Labrador West SPCA Adoption Application

Labrador West SPCA Adoption Application

Labrador West SPCA Adoption Application

The Labrador West SPCA is an all-volunteer,chairty, animal welfare organization dedicated to the rescue and placement of stray, neglected and abused animals. the Labrador West SPCA is completly funded through fundraising efforts and public donations. All of our pets are cared for by the shelter and/or foster homes and have been asssesed by a registered veterinarian prior to adoption. All Labrador West SPCA animals wil recieve de-worming, vacinations and spay/neutering ( dependant of age) prior to being placed within an adoptive home. We recommend adopters to get pet insurance for your adopted pet to lower the stress of possibly paying large unexpected or unplanned expenses that may occur. This questionare is designed to help the Labrador West SPCA and yourself determine what animal is right for you and your household. All adopting parties are required to complete this form prior to adoption. The Labrador West SPCA reserves rights to deny any adoption based on answers within this form and/or interviews conducted prior to adoption.Singing this form gives rights to the Labrador West SPCA to contact any references and veterinary clinics listed on this form.
Please verify that you are human

Name

First NameLast Name
Primary Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Email:
example@example.com
Alternate Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth:

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current Occupation/Employer:
Please Specify what animal you are interested in:

Accommodation type ( if other please explain):
Do you rent or own?
If renting, please provide the name and phone number of your landlord:
Does your landlord allow animals?
Is there any restrictions from your landlord or subdivision?
Do you have a full fenced yard?
Height and material of fence:

How many adults are in your household?
How many children are in your household & what are their ages?
Have the children been around animals before?
Does anyone in your home have allergies to animals or have asthma?

Have you ever had any pets die as a result of being hit by a vehcle?
If yes, how many?
How did you hear about the Labrador West SPCA? Select all that apply

Other

ATTENTION: If you have previous history at a veterinary clinic, please call them to give them permission to discuss your vet records with our shelter, NO applications will be processed without your previous vet history confirmed.
Please supply TWO references; one family member (other than someone living in your household), and two non family members (co-workers, friends etc.)
Reference 1:

First NameLast Name
Primary phone number:
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to the applicant: Type a label*
Reference 2

First NameLast Name
Primary phone number:
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to the applicant: Type a label*
By signing below and clicking accept, I certify that the information I have given is true and that by any misrepresentation of the facts may result in losing the privilege of adopting a pet. I understand that the Labrador West SPCA has the right to deny my request to adopt an animal, and I authorize the investigation of all statements made on this application.Additionally if my application is incomplete I am aware it will not be reviewed.
Applicant Signature
Labrador West SPCA member Signature:
Should be Empty: