Adoption Application

Please tell us the name of the animal you are interested in.
First Name *
Last Name *
Street Address *
City *
State *
Zip Code *
Primary Phone Number *
Email Address *
Date of Birth *
Current Occupation *
Please List all people living in the household. (include name, age, relationship, gender) *
# of Pets in the home? *
Are all animals in the home spay/neutered? *	NoYes
Are all animals in the home vaccinated? *	NoYes
Please provide the information for your current veterinarian.
Type of Residence *	Apartment Condo House Townhouse Duplex Other
Do you have a secured fenced in yard? *	NoYes
We cannot guarantee a dog or cat is housebroken, are you equipped to train with love and patience? *	NoYes
Since many animals come from unknown backgrounds, Souris Valley Animal Shelter cannot be responsible for the health or behavioral problems and cannot guarantee personality or temperament. Therefore, I am prepared to provide any necessary medical care including regular vet care and annual vaccinations as well as any humane behavioral training required. Select "Yes" to indicate that you understand and agree to the above. *	NoYes
By typing my name in the box to the right, I certify that the information I have given, and will give in the adoption interview, is true and that I recognize that any misrepresentation of the facts may result in my losing privilege of adopting a pet. I authorize investigation of all statements on this application. *

Training is essential to building a bond with your dog. It's easier, more enjoyable, and more effective when done in the dog’s home with its owner. GoodPup provides private training with certified trainers who teach cues and advanced behavior on topics like crate training, barking, begging, and jumping. SVAS will pay for your second week of training. All you have to do is sign-up using this link: http://links.goodpup.com/shelter/SVAS