Dog Adoption Application Form
Welcome to Good Samaritan Pet Center Adoption Program. The following information is required so that we can assist you in the selection of a new dog. This form and a consultation with a Good Samaritan Representative are designed to help you find the dog most compatible with your lifestyle.
(NOTE: All information is required. If you leave any fields blank, it will delay the processing of your application.)
If you would prefer to download this application, click here for a PDF version of the dog adoption application.
In order to be considered as an adopter you must:
- Be 21 years of age or older.
- Have identification showing your present address.
- Have the knowledge and consent of your landlord.
- 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 form does not guarantee adoption of a Good Samaritan dog.