Online - APPLICATION TO ADOPT A DOG OR CAT

PLEASE NOTE: We retain the right to decline this application

The following documents will need to be attached / uploaded to this application: -

ID, proof of residence, proof that pets are allowed.

Documents can be uploaded in the following formats: pdf, doc, jpeg, png

Name*

PrefixFirst NameLast Name

HOME ADDRESS*

CITY *

PROVINCE*

POSTAL ADDRESS*

Please upload Proof of Address here: (Not older than three months)*

ID NO.*

Please upload a copy of your ID here:*

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 interested in a specific animal you have seen on our Website?

Animals name

Address where animal will be kept*

If you rent, do you have consent from the Owner or Body Corporate?*

Do you own or rent?*

OwnOwn - ComplexRent - Freehold propertyRent - Complex or Apartment

Please upload a letter of permission from Landlord or excerpt from lease that pets are allowed:*

Please upload a letter of permission from Body Corporate or owner that pets are allowed:*

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?*

	How many of each?	Sterilised?
Dogs - Male
Dogs - Female
Cat - Male
Cats - Female

Are all your animals sterilised? *

Please give details if not?*

How many dogs and cats have you owned over the past 3 years?*

	Numbers
Dogs
Cats
Other

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.

Signature*

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Date of application*

Date