ADOPTION / FOSTER APPLICATION

Are you applying to: *

Name:
*

Your Age
*

Spouse or Partner's Name

Pet's Name (that you wish to adopt)
*

Home Phone:
*
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Cell Phone:
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Work Phone:
*
-

Address:
*

E-mail:
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How long have you lived at this address?
*

Any plans to move in the next few years?
*

How many times have you moved in the last five years?
*

Place of Employment
*

How long employed there (years/months)?
*

Reasons for adopting this pet
*

I understand that annual shots and veterinary care can cost between $150 to $250 per year
*

Are you able/willing to pay for emergency care, which could result in a bill of $200 to $1,000 or more?
*

I am willing and able to accept the additional cost of owning a pet
*

Everyone in my household knows I am adopting this pet
*

Do you
*

Is it a
*

Landlord's Name

Landlord's Phone Number

My Landlord allows pets

List the names and ages of everyone living in your household

List ages of children who visit your household

The pets will be kept
*

Are there children who visit your household on a regular basis?
*

How many hours a day will your pet be left alone?
*

How many pets have you had in the three years?
*

List Each of these Pets:
Name | Age | Gender | Species | Breed

All of my pets are up-to-date with shots/vaccinations
*

Which of the above mentioned pets were spayed/neutered?

Which of the above-mentioned pets live with you currently?

What happened to the above mentioned pets that you no longer own?

For whom would you be adopting this dog/cat?
*

Does anyone in your household suffer from asthma or have allergies to pets?
*

Describe your household activity/noise level
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How often do you travel?
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If you have a cat does it get along with dogs?

My current pets live

If you have a cat is it declawed?

Who will be the principle caregiver of this pet?
*

If you have a dog does it get along with other dogs?

Who will be financially responsible for this animal?
*

Veterinarian's Name

Veterinarian's Phone:

May we contact this vet?

Where will your new pet sleep ?
*

I have a secure, fenced area(Large breed and active dogs require a fenced area)
*

Describe fencing height

Describe fencing type

Does your fence have a gate with secure latch?

Does door to your house open directly into fenced area?

Have any of your pets have died from Leukemia, FIP, FIV, Heartworm, Parvo or other unknown causes in the last 3 months?
*

If yes, please explain

What circumstances might justify giving up a pet? (check all that apply)
*

I have adopted from S.P.A. before
*

Additional Comments

Word Verification:

* Required Fields

By submitting this application I contend that I am capable of handling and interacting with the pet I propose to adopt, and I am prepared to demonstrate this to the satisfaction of S.P.A.  I further understand that completing this application is not a guarantee that I will be approved for adoption of this particular pet, and S.P.A. has the right and responsibility to deny any adoption.

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