag files to this area to upload. You can upload up to 2 files.

I prefer a dog that is: *

Female
Male
No gender preference

I prefer a dog that is: *

Small ( 0 to 25 pounds)
Medium (25 to 60 pounds)
Large (61 to 100 pounds)
Extra Large (101+ pounds)

My ideal dog is: *

A puppy (less than a year old)
A young dog (1 to 3 years old)
Adult dog (3 to 8 years old)
Senor dog (8+ years old)

I am open to adopting a dog with special needs: *

Describe the general activity level in your home (very active, enjoy long beach walks, laid back, etc). Please be specific: *

How much and how often will you regularly exercise your dog? How will you supervise your dog's outdoor activity? *

How many hours each day will your dog be alone? *

Where will your new dog stay when nobody is home? *

Where will your new dog sleep at night? *

If your dog has a potty accident in your home, what type of correction do you plan to use? *

Please describe family, friends and children that are frequent visitors to your home including ages of children. *

List animals who frequently visit your home. Please include breed, age and their personality/behavior. *

Do your neighbors have dogs? *

Describe the temperament of your neighbors dogs and how they interact with other dogs. *

Are you willing to work through your new pet's issues, if any? *

Are you aware that a new environment may be stressful for your pet, and they may exhibit uncharacteristic behavior? *

Do you understand that a dog can be an 18 year commitment? *

How much do you expect to spend on this dog per year? *

Please consider food and supplies, vet costs, grooming, boarding, etc.

Have you ever given up a pet? *

If yes, what were the circumstances? *

Under what circumstances would you not keep your new dog? Please consider all possible future situations: financial status, moving, health changes, job changes, children, etc. *

If anything were to happen to you during the lifespan of your pet, please explain where they would go/who would care for them? *

Please consider developing a long-term plan for the care of your beloved animal family members.

Is there anything else you'd like us to know?

I am 18 years or more of age. I agree the animal I am adopting will reside in my home as a pet. It is solely my responsibility to provide adequate food, water, shelter, training, affection, safety and medical care. SPCHS is in no way liable or responsible for any damage, accident or injury resulting from the placement of a dog into my household and I/we agree to indemnify and hold harmless SPCHS and its officers, members, and/or agents from any claims for damages arising from actions of a dog adopted by me/us. SPCHS may in the future contact us to check on the dog adopted. If for any reason, we are no longer able to provide a home to the dog adopted through SPCHS, we shall immediately notify them of the situation and make arrangements to return the dog to SPCHS. *