Adoption Application - Sullivan County SPCA

adoption application

So you think you've found your new best friend? That's great!
Please fill out the application below, and a member
of our staff will get back to you soon.

ONLINE PET ADOPTION APPLICATION

name of animal you're
interested in adopting:

today's date m/d/year:

Personal Information

yes

are you over the age of 18?:

your full name:

email address:

street address:

city:

state:

zip:

day/work phone:

home/evening phone:

place of employment
(you):

occupation (you):

place of employment
(spouse, if applicable):

occupation (spouse):

References

Provide the contact information of a veterinarian you have used
before and/or plan to use with your new dog/cat? Vet references
are checked.

veterinarian name:

veterinarian phone:

Vet records are under the name of: (if different than your own
or your spouse's, please give reason why):

Household Information

What type of residence do you have?

Do you rent or own?

If you rent, you must provide the name and phone number
of your landlord so that we may confirm that you are
permitted to have pets:

List the names, ages, and relation of all persons who currently
live at this residence:

Do any residents of this house of
known allergies to cats or dogs?

If yes, please explain:

Pet History

List information for any pets currently residing in household,
including breed, sex, age, neutered/spayed, how long owned, kept
where:

Have you owned any other pets?

If yes, provide the following
information for each pet:

name of pet
where is the animal now?
year of death (if decesased)
cause of death (if deceased)

Have any of your pets ever had puppies or kittens?

Care of the Animal

Do you have a fenced in yard? if so, please describe
type of fence & yard:

If you do not have a fence, please tell us how you plan to
let the animal relieve itself:

Do all adults work full time?

How many hours per day will
your pet be home alone?

Where will your new pet
sleep?

Where will your new pet
spend the majority of it's time:

What sort of training to you
plan to provide for your new
pet:

Where will your new pet be
kept when it is alone?

Have you ever taken one of
your pets to a shelter? (if so,
please describe the circumstances)

Please describe your home &
yard (ex. single family home on
well traveled street with a small
front yard)

Additional Info

We request an adoption fee donation. The cost varies depending on
several factors. The money supports the operation of our shelter,
including daily care, vet care and rescue. Is this acceptable?

yes

Please realize that dogs can live to 15 years of age, cats up to 20
years of age, and other animals vary. Your pet will need vet care
throughout it's live, including yearly boosters, heartworm and
flea/tick preventive meds, etc. Are you financially able to provide
professional veterinary care for the foreseeable lifetime of the
animal?

yes