0
Skip to Content
Sammy's Hope
Wishlists
Amazon
Chewy
Events
Donate
Sammy's Hope
Wishlists
Amazon
Chewy
Events
Donate
Folder: Wishlists
Back
Amazon
Chewy
Events
Donate
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:
If you have already met the dog you would like to adopt, when did you visit?
Name of the Sammy's Hope staff or volunteer who introduced you (if you remember!)
Great! Now please tell us about yourself
Name *
Name
Address *
Mobile Phone *
Mobile Phone
Home Phone
Home Phone if different than Mobile
Age *
Will this pet be co-owned by another person? *
Co-owner Name
If so, please provide the following:
Co-owner Phone
Co-owner Age
How did you hear about Sammy's Hope Animal Adoption & Welfare Center?
If you chose "other" please tell us where you heard about us:
Do you live with:
Have you received permission to adopt from each adult in your household?
Do you live in: *
Do you rent or own your home? *
If you rent, does your lease allow pets?
Please note that 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, is any portion of your yard fenced?
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 on close proximity to sidewalks and public foot traffic.
Do you share your yard with another family, renter, or owner?
Lifestyle and Experience
Please describe your household/lifestyle:
Do you currently have any other pets living in your household? *
Please list your current animals, and provide the following details of other dogs in the home: sex, age, and whether they have been spayed/neutered:
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
Have you ever been convicted of an offense other than a traffic violation?
Tell us about the dog your are interested in adopting
Tell us who else caught your eye as a potential adoption?
Dog's living situation
Dog's living situation will be:
Please select all that apply
When home alone, dog will be:
Choose all that apply
How will you exercise your dog?
Please check all that apply
References
Name of a non-family member personal reference:
(only required if you do not have a veterinarian reference)
Phone of personal reference
Do you agree to take the dog for a veterinary exam within 7 days of adoption?
Sign-off: *

Thank you for applying to adopt from Sammy’s Hope!

Placing homeless animals in loving, forever homes while providing shelter, socialization, medical care and enrichment, since 2010.

Donate

Our Team

Sponsors

 

Sammy's Hope is a tax-exempt 501(c)(3) organization. All donations are tax deductible under section 501(c)(3) of the Internal Revenue Code. Copyright © 2015-2025