• Would you like to be on our email list?*
  • Do You:*

  • If less than three months, please provide the previous address and the landlord’s contact information.

  • *LANDLORD CONSENT FORM WILL BE PROVIDED

  • Living Arrangements:*
  • Are You:*
  • Household Members:*
  • Is anyone in your house allergic to pets?*
  • Have you ever been the primary caregiver of a pet?*
  • Do you currently own any pets?*

  • If yes, please fill out the following for all your pets:

  • Rows
  • please list any pets that are no longer with you (deceased or rehomed)*
  • Rows
  • Are your pets licensed with your municipality?

  • All dogs or cats (if applicable) in your household must be licensed to adopt from the SPCA Animal Rescue.

  • Will you spay or neuter your adopted pet?*
  • Are you prepared for the expense of owning a new pet? (Estimate only - $600-$2000 per year) E.g., yearly vaccinations, food, flea treatments, annual license and miscellaneous items*
  • Do you accept the financial responsibility of unexpected medical expenses? E.g., an injury, bloodwork, x-ray, surgery, an illness requiring ongoing medication*
  • Do you agree to you provide a proper adjustment period, e.g. a few weeks to several months?*
  • Are you aware of dog/cat licensing and Animal By-Laws in your municipality/town?*
  • Will someone be home during the day with your pet?*
  • Have you ever house-trained a pet before?*
  • Do you have a yard?*
  • Is it fenced in?*
  • Will the dog be tied out?*
  • Will the dog be crated?*
  • Would you consider Obedience Training Classes for this dog?*

  • By signing below, I certify that the information I have given is accurate and true. I understand that the SPCA ANIMAL RESCUE has the right to deny my request to adopt an animal and the SPCA Animal Rescue reserves the right to hold in confidence any information concerning decisions about my application.
    I authorize investigation of all statements in this application.
    I agree to have said animal spayed or neutered by the date entered on the Adoption Contract (to be signed at time of adoption).

    I understand that as part of the follow-up program, the SPCA AR can phone or visit me to see how the pet is doing. At any time, an SPCA Animal Rescue may assess the adopted animal and living conditions and retake possession of the adopted animal if they think the situation is unsatisfactory.

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