Stray Animal Adoption Program
P.O. Box 72040
Newport, Kentucky 41072
(859)391-1234
saap@fuse.net



DOG ADOPTION APPLICATION


Which dog are you interested in? 

Personal Information:
Name: 
Address:
Street
City    State Zip Home Phone: Cell: Alt: Email: Do you rent or own your home? If you rent, we will need to contact your landlord to verify that you are
allowed to have a pet on the premises.
Landlord Name: Phone: Questionaire:
Have you ever given up an animal? 
If yes, why and where did you take it? Have you ever been issued a citation for your pet or had to reclaim your pet from animal control/shelter? If yes please explain. Are there children in the home? If so, what are their ages? List any previous and current pets you have including their sex, age, current health condition or cause of death and if they were/are
spayed or neutered.

Will your new pet be kept inside, outside, or inside/outside? Where will the pet stay during the day? Where will the pet stay during the night? Do you have a fenced in yard? If yes, what type and size? How do you plan to housebreak the dog? If you have to move, what would you do with your adopted pet? Have you ever taken a dog through obedience class & would you do it again? Can you financially afford the Veterinarian costs for your new pet? Your current Vet and phone number: Please list at least 2 references:
Other Information or comments:














Cincinnati Weather: Light Rain 52° F
...a perfect day to adopt a pet!


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