Skip to content
What We Are About
How You Can Help
Puppies and Dogs
Applications and Forms
First and Last Name:
Address Line 2
District of Columbia
Northern Mariana Islands
U.S. Virgin Islands
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
What animal(s) are you interested in (Name up to 3)
Type of dwelling (Apartment, single family residence, duplex, townhome, condo, loft, etc?)
Live at Home
If you rent: Are pets allowed?
Does your landlord require a security deposit?
(proof of payment required before the adoption can be completed)
Length of time at current residence?
If less than one year at current residence, please provide previous address:
Length of time at previous residence?
1 to 3 years
3 to 5 years
5 or more years
Do both adults work outside the home?
Number of adults in the home:
Number of children in the home and ages:
Do you currently have other dogs or cats?
If yes, please give names, breeds and ages, as well as any other relevant information about the pet: (Type N/A if not applicable.)
If you have current pets, are they spayed/neutered?
If no, please explain as it is a requirement for approved adoption applications: (Type N/A if not applicable.)
If you don’t currently own a pet, have you owned one in the past?
If yes, please explain why the pet is no longer with you: (Type N/A if not applicable.)
Name/address/phone # for current veterinarian (To check current pet records.) or veterinarian that you plan to use (if you don’t have a current pet.)
Where will your pet stay during the day?
Where will your pet stay at night?
Do you have a fully fenced in yard with the fence being a minimum of 4 feet high?
Please indicate the type of fencing you do (or will) have to secure your yard
Completely fenced in area
Electric / Underground Fencing
Will walk on leash
Intending to build a fence
Why do you wish to adopt this type of animal?
As a gift for someone
If you selected other above, please specify:
Tell us about You
Please tell us why you have decided to adopt this animal and how you feel your family is the perfect family for him/her.
I certify that the information given on this application is true and correct. If I am approved to adopt an animal, I agree to all the above requirements and I have read, understand and agree with the Online Adoption Contract. I understand that failure to comply with any of the requirements will result in confiscation of adopted animal.
This field is for validation purposes and should be left unchanged.
Copyright © 2023
Safe Haven Puppy Sanctuary.
All Rights Reserved.
Griffin Web Design offers free websites for animal rescue, animal welfare, and animal rights.