Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Date * MM DD YYYY Age * Phone Number (###) ### #### Animal's Name * Breed * Color * Age of animal * Do you rent or own? * Rent Own If you don't own-please provide homeowners name and number Children at home? * Yes No Ages of children Other pets at home? * Yes No How many? What type? Who is your veterinarian? * Type of pet adopting * Dog Puppy Cat Kitten Other Sex * Male Female Spay/Neutered * Yes No Spay/Neuter date I have received records of vaccinations that I will take to my veterinarian * Yes I agree to provide humane care to the animal throughout the animal’s life, and to provide appropriate medical care in case of illness or injury. All animals have received age appropriate vaccines and have been altered prior to adoption. It will be the adopters responsibility to follow up or additional booster vaccines as needed * Yes I understand that SAL does not give refunds or make exchanges unless SAL is contacted within two weeks of the adoption date. SAL does not intend to offer for adoption any animal which is sick, injured, or not compatible to your situation. However, most of our animals are strays and have no history, and we cannot make any guarantees. Please notify us at least 2 days before you intend to return the animal. We will accept our animal back (space providing). Please contact us before placing in a shelter or another home * Yes Electronic Signature Thank you!
