(706) 865-4135

smithgallhumanesociety@windstream.net

Home
Adopt a Dog
Adopt a Cat
How to Adopt
Special Events
Volunteer
Ways to Give

Donate Now

Smithgall Dog Adoption Application

Charles Smithgall Humane Society Dog Adoption Application

Submission of this application is the first step in our process and is not a guarantee of adoption. Thank you for allowing us to place our pets in homes that offer the best fit for their individual needs. This form must be completed by a family member 18 years of age or older.

Please enable JavaScript in your browser to complete this form.

What is the name of the dog you are interested in?

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

May we send you important news and event invitations? *

Yes
No

What type of home do you live in? *

House
Apartment
Condo
Loft
Farm

Do you rent or own your home? *

Rent
Own

What is your landlord's name and phone #? *

Number of years at this residence? *

Will your new pet live inside or outside? *

Inside
Outside

Do you have a fenced yard or area? Please describe. *

What pets do you have currently? What are their names, species, breeds, and ages? *

What is your veterinarian's name, business name, and phone #? If not applicable, write n/a. *

Who will be responsible for your pet's training? *

When you vacation, what will you do with your pet? *

If you move, what will you do with your pet? *

Do you have a regular source of income? *

Yes
No

How much are you willing to pay annually for your pet's medical costs? *

Have you ever lost a pet or turned one into an animal shelter? If so, what were the circumstances? *

Please list all the people who live in your home and their ages. *

Walk-ins are not available. Visits by approved adopters only.

Our shelter is located at:
4823 Helen Highway
Sautee Nacoochee, GA 30571

Contact us:
smithgallhumanesociety@windstream.net
(706) 865-4135

Please leave a message. We do not have a live operator answering our phones.

Please mail donations to:
P.O. Box 2090
Cleveland, GA 30528

Charles Smithgall Humane Society is a 501(c)3 nonprofit organization, tax ID 58-1949193. Your donation is fully tax-deductible.

© 2024 Charles Smithgall Humane Society Design & Developed by Themagnifico