Adoption Application - Humane Society of South Coastal Georgia

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Primary Phone Number*

Secondary Phone Number*

Email*

I am wanting to adopt a...*

Name of the pet you are interested in adopting:*

How did you learn of HSSCG?

Please list all of your current pets:*

Who is/will be your veterinarian?*

Are your current pets spayed/neutered?

Do you have a fenced yard? (If adopting a dog)

If you answered no, how do you plan on exercising your dog?

Are your current pets up to date on vaccinations?

Do you live in a...*

Where will the adopted dog primarily live? (dog adopters only)

What shelter will be provided if outdoors?

Do you plan on declawing your cat? (cat adopters only)

Where will your adopted cat live? (cat adopters only)

How many hours a day will your dog be alone?

When I am not home, my dog will be kept...

If inside, my dog will be...

My dog needs to be good with...

Any additional information we should know?

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