To adopt this animal from St. Francis, you must first fill out this Adoption Agreement form and submit it. The form will be carefully reviewed by an adoption counsellor. We try to get applications reviewed as quickly as possible. If we have problems contacting your references, this will delay the process. Most disapprovals result either from a negative veterinary reference, a "no pets" policy by landlords, or a difference in philosophy regarding the treatment of animals. St. Francis Society is a privately owned, all volunteer organization. We have strict guidelines for adoption approval and our volunteers have the right to refuse adoption applicants based on their own judgment.

Once an application is approved, the adopter is notified and can arrange to pick up their new pet. There are certain items that you must have before we will release the pet. A volunteer will be happy to assist you with shopping for your new friend before leaving our Adoption Center. You will also receive a copy of the pets health records and a packet of information put together especially for you and your new pet by one of our volunteers.

You Are Applying to Adopt...

Breed:Smooth Fox Terrier
Age:9 yrs 2 months
Weight:20 lbs
  • My story: Jake's best friend was adopted from the pound, but Jake was left behind. Jake is a great little guy who needs reassurance. He is somewhat unsettled after being separated from his loved-ones, but comes around quickly. Jake wants to be by your side all of the time, and thrives on attention and affection. He likes other dogs but is overwhelmed sometimes in his foster home with 7 dogs in the pack, and would, therefore, like to downsize. Smooth Fox Terrier mix, docked tail, about 6 years old, 20#, neutered, current on vaccines, a real sweetheart. He runs with the big dogs, and will guard your castle. Jake feels lost and wants to be found. Will you please find him and let him become your forever boy?

    Special Needs: Cannot be the only dog...needs a doggy friend to be happy in a home.

    Good with Cats: Yes  |   Good with Dogs: Yes  |   Good with Children: No Small Children

Adoption Agreement form

Please indicate whether you agree to the following terms:

I will provide this animal with safe and pleasant surroundings, quality care, food and medical services when needed. This includes good grooming and keeping this pet free of all parasites. I agree
I will arrange for the care of this animal (pet sitter, boarding, etc.) if necessary during my absences (vacation, etc.). I agree
Cat/Kitten: I will not allow this cat/kitten to be declawed (if not already). I agree
Dog/Puppy: I will not allow this dog/puppy to roam freely. I will obey leash laws. I agree
I will maintain this dog/puppy on heartworm preventative medicine. I agree
It is our responsibility to find permanent loving homes for all animals under our care. We will be happy to work with you to choose an animal that suits your wants and lifestyle; however we DO have adoption guidelines and may deny an adoption we feel is unsuitable. I agree
St. Francis Society has the right to confiscate the adopted animal if the animal is not being cared for properly (i.e. lack of food/water shelter, roaming free, or any form of neglect). We also have the right to confiscate the animal if we discover that false information was provided on this form or during the adoption interview. I agree
A minimum donation is required for adoption. Feline: $60 ($100 for pure mix/breeds) - Canine: large breeds $125-$150, pure breeds & less than 35lbs $150-$200 I agree
The adopter hereby agrees to communicate with St. Francis during the new owner/pet adjustment period to ensure that a mutually satisfactory owner/pet relationship is established. I agree

Information About Pet You Want to Adopt

Please give your reason for wanting a new pet
Is the pet for you and/or your family? Yes No

Driver's License Information

Drivers license #
Drivers license state issued

Employment Information

Do you work outside of the home? Yes No
Employer's name
Employer's address
Employer's phone number
How many hours per day are you away from your home for work?

General Questions

What are your plans to care for this animal if you have to leave town on a planned vacation or unexpectedly in the case of a hurricane?
Where will this animal be kept? Inside Outside
Do you have children currently living in your household? Yes No
Have you owned other animals? Yes No
Are the other animals in your household spayed or neutered? Yes No
Who is your current veterinarian?
Clinic Name & Location

Your Housing

Do you rent or own? Rent Own
DOG ADOPTIONS ONLY: Do you have a fenced-in yard? Yes No
I certify that the information provided is complete and correct and I understand that if it is discovered that I have given any untrue information. St. Francis Society has the right to confiscate the animal without a refund of my adoption fee.