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

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:
Have you received approval to adopt from each adult (21+) in your home?
Please note that households with children under the age of 8 will require special approval to adopt.
Are you a renter?
Liability and Responsibility
Will the dog be kept as a housepet 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
Lifestyle and Experience
Dog's living situation will be:
(Please check all that apply)
When home alone, dog will be:
How will you exercise your dog?
(Please check all that apply)
Yard Size:
What setting is your home in?
Lifestyle and Experience
Please describe your household/lifestyle (Check all that apply)
Do you have other pets?
How many other pets do you own? Please describe their species, genders, ages, and whether they have been spayed or neutered:
Are all cats and dogs currently in your home licensed?
If you have had other dogs in the past, please let us know what happened to them:
Veterinarian Reference
Veterinarian Address
Veterinarian Address
Office Phone
Office Phone
Personal Non-Family Reference
Personal Non-Family Reference
(required only if you do not have a veterinarian)
Reference Phone:
Reference Phone:
Will you be taking the dog for veterinary exam within the next 7 days?
Sign-off: *
Adobe
Adobe

Or download our Adoption Application  in PDF format to complete offline