Please FILL OUT ALL FIELDS in this Adoption Application 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.

Once this application is approved, you can arrange to pick up your new pet. You will receive a copy of the pets health record and a packet of information put together especially for you and your new pet by one of our volunteers.

* St. Francis Society is a privately owned, all volunteer organization. It is our responsibility to find permanent loving homes for all the 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. Our volunteers have the right to deny any adoption based on their own judgment.

You Are Applying to Adopt...

Date of Birth: 04/15/2015
Sex: Female
Color: Black & White
Breed: Labrador Retriever (Mix)
Weight: 55 lbs
Fur: Short
  • My story: Meet Libby...who has reached the unhappy milestone of being in Foster Care for 3 years since she was saved from the euthanasia list at a local shelter...after she was surrendered by her former family...all because the puppy got too big & violated their lease. Libby is a black lab mix, 5 years old and 55 pounds...and has had plenty of applications and meet & greets...but no one has ever given her a chance and took her for a week trial. She is not perfect...and has separation anxiety, fear of thunderstorms, Shy around some men, and wants to chase everything that moves including kitties...but she is loving and listens and tries to please you. She wants nothing more than to sleep in bed right next to you too and cuddle! She can sit and shake, is crate & house trained too! *Due to loud bark - must be in a house! So if you are looking for a loving companion...then she is the girl for you! **Please note that we only adopt our dogs out to adopters living in the immediate Tampa Bay Area.

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

Adoption Application form

General Questions

Are you over 21? Yes No
Please give your reason for wanting to adopt Libby
Is Libby for you or your family? Yes No
Where will Libby be kept? Inside Outside Both
Do you plan to declaw? Yes No
Are there other cats or dogs in the house? Yes No
Is anyone in the household allergic to cats? Yes No
Have you ever given up an animal? Yes No

Your Housing

Do you rent or own? Rent Own
Do you have a fenced-in yard? Yes No

Driver's License

Drivers license #
Drivers license state issued


Do you work outside the home or go to school? Yes No

If you are approved for adoption, please indicate whether you agree to the following terms:

I will take Libby to the vet when medical services are needed. Yes No
I will arrange for the care of Libby during my absences (vacation, etc.). Yes No
I will not allow Libby to roam freely. I will obey leash laws. I agree
I will maintain Libby on heartworm preventative medicine. I agree
I understand St. Francis has the right to confiscate Libby if not being cared for properly (i.e. lack of food/water/shelter, roaming free, or any form of neglect). Yes No
A minimum donation (depending on age and breed) is required for adoption. Yes No
I agree to allow communication from St. Francis to ensure a mutually satisfactory owner/pet relationship is established. Yes No
I certify that the information provided is complete and correct. I understand if it is discovered I have given any untrue information, St. Francis Society has the right to confiscate Libby without a refund of my adoption fee.