Adoption Application
Spay Stokes takes our responsibility in placing homeless pets with new families very seriously. We make a commitment to our animals to find suitable homes, and to prospective families to identify a compatible pet so both may experience years of joy and satisfaction together. The contents of this application, accompanied by an adoption interview, will help to identify the type of pet that is best suited for your family. Spay Stokes may deny any adoption based on what we believe to be the needs of the pet or of the
prospective family.
Applicant's Name *
Your answer
Address *
Your answer
City and State *
Your answer
Phone - Home/Cell/Work *
Your answer
E-mail Address
Your answer
Why are you choosing to acquire a new pet? *
Your answer
Name of pet(s) you are interested in adopting *
Your answer
What interested you in this/these particular pet(s)? *
Your answer
Are you looking for a *
Required
What age range are you seeking in your new pet? *
Your answer
What sex do you prefer your new pet to be? *
What weight range are you seeking in your new pet? (min/max) *
Your answer
Does your new pet need to be good with children? *
Does you new pet need to be good with other dogs or cats? *
Does your new pet have to be house-broken? *
What should your new pet's activity level be? *
What kind of personality would you like your new pet to have? *
Your answer
Please list all the members of your household including self (name, age, relationship). *
Your answer
Who would have primary responsibility for taking care of your new pet? *
Your answer
Do you/your family reside in *
Do you own or rent? *
If renting, are you certain your lease allows the number, breed, and size of the pet(s) you will own?
If renting, please provide your landlord's name and number.
Your answer
Are you/your spouse currently employed? *
If you are employed, where do you work?
Your answer
Who will let out the dog while you are at work? *
Your answer
Approximately how many hours total per day are you away from home? *
Your answer
Which of the following best describes your family's lifestyle? *
Required
How would you describe your household? *
Your new pet will spend his time being *
Approximately how many hours per day will your pet spend inside? *
Your answer
Approximately how many hours per day will your pet spend outside? *
Your answer
Where will your pet be kept while you are away from home? *
Your answer
Where will your pet sleep? *
Your answer
Where will your pet be kept when outside? *
If you have a fenced-in yard, what type of fence is it and how tall is it?
Your answer
Will your pet have access to *
Required
How do you envision spending time with your pet? *
Your answer
Do you plan on crate-training (for dogs)? *
How many hours per day total will your dog be crated?
Your answer
For cats, do you plan on declawing?
Do you have any current pets? *
Please provide breed, name, age, spayed/neutered, indoor/outdoor, if vaccinated.)
Your answer
Please list any previous pets owned, the breed, length of time owned. Explain why they are no longer with you *
(lost, stolen, natural causes, etc.).
Your answer
Please provide the name and phone number of your current (or previous) vet clinic. *
Your answer
Do you give permission for your vet(s) to be contacted as a reference? *
Please indicate which of the following situations might cause you to consider giving up your pet(s). *
Have you ever turned a pet into a shelter? If yes, please chose other and explain. *
Please indicate what you believe the cost of your new pet(s) would be per month. *
Your answer
Please indicate what you believe the cost of your new pet(s) would be per year. *
Your answer
Please list the name, number, and relationship of two other people to be contacted as references. *
(They cannot be family members.)
Your answer
Please type your full name in that you agree that all the information above is correct. *
Your answer
Please provide the date. *
Your answer
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