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Name *

First

Last

Email *

Street Address *

Apartment, Suite, Etc.

City *

State *

ZIP / Postal Code *

Phone Number *

Are you older than 18? *

Driver's License or ID # *

Secondary Contact's Name *

First

Last

Secondary Contact's Phone Number *

Is there a specific dog on our website (sspetsalive.com) you are applying for? Please include NAME and ID #.

How did you hear about this animal or our shelter? *

How many people are in your household? *

How many of those household members are children? *

What age are the children in the household?

Are there any required household rules your new dog will need to comply with? If yes, please explain? (Examples: Not allowed on the furniture, on the bed, etc.) *

How many hours a day will your dog be left alone on average? *

If your plan will change over time or according to weather, please explain.

Do you rent or own your home? *

Rent
Own

If you rent, are there stipulations about the size or type of breeds allowed? If yes, please explain!

Do you have a fully fenced in yard? If so, how tall is your fence? *

Would you like a dog who is ... *

Low Energy (Content to hang out with short daily walks)
Medium Energy (Will need at least one long walk per day)
High Energy (Will need multiple walks or a run per day)

What type of activities would you like to engage in with your dog? (Hunting, running, agility, obedience, etc.) *

Where will your dog sleep at night? *

How much training do you plan on doing? *

A Lot
Some
None

It is important that my dog ...

Do you currently have other animals (dogs, cats, pigs, tortoises, etc.) that live in your home? Or other animals that live on your property such as horses, chickens, cows, pigs, tortoises, etc.? (If your answer is "no," skip the rest of this section. *

Are your pets fixed (spayed or neutered)? (For household pets only.)

If you answered "no" to the above question, why aren't they fixed?

Pet #1 - Please list Name, age, sex, type/breed

Pet #1 - How long have you owned/did you own this animal?

Pet #1 - Most of the time, this animal is/was kept ...

Indoors
Outdoors

Pet #2 - Please list Name, age, sex, type/breed

Pet #2 - How long have you owned/did you own this animal?

Pet #2 - Most of the time, this animal is/was kept ...

Indoors
Outdoors

Pet #3 - Please list Name, age, sex, type/breed

Pet #3 - How long have you owned/did you own this animal?

Pet #3 - Most of the time, this animal is/was kept ...

Indoors
Outdoors

Pet #4 - Please list Name, age, sex, type/breed

Pet #4 - How long have you owned/did you own this animal?

Pet #4 - Most of the time, this animal is/was kept ...

Indoors
Outdoors

How will you manage resident animals in the home when you aren't there? (Keep together, separate rooms, crates, etc.)

How will your animals be fed and given treats? (Together, separately, in crates, etc.)

Resident dog(s): Has your dog recently interacted off leash with an unknown dog? If so, how did your dog react? (play bowing, growling, tucked tail ... etc.)

Resident dog(s): How does your dog like to play with other dogs (rough and tumble, chase, light play ... etc.), and is your dog OK with both male and female dogs or is your dog selective?

Is your dog high, medium or low energy?

High
Medium
Low

I will provide nutrition and sufficient food, water, and kind treatment for the animal at all times and provide needed medical care. *

Please initial to acknowledge you have read, understand and accept this statement.

If I return the animal to the city of Stockton Animal Shelter for any reason, I will at no time assert any claim, charge or demand of any kind of nature against the City of Stockton, APL, or SSPA for any charges which may have been incurred by me. *

Please initial to acknowledge you have read, understand and accept this statement.

It is impossible to guarantee the behavior or health of animals offered for adoption. The city of Stockton, APL, and SSPA, accept no liability for subsequent injuries, medical costs, surgical, complications or veterinary expenses, incurred after adoption, and the adopting person(s) agrees to assume all risk associated, therewith. *

Please initial to acknowledge you have read, understand and accept this statement.

I realize that my animal may have undiagnosed medical problems or may be incubating an infectious condition. I accept responsibility for the veterinary care of the animal. *

Please initial to acknowledge you have read, understand and accept this statement.

*BY TYPING YOUR NAME BELOW, YOU CERTIFY TO THE BEST OF YOUR KNOWLEDGE, THAT ALL THE ABOVE INFORMATION IS TRUE. * *

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Welcome to Sacramento Shelter Pets Alive at the Stockton Animal Shelter

Serving as a safety net for Stockton shelter pets!

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Welcome to Sacramento Shelter Pets Alive at the Stockton Animal Shelter

Serving as a safety net for Stockton shelter pets!

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