Support Us

adoption Questionnaire

Please be sure to fill out this form entirely. Failure to do so may delay processing of your application. This information will be kept in strict confidence and used only for the purpose of determining eligibility of ownership. If you prefer, you can fill out our printable version  and bring it with when you come in.
In order to qualify as an adopter, you must:
  • Be 18 years or older and hold a valid state ID
  • Provide all information requested on this application.
  • Have consent of all adults in household.
  • Understand all adults in your household are subject to criminal background checks.
  • Be able and willing to spend time to ensure a stable environment and the financial resources necessary to provide training, medical treatment, proper care for your pet and a forever home

    Adoption Questionnaire

    Please fill the form below if you are interested in adopting from us.

    ** Important Note for iPhone Users: At this time we are experiencing difficulties receiving applications submitted via iPhone, please use an android phone, or computer to complete the application. Applications are also available by emailing animals@safeharborhumane.com. **

    **Notice to Potential Adopters: Due to the volume of adoption interest in puppies and kittens, you may only place 2 holds on animals under 6 months of age**
    I'm interested in adopting:

    Your Contact Information
    Max file size: 20MB
    Max file size: 20MB
    Max file size: 20MB
    Max file size: 20MB

    ​Additional Information

    Current Pet Information
    I certify that the information provided on this application is true, and I recognize that any falsification of information requested may result in losing adoption privileges. I authorize investigation of all statements in this application and understand veterinarians, other humane agencies, landlords, or other outside sources may be contacted. I understand that the adoption of an animal may be delayed until such information can be verified. Upon submitting this application, it becomes sole property of the Safe Harbor Humane Society. The information in this document is confidential and will be kept in the strictest confidence of the staff at Safe Harbor Humane Society. Safe Harbor Humane Society reserves the right to deny adoption to anyone based upon this application and/or investigation of additional information for any reason. I understand that Safe Harbor Humane Society makes decisions in the best interest of the animal. As a Safe Harbor Humane Society adoption applicant, I understand that I will be interacting with and handling animals. I understand that in handling animals I may undertake any number of risks. I understand that in assuming this I may be exposing myself to potentially significant health risks or serious medical conditions, including, but not limited to: injuries from bites and scratches, slips or falls, infectious diseases, parasites, and allergic reactions (e.g. rabies, fleas, ringworm, allergies, and asthma). Since many animals that come to the SHHS are from unknown backgrounds and are therefore ultimately unpredictable, I am thus aware that Safe Harbor Humane Society is not in a position to know and makes no representations with the temperament, health or condition of any animal in particular. I must rely on my own judgment and I understand and agree that by handling the animal, as an applicant I do so at my own risk. Therefore, I agree to hold harmless, the SHHS, its employees, volunteers, agents, or directors, whether collectively or individually, for any injury or liability the animal(s) may cause to me. I further assume any and all liability for damages or to other persons, which may be caused by any animal(s) while in my care as an applicant, and hold the Safe Harbor Humane Society harmless therefrom.