Dog Adoption Application - Sauk County Humane Society

Date

Animal applying for:

NOTE: Submitting this application for a specific animal(s) does not guarantee that the animal(s) will be held or reserved for you. Our adoption process is designed to ensure the best match for both the animal and the prospective adopter, and the animal may still be considered available to other interested parties until the adoption is finalized.

Name

First

Middle

Last

Date of Birth

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number

Email Address

Petwatch

Yes
No

If fully approved for adoption, I agree to give consent to 24 Petwatch to contact me in the event that my pet goes missing, for a free trial of pet insurance, or other service communications regarding my pet’s microchip. I agree if I select “No” 24 Petwatch will not contact me in the event my pet goes missing.

Work Status (Check all that apply)

Household

How long have you lived at this address?

Household2

Rent
Own
Living with parents/relatives
Other

Please list the names, relationship to adopter (e.g., relative/roommate/other), and DOB of all people living in the household:

Name

Relationship

DOB

Name

Relationship

DOB

Name

Relationship

DOB

Name

Relationship

DOB

Name

Relationship

DOB

What is your experience with pets?

Current pet owner
Owned pets in the last 5 years
Owned pets more than 5 years ago
Never owned a pet

Please list all animals OWNED or HAVE OWNED in the last 5 years:

Type

Name

Age

Sex

Breed

Spayed or neutered?

Length of time owned

Where is the animal now?

Are all animals up to date on their core vaccinations?

Yes
No
Unsure

List all veterinarians you have used for animals listed:

Clinic name

Vet name

City and state

Phone

Are you looking for an animal that will be kept primarily

Inside
Outside
Both

Why do you want to adopt this particular animal?

Where will this animal be when you are not home? (check all that apply)

Single Line Text

If you selected "Other," please describe where your dog will be when you are not home.

What would life be like for your dog in your home?

How many hours will this animal be home alone throughout the day?

Are there any issues you would find unacceptable?

How will you address these issues?

Who will be the primary caretaker for this animal?

Adopting an animal is a lifetime commitment. A dog can live many years;

1. How much are you prepared to spend in an unexpected medical issue beyond annual care?

2. Are you considering moving soon? If yes, when?

3. If you are temporarily unable to care for this dog, what arrangements would you make?

4. What will happen if you can no longer care for your dog?

Are you willing to comply with all the laws, ordinances, and regulations regarding dogs (e.g., licensing) in the municipality in which you live?

Yes
No

Please check any issues you’d like to discuss:

List "other" issues you would like to discuss

Have you ever adopted from the Sauk County Humane Society?

Yes
No

If so, do you still have the animal(s)?

Yes
No

If no, where is the animal now?

Have you adopted from other shelters?

Yes
No

day? date

If so, what shelters?

Have you ever brought an animal into the shelter?

Yes
No

If so, what were the circumstances?

How did you hear of SCHS? (Check all that apply)

Other

Please read each line item and then check each box, indicating that you understand the following conditions of adopting from our shelter: *

SCHS has the right to accept or deny this application for any reason, including but not limited to, for any situation that would be contrary to the society’s adoption policies, in violation of any state or local ordinances, or we determine it is not in the best interest of the animal.
We choose the home we feel is the best home for the animal based on the application and the interaction with the family, regardless of the order applications are received.
If there is another dog living in your home and you want to adopt a dog a meet and greet is required to make sure this is a good fit for all of the dogs.
A filled out application does not guarantee your application will be approved.
Information provided is true to the best of my knowledge.
Falsifying information will result in a denial of my application.
The adoption process and the adoption fee involved with adoption.
SCHS does not guarantee the temperament, age, breed or health of any animal and agree to hold SCHS harmless for any damages the animal may do to any person or property.

I hereby state I have read the above statements and agree to abide by these conditions.

Type your name below as an Electronic signature.

***Please Note: Due to an increased volume of applications and limited staff, our processing times are currently longer than usual. We’re working as quickly as we can to review each application with care.

Thank you so much for your patience and understanding—we truly appreciate your support and interest in adopting!

SCHS Dog Adoption Application

Work Status (Check all that apply)

Household

Please list the names, relationship to adopter (e.g., relative/roommate/other), and DOB of all people living in the household:

Please list all animals OWNED or HAVE OWNED in the last 5 years:

List all veterinarians you have used for animals listed:

Adopting an animal is a lifetime commitment. A dog can live many years;