Adoption Application Step 1 of 5 – Personal Information 20% Personal InformationName(Required) First Last Email(Required) Enter Email Confirm Email Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home/Cell Phone(Required)Occupation/Employer(Required) Driver’s License or ID Information(Required) What pet are you interested in adopting?(Required)If the pet you are interested in is unavailable, would you be interested in hearing about another?(Required) Yes No Why do you want a pet?(Required) Companion Companion for pet For the children Watchdog Hunting dog Other Is anyone in your home allergic to cats or dogs?(Required) Yes No Other How did you year about this pet?(Required) Website Petfinder Social Media Radio Other Are you aware that there is an adoption fee that is collected for all adoptions to help defray costs for the care and medical treatment of adoptable dogs?(Required) Yes No Adoption fee for Dogs is $100 and for Cats is $50.Do you live within the city limits of any city?(Required) Yes No Are you aware of the city ordinances concerning owning a pet?(Required) Yes No Do you live in San Saba County?(Required) Yes No If something was to happen to you, who would take care of your pet(s)?(Required) Household InformationHow many people reside in your household? What are the ages for all individuals in your household?(Required)Are there any people in your household with special needs?(Required) Yes No Do you own or rent your home?(Required) Own Rent Length of time you have been at this address?(Required)Did you receive the approval of your landlord to have a pet?(Required) Yes No Please provide your landlord's name and phone number:(Required)Is your yard fenced?(Required) Yes No What type of fencing, what is the height?(Required) Animal Care InformationHow much time will the pet be spending alone during the day?(Required)Where will the pet be kept when left alone?(Required)Where will the pet sleep?(Required)Describe how you will train the pet(Required)Have you ever had to surrender a pet?(Required) Yes No If "yes," please explain(Required)Please provide your veterinarian’s name and telephone number(Required)Do you have other pets?(Required) Yes No If so, how many and please describe (type, age, sex, breed, spayed/neutered)(Required)Are all your pets (cats and dogs) current on their vaccinations, rabies and heartworm protection?(Required) Yes No What happened to your previous pets?(Required)How often will the pet be exercised?(Required)Are your cats and dogs current on their vaccinations, rabies and heartworm protection?(Required) Yes No How much do you think a pet will cost you per year?(Required) Less than $250 $250-$500 $500 or more ReferencesList the names and telephone numbers of three (3) personal references. References should be unrelated to you and may include co-workers as long as they do not work for you.(Required)Have you ever been convicted of or received a citation for abuse or neglect of an animal?(Required) Yes No Have you ever been convicted of a felony?(Required) Yes No If yes, please explain.(Required) AgreementGeneral Pet Information(Required) Housebreaking: San Saba County Friends of Animals can’t guarantee that any pet you adopt will be housebroken, and even pets that are housebroken are likely to have a few accidents at times, especially during the first few days of adoption. It takes time for a pet to adjust to a new home. Behavior: Chewing/Digging/Scratching: Without proper training and attention, many pets can become destructive to furniture, property and other personal property. Pet Training is essential to help prevent potential problems with your new pet. Terms of Service(Required) I understand that by signing this form I may be subject to a background check and screening. Signature(Required)I certify that the above information is true and accurate to the best of my knowledge. I understand that San Saba County Friends Of Animals reserves the right to deny the adoption of any animal. I give permission for you to contact my personal references, landlord, and veterinarian’s office. Please enter your name, and today’s date:Date(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920PhoneThis field is for validation purposes and should be left unchanged.
