Welcome to SCHS

Small Animal Adoption App

Contact Information

First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Home Phone

Work Phone
x

Cell Phone

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Which animal are you interested in

Do you own or rent your home*

In what type of home do you live*

If you rent, have you received the approval of your landlord to have an animal

If you rent/do not own your property, please enter your landlord/property owner's name and phone number

Age: (You must be at least 21.) *

How many people reside in your household*

Do you anticipate any major changes to your household in the future such as a new baby, moving, marriage etc. If so, please explain.

For all pets living in your household please list the name, species, age, if spayed, neutered or intact, where kept (indoor/outdoor/both), and most recent vaccination date.

How much time will the animal spend alone during the day*

Why are you interested in adopting a pet at this time*

I certify that the information entered on this applicant is true. Enter your name and date*

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