ADOPTION APPLICATION FORM


Name:
Co-applicant’s full name
Daytime/main phone
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Evening/alternate/cell phone
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E-mail:
Address:

Note:  SRSC does not place dogs out of state


Is there a specific dog you would like more information about? Which dog?
Preferred size/age of dog
Gender preference

We try to match the right dog with the right home.  Some of the following questions will help us in  assess­ing the needs of the dog compared to lifestyle of the adoptive family.


Have you had a Samoyed before?
Have you had another type of dog before? Breed?
Are there other pets in the home? If so, what type?
If you have a dog, is it altered?
Do you or a family member have allergies?
Type of home (i.e. single family home, townhouse, condo, apartment)
Do you own or rent?
If renting, do you have landlord’s permission to have a medium/large dog?
Fenced Yard? Approximate size?
Will the dog be alone? How long per day?
Where will the dog be kept when you are home?
Where will the dog stay when you are not home? (inside/outside)?
How many adults live in your household?
Do you have children living and/or visiting frequently with you?
If yes, what are their ages?

Note:  SRSC does not place dogs out of state


Note:  SRSC does not place dogs out of state