DOG
Inordertoadopt,youmaybeasked:
ifyou’reatleast18yearsoldandtopresentvalidphotoIDwithproofofcurrentaddress.
toprovideproofofpermissiontohouseananimal(e.g.rentalagreement,writtenlandlordapproval,proofofhomeownership).
ifyouare
ableandwillingtospendthetimeandmoneynecessarytoprovidepropercare,training,medicaltreatment,andalifelong
homefortheanimal(s).
Whilewealwaysmakeeveryefforttoworkwithyoutoaddressconcernsorfindthe
mostappropriatecompanionanimal,wedoreservetherightto
refuseanadoption.
PLEASEPRINT
CONTACTINFORMATION
LastName: FirstName:
Address: Unit: City: State: Zip:
Cell: AlternatePhone: Email:
Partner/AlternateContactNameandNumber:
Haveyoueveradoptedfromusbefore?yesno Haveyoueverusedourveterinaryhospitalbefore?yesno
HOUSEHOLD
Howmanypeopleinyourhousehold? Agesofchildrenunder18:
Haveyouhadpetsinthelasttenyears?yesnoIfyes,pleaselistbelow:
Dog/Cat/Other? Age Spayed/Neutered? Wherearetheycurrently?
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IcertifythatIamatleast18yearsofage,ImeettheadoptionrequirementsoftheSanFranciscoSPCA,andtheinformation Ihave
givenistrue.Irecognizethatanymisrepresentationoffactsmayresultinmylosingtheprivilegeofadoptingacompanionanimaland
IunderstandthattheSFSPCAhastherighttodenymyapplicationforanyreason.IgivetheSFSPCApermissiontoviewmyprevious
and/orcurrentanimal’smedicalrecords.Iunderstandthatadoptionandholdfeesarenotrefundableandthatholdfeescannotbe
appliedtotheadoptionfee.
Signature: Date:
STAFFUSEONLY:
INFPPIDaddressLL
Adoption
Holdcircle:M&G/Day/S/N/Medicalexpires:________
P#: Location: Animalname: A#:
DOGADOPTIONPROFIL
E
DOG
HELPUSTOFINDYOURPERFECTMATCH:
FORMATCHMAKERUSE:
Activitylevelinmy
householdis:
Low
Medium
High
Activitylevelinmy
neighborhoodis:
Quietandrural
Somewhatactive
andsuburban
Busyandurban
Onaverage,myhousewillbewithoutpeople______hoursperday.
Whatisyourplanforwhen
yourdogishomealone?
Whatarethequalitiesyou
arelookingforinyourideal
dog?
Tellmeaboutyourprevious
dogexperience.
Doyouwanttotellus
anythingelse?Doyou
havequestionsor
concerns?
SFSPCAMATCHMAKERUSE:
Dogname/#: Shownby: Date:
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

DOGADOPTIONPROFIL
E
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