Animal Adoption Application Clarenville SPCA

Animal Adoption Application
What animal are you adopting? Please specify Name of Animal as WE DO NOT ACCEPT GENERAL APPLICATIONS!*
WE DO NOT ACCEPT GENERAL APPLICATIONS!!!
Please specify if looking to ADOPT or FOSTER beolw:*

AdoptOnly FosterFoster to Adopt
Your FULL Name *First & Last Name*
FIRST & LAST Name
Name*

First NameLast Name
Your Address*

Street/Mailing Address

Street/Mailing Address Line 2

CityProvince

Postal Code
Your Phone Number*

CellHome
Your Email*
Names and ages of all permanent residents of your home (adults/children)*
Are you currently:*

Working - Full TimeWorking - Part TimeWorking - SeasonalRetiredUnemployedOther
Please list any pets CURRENTLY or PREVIOUSLY living in your home, and if they are spayed/neutered and deceased/still own?*
Vet reference (please call your vet and give notice that we will call. If you have not been to a vet before, please register with one soon.)*
Vet clinic name, address & phone number
IF ADOPTING A DOG/PUPPY
Will this pet be living in your home?

YesNo
Are you prepared for house/behaviour training if necessary?

YesNo
Do you have a yard?

Yard, fully fencedYard, fenced with invisible fencingYard, no fenceNo yard
IF ADOPTING A CAT/KITTEN
Will this cat/kitten be a house pet only?

YesNo
Are you aware that cats scratch furniture?

YesNo
Will this pet be allowed outside once spayed/neutered? *Animals are NOT permitted to go outside until spayed/neutered.

YesNo
Is anyone in your home allergic to the animal you're planning to adopt?*

YesNoYes, but it is tolerable for them and they are OK with it.
You live in a:*

Single Family HomeDuplex/TwinCondo/TownhomeTrailerApartmentOther
Do you rent or own this property?*

RentOwn
If renting please provide name and phone number for your landlord.
Have you discussed this adoption with all members of your household?*

YesNoYes, adults have discussed. Kids don't know yet.Other
If applicable, will your children be taught how to play gently and kindly with this animal?*

YesNoNo children
Are you aware of the cost of vet care?*

YesNo
Are you prepared to have your pet spayed/neutered in the required time frame?*

YesNo
Vet bills can be expensive. How do you plan on paying them? (IE: Pet health insurance)*
Have you ever adopted from an SPCA or Rescue Group in the past?*

YesNo
If yes above, please specify where.
ie: Clarenville Area SPCA
Have you or a member of your family ever rehomed or surrendered an animal to a shelter for any reason?*

YesNo
If yes above, please specify.
Where, When and Why?
Additional References. Please list two different people. Name and Phone Number. CANNOT BE A FAMILY MEMBER!*
PLEASE LIST 2 REFERENCES, NAMES AND PHONE NUMBERS. MANDATORY FIELD!!!!!
Are you aware of the adoption policies for the Clarenville Area SPCA? *If not then please read them before submitting.*

YesNo
When will you be ready to adopt this animal?*

TodayThis weekendWithin a weekWithin a month
Any additional comments?*
Are you aware of the cost of adoption for the animal(s) you are applying for?*

YesNo
By checking the box below, you certify that the information given above is true and that any misrepresentation of facts may result in loosing the privilege of adopting an animal from us. I authorize the investigation of all statements made on this application and give permission for my Vet Clinic to release information regarding my pet(s) above.

I understand the above, and have tried to the best of my knowledge to make sure all information is correct.
Applicant Signature*
Signature date*
Thank you for taking the time to submit this form. Please feel free to contact The Clarenville Area SPCA with any questions or concerns. After you click Submit, you will be redirected to the main page, and you will also recieve a confirmation email.

Please allow us a few days for application processing.

Please note that we only process applications Monday - Friday.

Thank you!
Staff Notes:
Should be Empty:

Animal Adoption Application

IF ADOPTING A CAT/KITTEN