Dog Adoption Application



















 Adults Children Under 7 Children Over 7 Senior(s)
(Check all that apply)











 Yes, I certify that the above information is true and correct.
  • Animals are accepted from all sources including previously owned, stray, abandoned or homeless.
  • As we sometimes have no background information on the health or temperament of an animal or if the information provided to us is inaccurate, we do not guarantee the health or temperament of any animal.
  • Although we screen both medically and behaviorally every animal that is placed out in the adoption area, certain types of problems will not demonstrate themselves until the animal is in a home situation or a specific period has lapsed (as in the incubation of certain viruses). There is always a some risk in adopting any animal form a shelter or humane organization.
  • Some animals have lived in abusive or neglectful circumstances and will need both training and time to make them agreeable companions.
TO BE CONSIDERED AS AN ADOPTER, YOU MUST:
  • Be 21 years of age or older.
  • Not be a full-time student.
  • Have photo identification showing your present address.
  • Have the knowledge and consent of all adults living in your household. If you live with your parents, they must adopt the animal under their name.
  • Have the knowledge and consent of your landlord or the person owning the premises where the animal will be residing.
  • Understand that all fees are non-refundable.
  • Understand that the adopter is responsible for all veterinary care and medical bills of the adopted pet.
  • Understand that the Southside SPCA reserves the right to deny your adoption application for any reason.
  • Understand that the Southside SPCA reserves the right to verify all information submitted on this application, including veterinary information.
 Yes, I have read and understand the above.