Adoption Application

Personal Information

Microchip Alternative Contact

Household Information

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By submitting, I understand and acknowledge, that I am aware that contact with dogs, cats, and other companion animals pose a risk to people and to other animals. Such risks include, but are not limited to the following: The animals may bite, trip or knock down people, the animal may fight with other animals, and the animal may have a disease condition that may be transmitted to people or pets. I certify that all the information in this application is true. I understand that false information may void this application. I also understand that failure to comply with the completed Adoption Contract could result in my inability to adopt other animals from The Humane Society of Southern Arizona.