In$order$to $ad o p t ,$yo u $may$be$ask e d:$
• if!you’re!at!least!18!years!old!and!to!present!valid!photo!ID!with!proof!of!current!address.!
• to!provide!proof!of!permission!to!house!an !anim a l!(e.g.!rental!agre em en t,!written !land lord!ap pro val,!pro of!of!ho m e!ow n ersh ip).!
• if!you!are!able!and!willing!to!spend!the!time!and!money!necessary!to!provide!proper!care,!training,!medical!treatment,!and!a!lifelong!
home!for!the!animal(s).!
While&we&always&make&every&effort&to&work&with&you&to&address&concerns&or&find&the&
most&appropriate&companion&animal,&we&do&reserve&the&right&to&refuse&an&adoption.&
Partner/Alternate!Contact!Name!and!Number:!!
Have!you!ever!adopted!from!us!before?!!!!!!yes!!!!!!!no!
Have!you!ever!used!our!veterinary!hospital!before?!!!!!!yes!!!!!!!!!no!
How!many!people!in!your!household?!
Ages!of!children!under!18:!
Have!you!had!pets!in!the!last!ten!years?!!!!!!!!!yes!!!!!!!no!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!If!yes,!please!list!below:!
Where$are$they$currently?$
I&certify&that&I&am&at&least&18&yea rs &o f&a g e ,&I&meet&the&adop tio n &r e q uir e ments&of&the&San &F r a nc isc o &S P CA ,&a n d &t he &in f o rmation&I&have&g iv e n &is &tru e .&&I&
recognize&that&any&misrepres en tation &of&facts&m ay&resu lt&in&my&losin g&the&privilege &of&a do pting &a&co m p an ion&a nim a l&and &I&und ersta n d&tha t&the &SF&SP CA &
has&the&right&to&deny&my&application&for&any&reason.&&I&give&the&SF&SPCA&permission&to&view&my&previous&and/or¤t&animal’s&medical&re co rd s .&&I&
understand&that&adoption&and&hold&fees&are¬&refundable&and&that&hold&fees&cannot&be&applied&to&the&adoption&fee.&
!!!!!!!!!!INF!!!!!!!!!!!!PP!!!!!!!!!!!ID!!!!!!!!!Address!!!!!!!!!!!!!!LL!!
!!!!!!Adoption!!!!!!!!!!!!!!!!!!!!!!!!
!!!!!!Hold!!!circle:!M&G!/!Da y !/!Medical!!!!expires:___ _ _ _ _ _____!