Application Dog Adop-Foster | South Coast Humane

Application for Dog Adoption/
Foster

Please complete the form to apply for a Dog adoption/foster with us.

First Name

Last Name

Date of Birth

Email Address

Phone

Full Address (inclding city & state)

Are you 21 or older?

State ID #

Dog Name

Date

Landlord Name

Phone

Height of fence

Size: _____x_____

Fence Type

CHAIN LINK

WOOD

OTHER

Have you ever adopted an animal from South Coast Humane Society?

Have you surrendered an animal before (to a shelter/rescue/family/friends)?

What is the name of your regular veterinarian?

Phone

Address

Do we have your permission to contact your regular veterinarian as a reference?

Approximately how many hours will your pet be outside?

What is the activity level in your home?

Under what circumstances would you return a pet to the shelter?

Have you reviewed the South Coast Humane Society adoption or foster policies?

If the shelter deems it necessary, do you agree to participate in a home visit prior to adoption/foster?

South Coast Humane Society wishes to place each of our pets into permanent, caring, and responsible homes. Your completion of this form does not guarantee that your application will be approved. Pets are always placed in homes that are compatible with their needs and personalities. Do you understand and agree that South Coast Humane Society has the right to deny any application for any reason?

Your Signature

Select a date

Thanks for submitting!

Application for Dog Adoption/ Foster

Application for Dog Adoption/
Foster