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Adoption Application

This application must be completed by the person who will be responsible for the care of the desired pet. We strive to place each animal in a permanent, responsible home while finding a suitable pet for you.

your name
pet name
home phone
work phone
address
city
state
zip
email
place of employment
how long have you worked there?
(years/months)
reason(s) for adopting this pet
(e.g. companion / barn cat / gift / breeding / family pet / guard dog)
I understand that annual shots and veterinary care can cost between $100 & $200 per year?
I am willing to accept the additional cost of owning a pet?
everyone in my household knows I am adopting this pet.
do you rent or own?
is it a(n)
(if renting) my landlord permits pets
landlord's name
landlord's phone
list the names and ages of everyone living in your household
this pet will be an
how many hours a day will your pet be alone?
how many pets have you had in the past year?
list the names and types of your current pets
please explain what happened to the pets you no longer own.
how many pets have been spayed or neutered
all of my pets are up to date on shots/vaccinations
veterenarian's name
veterenarian's phone
may we contact this vet?
personal reference name
personal reference phone
my current pets live
where will your new pet sleep?
I have a fenced area
large breed and active dogs require a fenced area.
any of my pets have died from Leukemia, FIP, FIV, Heartworm, Parvo or other unknown cases in the last 3 months?
if yes, please explain
I have adopted a pet from S. P. A. before?
additional comments
please be patient while form submits. thank you.

While SPA believes all adopted animals to be in good health, unless otherwise noted, we do not guarantee the health of any animal.

If you adopt an animal from SPA we may make inquiries by phone or in person.

By submitting this application I contend that I am capable of handling and interacting with the pet I propose to adopt, and I am prepared to demonstrate this to the satisfaction of SPA I further understand that completing this application is not a guarantee that I will be allowed to adopt a pet, and SPA has the right and responsibility to deny any adoption.

All information given on this application will be verified.

By submitting this application I agree to all above terms.