Dog Adoption Application

Welcome to Helping Strays adoption program. We request the following information so that we can assist you in the selection of a new dog that will fit your home and lifestyle as a lifetime companion. This form and a consultation with a Helping Strays representative are designed to help you find the dog most compatible with your lifestyle.

To be considered as an adopter, you must:

  • Be 18 years of age or older
  • Provide valid government identification

Helping Strays reserves the right to refuse adoption to anyone. No animals(s) will be adopted to prospective owners who mislead or fail to provide information on this Application.

Applicant Info
If not, what pets do you currently have in your household?
Name
Breed
Type
Spayed/Neutered
Keep Where
Age

Thank you for providing this information. Your application along with others for this pet will be reviewed and this pet will be placed in what Helping Strays feels, is the best possible home.

Helping Strays * 4221 Hanover Rd * Columbia, IL 62236 * (618) 939-PETZ (7389) * www.HelpingStrays.org