Adopt a Pet

adopt Form

Find a New Friend

Adoption Form

Name

First Name

Last Name

Address

City

State/Province

Zip/Postal

Phone

ADOPTED ANIMAL DESCRIPTION

As an adopter you are responsible for checking into additional security fees, insurance cost, etc. that you may become responsible for when adopting a pet. Do you accept that responsibility?

Yes

Names of adults in the house:

Is everyone comfortable with adopting an animal?

Do you have children living in the home? Yes ____ No ____ The ages

Are there children that regularly stay at the home? (Partial custody?)

What are the ages?

Have the children been around the type of animal you are interested in adopting before?

Is anyone in the home allergic to animals?

Yes

Unsure

Current Pet Information

Name

Species

Age

Indoor/Outdoor

How long have you owned

Spayed/neutered

Do you currently have a veterinarian? If so who?

Are your pets up to date on vaccinations?

Are you financially willing and able to to provide annual vaccinations, exams and routine medical care? This is an annual commitment that could range from $200 to $400?

Please list any animals that are no longer with you and explain why.

Why are you looking for a new pet?

Are you familiar with crate training and are you willing to try it?

Have you ever brought a new pet into a home with an existing pet and if so, how did you do it?

How long will your new pet be outdoors?

I acknowledge that all information on this form is true and correct. I understand that any misrepresentation of the facts may result in the PSPCA refusing adoptions privileges to me. I authorize the PSPCA to contact all veterinarians listed on the application.

Name

First Name

Last Name

Date

If you are human, leave this field blank.