Dog Adoption Application

To be considered to adopt a pet, you must:

Be at least 21 years of age

Have verifiable photo identification (benefit card, work ID or student ID not accepted)

Understand that Stevens-Swan Humane Society reserves the right to deny the adoption at their discretion

Not display signs of intoxication

WE WILL NOT ADOPT TO HOMES WITH RESIDENTS THAT HAVE A VIOLENT CRIMINAL RECORD.
Name of the dog you are interested in adopting*
Personal Information
Name*
First Last
Address*
NO P.O. BOXES

Street Address Address Line 2 City State ZIP Code
Email*
Phone*
Place of Employment
Work Phone
Spouse's Place of Employment
Work Phone
If unemployed or self-employed, provide a verifiable source of income to support pet care expenses

Personal Information