Adoption Application

By submitting your application online, our adoption committee will have a chance to review it prior to the show. However, please understand that this will not grant you priority over other applicants. We do not operate on a first-come, first-served basis. Our main priority is to find the best possible home for each dog or cat. It is also very helpful to include more than one animal of interest in case your first choice goes to another applicant. Print a copy of your application and bring it with you when you come to meet the animal. Once you have come to a show and have been interviewed by our adoption coordinator, please allow 2-5 days for an initial callback if your application is being considered. If more than 7 days have passed, please assume that the animal was already placed or your application was not selected.

Please e-mail if you would like a copy of the adoption application e-mailed to you.

All fields in BOLD are required.

General Applicant Information
Name:
Email:
Name of Secondary Applicant (relationship):
Email of Secondary Applicant:
Address 1:
Address 2:
City:
State:
Zip Code:
Day Phone:
Evening Phone:
Place of Employment:
Pet Information
What type of pet are you applying for:
Name of animal you're applying for:
If this animal is not available do you have a second choice?
Do you want this pet for:
What specific traits are you looking for in a dog i.e, housebroken, good with kids, good with other pets
What specific traits are you looking for in a cat i.e., affectionate, playful, good with kids
Information About Current Pets
Pet's Name Type Age Sex Altered?
male
female 		yes
no
male
female 		yes
no
male
female 		yes
no
male
female 		yes
no
Vet's Name:
Vet's Phone:
Name records are listed under:
Where did you get your current pet(s)?
Information About Previous Pets
Pet's Name Type Sex Altered? What happened
How long ago?
male
female 		yes
no
 male
 female 		yes
no
male
female 		yes
no
male
female 		yes
no
Why do you want to adopt a pet?
Under what circumstances would you not keep this pet?

Other:
Have you ever adopted from animal control or rescue agency? If yes where?
Have you ever had an adoption application declined by an animal control or rescue agency? If yes why?
Information About Living Environment
Have you and your family discussed the time, energy, and effort required to properly train and care for a pet? Yes
No
How much do you think it will cost per year to care for your pet?
What activity level best describes your home?
Have all adult family members met and agreed upon the pet? Yes
No
Do you or any member of your family have any on-going medical conditions including allergies that might interfere with ownership of a new pet? If yes, please explain.
Are you aware that SPCA/HS requires that all dogs/cats in a home be spayed or neutered? Yes
No
Are you aware that SPCA/HS is against declawing a cat? Yes
No
Do you understand that some of the animals may not be housebroken and that changing their environment may cause the animal to have accidents and/or destroy household items? Yes
No
Are you willing to take the time to housebreak and train the animal? Yes
No
What method of housebreaking do you plan to use?
This pet will primarily be:
Where will the pet be left when you're away from home?
Where will the pet be kept during the night:
How will you confine your pet outdoors?
What is the longest period (in hours) the pet will be left alone each day?
Do you intend to let your cat outdoors: Yes
No
How will you exercise and interact with your pet?
How many vacations does your family take per year?
What will happen to the animal at that time?
How many adults in the home?
Is anyone in the household employed in the military or other jobs that may require sudden relocation? Yes
No
How many children in the home?
Ages of children at home:
Have your children been exposed to animals and the basic handling of them? Yes
No
Who will be responsible for the care, walking, and exercise needs of the animal?
In what type of home do you live?
Do you own or rent? If renting we require your landlord's name and phone number.
Landlord's Name:
Landlord's Phone:
It can take up to two weeks for a pet to adjust to a new home and other pets. Are you prepared to allow this much time? Yes
No
What obedience training do you plan for your pet, if any?
Some dogs will require obedience training, are you willing to go through an 8 week course with your new pet? Yes
No
Additional Comments:
Please list two (2) references who are not related to you
Reference One
First Name:
Last Name:
Home Phone:
Work Phone:
Email:
Relation:
Reference Two
First Name:
Last Name:
Home Phone:
Work Phone:
Email:
Relation:
How did you hear about us? petfinder
friend
other website
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I give the SPCA-HS of PG Co. permission to investigate to the fullest extent of their legal capability, the information written above as well as conduct inquiries with veterinarians and related officials. I agree, if the application passes stage one of the acceptance procedure, a home and yard visit on a mutually agreed upon date by an officer of the SPCA-HS of PG Co must be done as part of the adoption process.

In addition, I understand that the decision of which animals are adopted to specific homes is dependent upon many varying factors, including but not limited to, the compatibility of home and family to the individual animal(s), and the amount of eligible applications received on this animal. I realize that it is the SPCA-HS's prerogative to place the animal in the home the SPCA-HS feels is most appropriate and that SPCA-HS 's decision is final. I therefore will not argue with any member of the SPCA-HS over a final decision on my application. However, unless otherwise indicated by the SPCA-HS, I am free to apply for other animals and undergo the application process as many times as necessary to obtain a successful adoption.

I have read the above information carefully and have filled out this application honestly and in its entirety. I understand that omission of pertinent information and or failure to complete all questions that apply can result in the declination of this application. Furthermore, in the event of a successful adoption, if an omission or an untruth is later discovered, I understand that the SPCA-HS of PG Co reserves the right to annul the adoption and reclaim the animal.
Print Full Name:
Date:

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