Second Chance Pet Network Dog Adoption Form

Second Chance Pet Network Dog Adoption Form
*Please note you will be required to show ID with your current address on it.

*We reserve the right to deny any adoptions
FULL NAME *

First Name Last Name
ARE YOU OVER 18 YEARS OF AGE? *

YES NO
ADDRESS *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
HOW LONG AT THIS ADDRESS? *
EMAIL ADDRESS *
DAYTIME PHONE *

Area Code Phone Number
EVENING PHONE *

Area Code Phone Number
WHAT TYPE OF HOME DO YOU LIVE IN? *

HOUSE APARTMENT TRAILER/MOBILE HOME
DO YOU OWN, RENT, OR LIVE WITH PARENTS? *

OWN RENT LIVE WITH PARENTS
IF YOU RENT, DOES YOUR LANDLORD ALLOW PETS?

YES NO
NAME & NUMBER OF LANDLORD (IF APPLICABLE)
WILL YOU ALLOW A REPRESENATIVE OF SECOND CHANCE TO VISIT YOUR RESIDENCE TO DETERMINE SUITABILITY? *

YES NO
WILL YOU ALLOW A REPRESENATIVE OF SECOND CHANCE TO CONTACT YOUR VET? *

YES NO
WHAT IS THE NAME & PHONE # OF YOUR VETERINARIAN? *
FULL NAMES OF ALL ADULTS LIVING IN THE HOME *
DO YOU HAVE ANY CHILDREN? IF YES, WHAT AGE(S)? *
DO YOU OR ANYONE IN YOUR HOUSEHOLD HAVE ALLERGIES (PET) OR ASTHMA? *

YES NO
IS YOUR YARD FENCED? *

YES NO
HOW WILL YOUR DOG BE EXERCISED? *
WHY DO YOU WANT TO ADOPT A DOG? *
WHERE WILL HE SPEND THE NIGHT? *
IF OUTSIDE, DO YOU HAVE SHELTER AVAILABLE FOR HIM? *

YES NO
HAVE YOU OWNED PETS IN THE PAST 5 YEARS? *

YES NO
IF YES, HOW MANY AND WHAT HAPPENED TO THEM? *
WHAT ANIMALS DO YOU OWN NOW? *
ARE THEY SPAYED OR NEUTERED? *

YES NO
IF NO, PLEASE EXPLAIN: *
IF YOU OWN OTHER DOGS OR CATS ARE THEY CURRENT ON VACCINATIONS? *

YES NO
ARE YOU AWARE THAT ALL SCPN DOGS MUST BE SPAYED/NEUTERED AT THE APPROPRIATE AGE? *

YES NO
ARE YOU AWARE OF LOCAL BYLAWS AND LICENSING REQUIREMENTS? *

YES NO
ARE YOU AWARE SCPN OFFERS MICROCHIP SERVICES FOR YOUR PET? *

YES NO
ARE YOU FINANCIALLY PREPARED TO PROVIDE THE NECESSARY CARE FOR YOUR PET: INCLUDING PROPER FOOD, VACCINATIONS, PARASITE CONTROL (FLEAS, TICKS, WORMS, ETC.) ADEQUATE SHELTER, AND VETERINARY CARE FOR YEARLY CHECK-UPS AND MEDICAL EMERGENCIES? *

YES NO
DOGS CAN LIVE TO BE 15 YEARS OR OLDER. HAVE YOU CONSIDERED HOW THIS WILL AFFECT YOUR FUTURE? *

YES NO
HAVE YOU EVER PLACED A PET IN AN ANIMAL SHELTER? *

YES NO
IF YES, WHAT WAS THE REASON? *
HAVE YOU DISPOSED OF A PET IN THE LAST 10 YEARS? IF YES, WHY? *
PLEASE BE AWARE THAT A PET IS FOR LIFE AND A PART OF THE FAMILY. A PET CAN LIVE TO BE 20 OR MORE AND YOU NEED TO BE RESPONSIBLE FOR THE LIFE OF YOUR NEW PET. TAKE THESE INTO CONSIDERATION BEFORE ADOPTING:
1. IF YOU MOVE, YOUR PET MOVES WITH YOU!
2. IF YOU ACQUIRE A NEW PARTNER, MAKE SURE THAT PARTNER LIKES PETS!
3. ALLERGIES CAN BE DEALT WITH. ITS POSSIBLE YOU ARE ALLERGIC TO MORE THAN DANDER. YOU SHOULD GET CHECKED OUT BY A DOCTOR. KEEP ONE ROOM PET FREE (LIKE YOUR BEDROOM). MAKE SURE ALL PET PRODUCTS ARE MACHINE WASHABLE. VACCUUM REGULARLY (EVEN FURNITURE) BATHE AND BRUSH YOUR PET WEEKLY!
4. YOUR PET IS LIKE A CHILD. IT NEEDS LOVE, ATTENTION, TRAINING.
5. DOGS ARE PACK ANIMALS AND LIKE TO BE AROUND FAMILY. THEY SHOULD NOT BE LEFT ALONE OUTSIDE ALL DAY ON A CHAIN!
6. DOGS REQUIRE PROPER EXERCISE AND SHOULD BE WALKED DAILY.
7. TREAT THEM LIKE FAMILY AND YOU WILL HAVE A LOVING, LOYAL AND FAITHFUL COMPANION FOR THEIR LIFETIME.
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