• Pet Adoption Application

    Pet Adoption Application

  • To ensure that this adoption is in the best interest of you, your family, and the animal you select, we ask that you answer the following questions completely and honestly. 

    Adoptable animals can be found here on PetFinder

  • Format: (000) 000-0000.
  • Household Information

    Household Information

  • Permission from the property owner is required to complete your application.

    Please provide contact information and documentation (rental agreement, contract, etc) from landlord, rental agency, or property owner to verify the pet policy of your residence. 

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  • People in the Household

  • Pet Ownership Information

    Pet Ownership Information

  • Veterinarian Information

    Veterinarian Information

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  • Submit Application

    Submit Application

    Please review the terms and conditions below
  • Please read the following conditions or terms:


    I will abide by all Local, State and Federal laws that pertain to my new pet.

    I will not to allow my pet to become a public nuisance because of loud or frequent barking, biting or intimidating passersbys, running loose or any other behavior that may infringe upon the rights of others.
    I realize that I must IMMEDIATELY remove and properly dispose of any waste from my pet on any property.

    I understand that any comment that an animal may be good with children or other animals or is housebroken is based upon information provided by the previous owner if previous owner is known.
    I will have my pet neutered by the date specified in the Spay/Castration agreement.

    I will have my new pets health checked by a licensed veterinarian within 72 hours of the adoption.

    I will provide proper and sufficient food and fresh water daily to my new pet.

    I will have adequate facilities at my residence that will protect my new pet from the elements and provide a space that will allow him/her to freely move about and not be required to lie, sit or stand in his or her own excrement.
    I will provide all veterinary treatment that my new pet may require throughout his/her lifetime.

    I will return him/her to South Bend Animal Resource Center if I am unable to properly care for my new pet.

    I will not to sell, give away or abandon my new pet without first contacting South Bend Animal Resource Center

    I will not mistreat, abuse, fight or use my pet for experimental or medical research purposes OR allow anyone else to do so.

    I will allow South Bend Animal Resource Center to review my home at any reasonable time and to remove my pet if the home is unsuitable or if it is officers determined that my pet is being neglected or mistreated in any way.
    I will pay all reasonable costs, including court costs and attorney fees, incurred by South Bend Animal Resource Center in enforcing this contract if I fail to comply with its terms.

  • I understand that South Bend Animal Resource Center makes no representations or guarantees about any animal's temperament or health and that a pet’s behavior may change after it leaves the shelter and accustoms itself to a new home.


    I understand that The City of South Bend will not be liable for any future injury or damage which may be caused by my new pet.


    I understand that The City of South Bend makes every effort to adopt only healthy animals but makes no guarantees or representations about any animal's health and will not be liable for any future veterinary care or treatment the animal may need.


    I understand that South Bend Animal Resource Center will be contacting my veterinarian for vaccination and health histories for any pets that I have owned and authorize him/her to release that information to SBARC. I am also aware that if my current pets are not up-to-date, the adoption may be delayed until they are vaccinated and acquire the immunity provided by the vaccines. Please be considerate of any delays we are only trying to ensure that our pets are placed in the best possible homes.


    South Bend Animal Resource Center reserves the right to deny an application for any reason(s). These reasons may include but will not be limited to:
    misinformation given on this application, unvaccinated pets, inadequate facilities, past record of nuisance pets, recommendation of veterinarian or other animal welfare organization, history of animal abuse or neglect, or already at the maximum number of pets.

  • By typing my name in the boxes below, I agree that I am electronically signing this form. I affirm that the information I've provided is accurate and true to the best of my knowledge. I understand that my electronic signature is legally binding and equivalent to my handwritten signature.

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