Adoption Application

Are you interested in a listed animal?

If no, what kind of animal are you interested in?

Applicant's First Name *

Applicant's Last Name *

Date Of Birth *

Street Address *

Current City/Town *

Postal Code *

Main Telephone Number *

Alternate Telephone Number *

Email Address

How long have you been planning to adopt a pet? *

Have you adopted an animal before? If so, from where? *

Have you recently applied anywhere else for a pet? If so, where? *

Is this pet for you or someone else? *

What is your motivation for wanting a pet? Select all that apply. *

If you want a pet for another reason, please explain?

Do you currently own any other animals? If yes, please list a brief description of each *

Are you willing to provide proof from your veterinarian that your current pets are spayed/neutered? *

How many pets have you owned in the last 5-10 years? What happened to them? *

Have you ever turned an animal into a shelter or rescue? If yes, please explain. *

Have you ever had a pet euthanized? If yes, please explain. *

Who is your current or prospective veterinarian? *

Please select the type of residence you currently live in. *

How long have you lived at your current residence? *

Do you own or rent your home? *

If you rent, please list your landlord's name and phone number.

Please list the members of your household and their ages. *

To the best of your knowledge, do any members of your household have an allergy to cats or dogs? *

What is your current occupation? *

How much do you think yearly vet costs will be for your pet? *

What would you do if vet expenses went over budget? *

Will your pet be living indoors, outdoors, or both? *

Pets can sometimes cause damage to personal belongings. How will you handle accidents or destructive behaviours? *

Where will your pet stay during the day? During the night? *

In the event of an emergency, what arrangements would you make for your pet? *

What would you do with your pet if you went on vacation? *

What would you do with your pet if you had to move into new accomodations? *

Is there any reason why you would return or give up your pet? *

Pets can potentially live for 10 to 20 years. Are you willing to take responsibility for this length of time? *

The following questions are only for individuals interested in adopting a dog/puppy.

On average, how many hours a day will your pet be left alone?

Where will your pet stay when left home alone?

Do you have a fenced yard? If yes, what is it made of?

What will be your pet's main source(s) of exercise?

Will your pet be tied on outside at all? If so, for how long?

Do you plan to keep your pet up-to-date on its vaccinations?

References:

Please supply THREE references. Only one reference may be a family member.
The others should be non-relatives (I.E: coworkers, friends, etc.)

Reference 1:

Name *

Relationship *

Phone number *

Reference 2:

Name *

Relation *

Phone number *

Reference 3:

Name *

Relation *

Phone number *

Any additional notes or info you'd like us to consider?

If deemed necessary, I agree to a background and vulnerable sectors check *

I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I am authorizing you to contact references, landlords, associations and veterinarians. I am also aware that the NL West SPCA cannot guarantee the health and temperament of the animal. *