SOUTH COAST ANIMAL LEAGUE ADOPTION QUESTIONER


 
Please answer all the questions & return as an email  attachment using the email us at the bottom of the page.

Dog you are interested in:

Name:

Address:

City

Province/State

Phone Number

Email address:

Information about your household:

Number of Adults:    Ages:

Number of Children   ages:

Are all members of your family free of past & present charges of Cruelty to Animals:

If not please explain:

Cats in the House?

How many other dogs do you have:

(Please put X next to the correct answer)

  Age:     Type     Big:    Medium:   Small:    Spayed/Neutered

  Age:     Type     Big:    Medium:   Small:    Spayed/Neutered

  Age:     Type     Big:    Medium:   Small:    Spayed/Neutered  

Securely Fenced Yard?

Describe Fencing:

Information on Past Canines If ever owned any:

Past owned canines:

Owned a dog Before:

What Breeds?

Do you still l own this dog? 
 
If no, what happened to this dog?

Please describe where dog will be living:

Will the dog ever be alone:               If so how many hours:

References:

Vet: (Current if you have pet now or past vet if you no longer have your pet)
References: (Please personal references)
#1
Name:

Address:

Phone or Email:


#2
Name:

Address:

Phone or Email:


#3
Name:

Address:



Phone or Email:


Please explain why you want to adopt a dog?





Please explain why you want to adopt the dog you are inquiring about?





    
Thank you for applying for one of our dogs You will be contacted by one of our representatives.

                                                        
Barbara Hanner Director
                                                                         &
                                                         Peggy Knight Co Director



                                                                                                      Copyrights South Coast Animal League
               South Coast Animal League
                     
ADOPTION QUESTIONER
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