SNIPSA Adoption Application

  • Adoption Application

  • GENERAL INFORMATION

    Thank you for your interest in the adoption of an animal from SNIPSA, Inc. We would appreciate you answering the following questions so that we can best determine compatibility between you and the animal in question.

    Adoption Fees
    Dogs/Puppies: $250 - $500
    Cat/Kittens: $150

    Our adoption fee includes spay/neuter, microchipping, heartworm testing (treatment if necessary), FIV/FeLV test, age appropriate vaccinations, fecal float, treatment for internal/external parasites, and a complete veterinary physical exam.

    ALL QUESTIONS ON THE APPLICATION MUST BE ANSWERED IN ORDER FOR YOUR APPLICATION TO BE CONSIDERED. IF A QUESTION IS NOT APPLICABLE, PLEASE MARK AS SUCH.

    Thank you for your help and cooperation.

  • IN ORDER TO BE CONSIDERED AS AN ADOPTER, YOU MUST MEET ALL OF THE FOLLOWING CRITERIA:

    1. Be 21 years of age or older
    2. Have the knowledge and consent of all adults living in your household
    3. All pets currently residing in the household must be spayed or neutered
    4. Understand that SNIPSA, Inc. reserves the right to refuse an applicant 

  • ANIMAL INFORMATION

    *denotes required
  • Date*
     - -
  • Would you be willing to accept and care for an animal with special needs (abused, needs medical attention, behavioral problems, etc.)?*

  • PERSONAL INFORMATION

    *denotes required
  •  -
  •  -
  • Any children living in the home.*
  • Do you consider yourself financially stable enough to provide proper diet and medical care for an animal, including emergency treatment if needed?*

  • HOUSEHOLD INFORMATION

    *denotes required
  • Do you*
  • Where do you live?*
  •  -
  • Which best describes your fence*
  • What type of fence do you have?*
  • Does everyone in the house know and approve of this animal?*
  • Is anyone in the house allergic to dogs/cats?*
  • Do you travel frequently?*

  • PET CARE INFORMATION/PET EXPERIENCE

    *denotes required
  • Do you own other cats or dogs?*
  • Are all your animals spayed or neutered?*
  • Have you ever had to give up your pet?*
  • Are you willing to buy a crate?*
  • If for any reason your puppy/dog is not adjusting well, are you willing to engage the services of a trainer?*
  • How will you exercise the dog? If interested in a cat, please check last box. (Check all that apply)*
  • Do you understand that the animal you want to adopt is a RESCUED ANIMAL, and may experience behavioral/medical issues such as , but no limited to: separation anxiety, fence jumping, housetraining, chewing, digging, etc.*
  • Do you understand that in adopting this pet, you are not adopting a PERFECT animal? Rather you are investing in a rescue because you believe in our life saving mission?*
  • Are you committed to caring for this animal for his/her LIFETIME?*
  • Are your current animals up to date on: (check all that apply)*

  • VETERINARIAN INFORMATION

    If you presently own an animal, please list the veterinarian clinic(s) and veterinarian(s) treating your animal. If you have lost a pet recently, please list the veterinarian that was caring for your animal.
  •  -
  •  -

  • REFERENCE

    Please do not use family member or person living with you.
  •  -
  • How did you find the dog you are interested in adopting?*

  • *For the health of our pets, we reserve the right to adopt to smoke-free homes only.  We appreciate your understanding.

  • AGREEMENT

  • I hereby affirm that I have answered the about information truthfully and to the best of my knowledge. I give my permission for SNIPSA, Inc. to contact the landlord, veterinarian, and personal references I have provided, and I give my permission for these references to release any information relevant to the adoption of this animal to SNIPSA, Inc.

  • Date*
     - -
  • Yes! I would like to be contacted via email or text for SNIPSA fundraising events!*
  • Should be Empty: