Save-A-Dog, Inc.
HCR1 Box 306
Brodheadsville, PA 18322
ONLINE PET ADOPTION APPLICATION

In order to be considered as an adopter, you must:

** Be 21 years of age or older
** Have identification - Driver's license - showing present address
** Have the knowledge and written consent of your landlord, if renting
** Submit to a home visit by a representative of S.A.D.
** Be able and willing to spend the time and money necessary to provide training, medical treatment and proper care for a pet.

Completion of this application does not guarantee adoption of a S.A.D. dog.

Name of DOG you are applying for:  

YOUR Name: Age:

Street Address :

City: State: Zip:

Daytime Phone#     Evening Phone# 

Your email address: (Required)

Please describe the dog you would like 

Will this be your first pet? YES  NO

Do you own a dog now?  YES  NO

If yes, what kind and how many?

Have they been spay/neutered? Yes No
If not, why not?

What happened to the dogs you no longer have?

If you have other pets, will they adjust to a new animal in the house?

Why do you want this dog

How many adults are there in your family?

Children & ages:

Do you rent or own your home?

If renting, landlord's phone #

Who is or will be your veterinarian?

Vet's phone # and/or address:

Do you have a completely fenced yard?   YES   NO

Where will this dog be kept during the day?

Where will this dog be kept at night?

DO YOU UNDERSTAND AND ARE YOU WILLING TO TAKE RESPONSIBILITY FOR THIS DOG FOR THE NEXT TEN TO FIFTEEN YEARS OF IT'S LIFE?
YES NO

By pressing the "Submit" button, you attest that all of the information you have provided in this application is true and correct.