Adoption Application
Please fill out the form and submit it to start the adoption process!
Email *
Please provide the name and type (cat/dog) of animal you are looking to adopt: *
Full Name *
Occupation *
Address *
How long at this address? *
Daytime Phone # *
Evening Phone #
Best time to Call *
Family & Housing
How any adults are in your family and their relationship to you? *
How many children? *
What type of home do you live in? (apartment, duplex etc) *
Please describe your hoseholds activity level *
If you rent please provide the rules governing pets and the landlords name and number: *
By Providing this information you are allowing SPAS to contact your landlord, please infrom them of this call so they will speak with us.
Does any one in your family have a know algery to animals? *
Is everyone in in agreement with the decision to adopt an animal? *
Do you have the time to provide it with adequate love and attention? *
What other pets do you have? Please Specify *
Are they up to date on vaccines? *
Are they spayed/neuterd? If no Why? *
Have you ever surrendered a pet? If so why? *
Have you ever had a pet euthanized? if so Why? *
Have you ever lost a pet to an accident? If so why? *
How do you discipline your pets and why? *
By providing us with this information you are agreeing that SPAS can contact your vet to inquire about the animals in your care. Please call your vet and let them know we will be following up with them.
Do you have a regular veterinarian *
Vet's Name *
Clinic Name , Address, Phone number *
By providing this information you are providing consent for SPAS
What kind of animal would you like to adopt? *
Describe the animal you would like to adopt
Desired Age? *
Sex? *
Willing to adopt *
Where will the animal spend the day? *
Where will the animal spend the night? *
Number of hours the animal will spend alone? *
Who will be primarily responsible for the animals care? *
Who will be financially responsible for the animal? *
when the animal is outside how do you plan on supervising it? *
Do you agree to contact SPAS if you can no longer keep this animal? *
Are you willing to let a SPAS rep visit your home by appointment? *
How did you hear about SPAS? *
Would you be interested in fostering? *
Personal references (min 2, name, address, phone#) *
All of the information i have given is true and complete. this animal will reside in my home as a pet, and i will provide it with quality food, plenty of fresh water, shelter, affection, annual physical examinations/vaccines under the supervision of a licensed veterinarian.
Initials *
Date: *
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