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Our Dog Adoption Fee is $250, which includes Spay/Neuter Surgery, microchip, and core vaccinations.

Please ask about our reduced adoption fees for military, police and fire personnel.

Hi, Have we met somewhere before...?
I have already visited the shelter to meet the dog I want to adopt! *
Have you come to see us yet, and spent time with the dog you would like to adopt?
I met my perfect dog on:
I met my perfect dog on:
If you have already met the dog you would like to adopt, when did you visit?
The Sammy's Hope Staff or Volunteer member who introduced you to the dog.
Great! Now please tell us all about yourself
Name *
Name
Address *
Address
Home Phone *
Home Phone
Mobile Phone
Mobile Phone
Work Phone
Work Phone
Choose the state which issued your driver's license
Age *
Will this pet be co-owned by another person? *
Name
Name
If this pet will be co-owned by another person, please provide the following:
Address
Address
Home Phone
Home Phone
Mobile Phone
Mobile Phone
Work Phone
Work Phone
Choose the state which issued your driver's license
Age
How did you hear about Sammy's Hope Animal Welfare & Adoption Center?
Do you live with:
Please note that households with children under the age of 8 will require special approval to adopt.
Have you received approval to adopt from each adult (21+) in your home?
Please note that all members of the household are required to come to the shelter to meet the dog you are interested in prior to finalizing an adoption.
Do you live in: *
Do you rent or own? *
If you rent, does your lease allow pets?
Please note you must provide a copy of your current lease prior to finalizing an adoption
What setting is your home in?
Do you have a yard?
If yes, yard size:
Is your yard fenced in?
Is your house on a corner lot?
Please note that some dogs may not be a great fit for homes with yards that have fences in very close proximity to sidewalks and public foot traffic.
Do you share the yard with another family, renter, or owner?
Lifestyle and Experience
Please describe your household/lifestyle (Check all that apply)
Do you currently have other dogs in your household?
Please note, introductions with your current dog(s) must be scheduled with your Adoption Coordinator.
How many other dogs do you own? Please describe their genders, ages, and whether they have been spayed or neutered:
Besides dogs, are there currently other animals in your household?
Are all dogs currently in your home licensed?
If you have had other dogs in the past, please let us know what happened to them:
Check all that apply.
If you adopt, will the dog be kept as a house pet?
In your household?
Have you ever been convicted of an offense other than a traffic violation?
Tell us About the Dog you are interested in Adopting
Dog's Living Situation
Dog's living situation will be:
(Please check all that apply)
When home alone, dog will be:
(Please check all that apply)
How will you exercise your dog?
(Please check all that apply)
References
Veterinarian Reference
Veterinarian Address
Veterinarian Address
Office Phone
Office Phone
Personal Non-Family Reference
Personal Non-Family Reference
(required if you do not have a veterinarian reference)
Reference Phone
Reference Phone
Do you agree to take the dog for a veterinary exam within the next 7 days?
Sign-off: *
Adobe
Adobe

Or download our Adoption Application  in PDF format to complete offline