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:

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:

Please list any pets CURRENTLY or PREVIOUSLY living in your home, and if they are spayed/neutered and deceased/still own?

Vet References (please list all vet clinics you use and call them to give notice that we will call)

Vet clinic name, address & phone number

IF ADOPTING A DOG/PUPPY

Will this pet be living in your home?

Are you prepared for house/behaviour training if necessary?

Do you have a yard?

IF ADOPTING A CAT/KITTEN

Will this cat/kitten be a house pet only?

Are you aware that cats scratch furniture?

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

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

You live in a:

Do you rent or own this property?

If renting please provide name and phone number for your landlord.

Have you discussed this adoption with all members of your household?

Other

If applicable, will your children be taught how to play gently and kindly with this animal?

Are you aware of the cost of vet care?

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

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?

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?

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.

When will you be ready to adopt this animal?

Any additional comments?

Are you aware of the cost of adoption for the animal(s) you are applying for?

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.

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:

Animal Adoption Application

IF ADOPTING A CAT/KITTEN