Fill - Free fillable Dog-adoption-profile-fillable - WIP

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DOG

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Inordertoadopt,youmaybeasked:

 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animal(e.g.rentalagreement,writtenlandlordapproval,proofofhomeownership).

 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.

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PLEASEPRINT

CONTACTINFORMATION

LastName: FirstName:

Address: Unit: City: State: Zip:

Cell: AlternatePhone: Email:

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

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HOUSEHOLD

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:

Dog/Cat/Other? Age Spayed/Neutered? Wherearetheycurrently?

 

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IcertifythatIamatleast18yearsofage,ImeettheadoptionrequirementsoftheSanFranciscoSPCA,andtheinformation Ihave

givenistrue.Irecognizethatanymisrepresentationoffactsmayresultinmylosingtheprivilegeofadoptingacompanionanimaland

IunderstandthattheSFSPCAhastherighttodenymyapplicationforanyreason.IgivetheSFSPCApermissiontoviewmyprevious

and/orcurrentanimal’smedicalrecords.Iunderstandthatadoptionandholdfeesarenotrefundableandthatholdfeescannotbe

appliedtotheadoptionfee.

Signature: Date:

STAFFUSEONLY:

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INFPPIDaddressLL

Adoption

Holdcircle:M&G/Day/S/N/Medicalexpires:________

P#: Location: Animalname: A#:

DOGADOPTIONPROFIL

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DOG

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HELPUSTOFINDYOURPERFECTMATCH:

FORMATCHMAKERUSE:

Activitylevelinmy

householdis:



Low



Medium



High

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Activitylevelinmy

neighborhoodis:

Quietandrural

Somewhatactive

andsuburban

Busyandurban 

Onaverage,myhousewillbewithoutpeople______hoursperday.

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Whatisyourplanforwhen

yourdogishomealone?

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Whatarethequalitiesyou

arelookingforinyourideal

dog?

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Tellmeaboutyourprevious

dogexperience.

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Doyouwanttotellus

anythingelse?Doyou

havequestionsor

concerns?

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SFSPCAMATCHMAKERUSE:

Dogname/#: Shownby: Date:

 

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DOGADOPTIONPROFIL

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Dog-adoption-profile-fillable - WIP - Dog Survey September 2017

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