Adoption Applications – Sammy's Rescue

Home
Adopt
Learn
Gallery
Contact

Menu

Home
Adopt
Learn
Gallery
Contact

Adoption Application

Thank you for choosing Sammy’s Rescue – please fill out the form below and we will get back to you as soon as we are able to process your application. By submitting this application you are stating that you are prepared to make a 10-15 year commitment to your dog.

Name *

First

Last

Email Address *

Street Address *

Phone Number *

Are you interested in a male or female dog?

What are you looking for in your dog? What traits/behaviors can you not tolerate? *

What activities do you plan to do with your dog? *

Do you have children living in your home?

Yes
No

Do you currently have a dog/dogs? *

Please list the age and breed of each dog already in your home.

Do you have a cats in your home? *

Are there any other animals in your home? *

Do you have a fenced yard? *

Yes
No

Are you willing to walk your dog daily if you don't have a fenced yard? *

Yes
No

Will your dog live inside or outside?

What is your lifestyle like? Do you have time to properly care for a dog?

Do you travel frequently?

Yes
No

Does everyone in your home agree on adding a new dog to the family? *

Yes
No

Contact

For any inquiries please email

[email protected]

Facebook-f Instagram