New APPLICATION TO ADOPT A DOG OR CAT

We need your consent in terms of the POPIA legislation to process your information.

By completing this form and providng your personal information it will be stored for the following purpose:
1. Storing information on database for compliance purposes.
2. Using information for statistical research
3. Keeping data subject up to date on adoption process.
4. Follow up on adopted animal progress.
Your consent must be obtained directly from you, your consent must be specific, the record of your information must be complete and your consent must be signed. You have the right to withdraw your consent at any time.

You can access our data protection policy here - Cape of Good Hope SPCA - Data Protection Policy
Do you agree to the POPI as listed above?*
Date *

DayMonthYear
Date
Name*

PrefixFirst NameLast Name
Thank you for you interest in adopting from the Cape of Good Hope SPCA.

Unfortunately, we cannot continue with your applicaiton as you have declined to agree to our POPI Terms and Conditions.

If you have completed this in error, please refresh your applicaiton, alternatively, please contact our offices on 0217004140 to discuss any concerns you might have.

Your address and details
HOME ADDRESS*
SUBURB*
PROVINCE*
POSTAL ADDRESS*
ID NO.*
TEL NO (H)*
(B)
CELL NO*
FAX NO
E MAIL*
example@example.com
Occupation*
Is the Animal for yourself?*

YESNO
Reason for wanting an animal*
Are you interesting in adopting?*
Address where animal will be kept*
Are you interested in a specific animal you have seen on our Website or in our Adotpions Center?
Animals name

About your property and animals
If you rent, do you have consent from the Owner or Body Corporate?*
Do you rent or own?*
Are you a student with consent to keep pets?*

YESNO
What type of animal are you interested in adopting?*

DogCat
What breed of dog or cat are you interested in adopting?*
Is the animal a replacement for a pet which has died from: Distemper/Parvovirus/Snuffles/Cat Flu/Biliary*

YESNO
Can you afford private veterinary fees?*
Who is your vet?*
How many Dogs live on your property?*
How many Cats live on your property?*
How many other animals live on your property?*

Which animals do you still have, and what happened to the others?*
Is your property fenced and has a proper gate?*
Will you chain/cage an animal?*
Full description of the fencing and gate:*
Height:*
What shelter is provided : WHEN OUTDOORS*
OTHER SHELTER?*
Do you have a suitable kennel?*
Are there any children under 10 in the household or visit regularly? *
Have you previously adopted pets from an SPCA?*
During your appointment at the SPCA in Grassy Park and before the Pre-Home Inspection can be done, you will be required to pay a non-refundable pre-home Inspection Fee.

Declaration: The above information is true and correct

I confirm that I have never been convicted nor charged with cruelty or neglect of any animal.

By signing below, you agree and consent to the terms and conditions related to this application.
Signature*

Clear
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APPLICATION TO ADOPT A DOG OR CAT