Dog Adoptions in Fairfax, Arlington, Burke, Annandale, Woodbridge, Dumfries, Stafford, Fredericksburg, King George, Spotsylvania, Virginia
  •                                                      SaintSeton@hotmail.com    Metro: 703-209-4555   Rappahannock Region: 540-752-7387    Fax:  540-752-6079
Did you read our adoption,"FAQs"? If the answer is, "NO" please stop the application and read the FAQs.
First Name:
Last Name:
Street Address (NO P.O. BOX):
City:
State:
Day Time telephone number:
Evening telephone:
Do you rent or live with a family member other than a spouse?:
Names of all adults living in the home:
Occupation of all adults living in the home:
Are all of the adults in the home in agreement on adopting a pet (please answer yes, no or N/A:
Are you adopting a pet for another person (please answer yes or no):
If yes, please explain who will receive the pet?:
Are their any children in the home, to include children who live at home during weekend, holiday and Summer visitation?:
If yes, what are their ages and experience with animals in the home?:
If your children are under the age of five, how do you plan to supervise the children and the dog?:
How did you hear about us?:
What is the name of the pet you want to adopt, if you know?:
If you currently have any pets or have had a pet in the past year, what is your veterinarian's name, the name of the practice, address and telephone number of your regular veterinarian:
If you currently have any pets or have had a pet in the past year and have moved to the area within the past six months, what is the name of your previous veterinarian, the name of the practice, address and telephone number of your regular veterinarian:
What is your pet's breed or physical description:
How long have you had your pet?:
If you are adopting a dog, what is the name of the obedience school and training method will you use?:
What brand of pet food do you plan to feed?:
Where will your pet be kept when no one is home?:
Where will your pet sleep?:
How long will your pet be alone each day?:
If you are adopting a cat, will the cat be inside, outside or both?:
If your pet was diagnosed with an illness that could be cured but the veterinarian's fee was $2000.00, what would you do?:
Under what circumstances, if any, would you surrender your pet?:
Have you ever surrendered a pet to a shelter, humane society or any other type of animal welfare organization?:
If you answered yes, what were the circumstances?:
Have you ever been cited for any violations of any laws pertaining to your pet? (examples: running at large, no current rabies vaccine, noise violations, no license..."?:
Have you ever been charged or convicted of animal cruelty or neglect"?:
YOU MUST HAVE A MICROSOFT OUTLOOK ACCOUNT
TO USE THE ON LINE FORM. IF YOU DO NOT HAVE
MICROSOFT OUTLOOK, EMAIL US FOR AN
APPLICATION:  saintseton@hotmail.com  or
CALL:  703-209-4555



SAINT SETON'S ORPHANED ANIMALS

GETTING TO ZERO HOMELESS PETS

A NO KILL NATION