LONG FORM-DOG ADOPTION APPLICATION

Please DO NOT complete this form until instructed to do so.

Please complete the online form below or download and complete the printable PDF Application and send via email to contact@sbacc.org. (Get Adobe Reader)
Adoption Policies
To be considered as an adopter you must:
- Be at least 18 years of age with a legal ID showing your current address.
- If you rent, be able to verify that you can have a pet where you live.
Pet ownership is a major responsibility.

In SBACCʼs ongoing effort to ﬁnd the best possible homes for its animals, we ask that you take the time to ﬁll out this questionnaire and expect to spend some time discussing it with one of our adoption representatives before the adoption is completed. We also ask you to take time to ask one of our volunteers to help you spend time handling the animal you are interested in adopting before you request adoption. The adoption process includes a review of all your answers to the questions below.
Please agree to the following by checking each box.
Consent 18 Years Old*
I am at least 18 years old*
Regardless of any verbal approval by a SBACC representative:
Consent No Guarantee*
I understand that this is only an application and does NOT guarantee that I will be approved*
Consent Right to Refuse*
I understand that the SBACC has the right to refuse an applicant for ANY reason.*
General Information
1. Date*
Today's date.
MM slash DD slash YYYY
2. Name of Dog*
3. Breed / Description*
4. Name of Adopter*
This is the name of the primary adopter
First Last
5. Co-Adopter
This is the name of the co-adopter
First Last
6. How did you hear about our shelter?*
Please indicate how you heard about our shelter
- Facebook
- Instagram
- Search Engine
- Pinterest
- Print Advertisement
- Pet Finder
- From a Friend
Contact Information
7. Address*
Specify your address information

Street Address Address Line 2 City State ZIP Code
8. Phone Primary*
Enter your primary phone number
9. Phone Secondary
Enter your secondary phone number
10. Email*
Enter Email Address Please re-enter your Email Address
Previous and Existing Pets
11. List any pets you currently have in your home
Click the + or - icons to add or remove entries.
Breed / Type Age Spayed / Neutered? Vaccines Current?
12. List any other pets you have had in the past (as an adult)
Click the + or - icons to add or remove entries.
Breed / Type Age Spayed / Neutered? What happened to this pet? (died?, gave away to other home or shelter?)
13. Have you ever given away a pet?*
- No
- Yes
If "yes", please explain why?*
Residence
14. How long have you been at your residence?*
Please provide the number of years / months.
15. Residence Type*
- House
- Apartment
- Condo / co-op
- Townhome
- Manufactured Home
- RV / Camper / Trailer
- Boat
- Other
If "other", please describe:*
16. Residence property rights*
- Own with no HOA
- Own with HOA restrictions
- Rent / Lease
- Military
- Stay with family / friend / partner, etc.
- Other
If "other": please describe:*
Please enter your Landlord / Apt Manager's contact information:*
Name Phone
17. Does your residence have any pet restrictions?
- No
- Yes
- Do not know
If "yes", please describe:*
18. Yard and residence features*
Check all that apply
- Select All
- Yard
- Patio
- Balcony
- Stairs
- Pool / Spa
- Pet Door
- Outdoor Kennel
- Outdoor Dog House
19. About how big is your yard?*
Enter the dimensions for the yard. (for example 20 ft x 30 ft)
20. Is the Pool/Spa separately fenced?*
- No
- Yes
21. What type of fencing is around any outdoor areas the dog will use?*
- No Fence
- Block / Brick Wall
- Wood
- Vinyl
- Chain Link
22. What height of fencing is around any outdoor areas the dog will use (feet)?*
23. Are there coyotes or other wildlife in your city or town?*
- Yes
- No
If "yes", please describe:*
24. What would happen to your pet if you moved (Please describe)?*
Members of Household
25. Name of all persons living in your household and their relationship to you:*
Click the + or - icons to add or remove entries.
Name Age (If under 18) Relationship
26. Who will provide for this dog in the event that you become ill or unable to care for him/ her ?*
27. Does anyone in your home have pet allergies?*
- No
- Yes
Please select the type of allergies*
Check all that apply
- Cats
- Dogs
- Other
28. If you have children, do they have experience with dogs?*
- No
- Yes
- There are no children in the home
Please describe (type / size / energy of dogs, child's responsibilities, etc)*
29. How will they be supervised with a new dog?*
About the Prospective Dog
30. How do you plan on exercising this dog and how often?*
31. How many hours per day would the dog be exercised?*
32. Based on your family schedule in a normal week, what is the maximum hours your dog will be left alone?*
33. Where will the dog be when you are home?*
34. Where will the dog be when you are not home?*
35. Is there any time the dog will be confined outdoors without access to the home?*
- Yes
- No
If "yes", please explain why:*
36. Is there any time that the dog will be restricted to a limited area indoors?*
- Yes
- No
If "yes", please explain why:*
37. Where will the dog sleep?*
38. Will the dog spend any time in garage?*
- No
- Yes
39. Have you been informed of any behavioral problems of the dog you want to adopt?*
- No
- Yes
What behavioral problems were discussed?*
40. If this dog has or develops behavioral problems, what would you do?*
41. Are you willing to housebreak, leash train, and behavior train this dog?*
- No
- Yes
What have you done in the past to train a dog?*
42. Which of the following may be reasons for giving up your new dog?*
Check all that apply.
- Excessive barking
- Digging
- Biting
- Destructive chewing
- Urinary / fecal accidents indoors
- Food aggression
- Aggressive on leash/ at dog park
- Aggressive to other pets in home
- Excessive vet bills / care
- Divorce
- Household member doesn't like
- Allergies
- New baby
- Other
- None of above
If "other", please explain:*
43. Will this dog wear a collar and ID tag?*
- No
- Yes
44. Additional Comments or Explanation, If Any:
CAPTCHA

Breed / Type	Age	Spayed / Neutered?	What happened to this pet? (died?, gave away to other home or shelter?)

Name	Age (If under 18)	Relationship

Please DO NOT complete this form until instructed to do so.

LONG FORM-DOG ADOPTION APPLICATION

Adoption Policies

General Information

Contact Information

Previous and Existing Pets

Residence

Members of Household

About the Prospective Dog