Your Name

Address City Zip
I am interested in Adopting
Why do you want to adopt this animal?
Do you currently own a pet?    
If YES, please list Breed/mixes, Sexes and Ages
Have they been spayed/neutered?
Current on Vaccinations?
Do you treat with Flea/Tick Meds?

If you answered NO on any of the above, please explain

Have you owned pets in the past?
What happened to the pets you no longer have?
If YES, please list Breed/mixes, Sexes and Ages
Have you ever turned your pet into a shelter?
If YES, please explain
What kind of food do you give your animals? How often?
Where will the pet be kept during the day?
Where will the pet be kept at night?
Is someone home during the day?
If YES, who?
How many hours/day will the animal be without human companionship? Please explain
If your new pet is not housebroken, what training method will you use?
Are you willing to exercise/play with the pet on a regular basis?

Cats Only Section
Do you intend to declaw?
Will you let the cat out in a backyard?
Who will be responsible for cleaning the litter box
and feeding the cat?

Scratching is a typical behavior of cats.
How will you deal with this?
Cats have a lifespan of 15-20 years, are you wiling to make this commitment?
The average expense for a cat can be anywhere from $600 from $1000/year not including unexpected veterinary bills. Are you prepared to make this monetary commitment to this cat?
Dogs Only Section
Do/Will you give heartworm protection?
Are there times the pet will be tied up?
Do you have a completely fenced yard?
Is there a gate?
Will the pet spend any time in the garage?

SSARF will provide you with a list of dog food brands to choose from. We estimate that the annual expense for your dog, not including unexpected vet bills, will be anywhere from $500 to $1,000. Are you willing an able to afford this?

Do you believe dental cleanings are important for dogs and are you willing to take care of you dog’s health in that respect as well?

How many adults are in your family?  
How many children are in your family? Children's ages (if applicable)
Does anyone in your household have allergies?  
Who is your veterinarian? Required within 10 days of adoption - Please provide name, phone, and address
Are you willing/able to pay for emergency veterianary care if the need should ever arise?
What will you do if you become unable to care for the animal?
Do you own or rent your home? If you RENT, may we contact your landlord?
  Landlord's Name and Phone Number