Are you 18 years of age or older? *
Please Select
Yes, I am at 18 years old or older
No I am younger than 18 years old
Date: *
Is there a specific animal you are interested in? If yes, please state the name of the animal. *
What type of animal are you looking for? *
Please Select
Rabbit
Guinea Pig
Bird
Other
What age range are you interested in? (Please select all that apply) *
Under a year
1-3 years
4-6 years
7 and up
What size of animal are you looking for? *
Small (under 5lbs)
Medium (5lbs to 10lbs)
Large (10lbs and up)
First Name: *
Surname *
Name(s) of ALL adults in the household: *
Street Address: *
Town/City: *
Province: *
Postal Code: *
Phone #: *
Alternate #:
Email Address: *
Are You: *
Please Select One
Attending School
Working
Retired
Stay At Home Parent
Disability
Occupation(s) of ALL adults: *
Living Arrangements: *
Please Select One
House
Apartment
NL Housing
With Parents/Family
Do you: *
Please Select One
Rent
Own
Rent to own
If living with parents/family please provide a number they can be reached:
How long have you been living at your current residence? *
Landlord's Name:
Landlord's Number (mandatory if you are renting):
SECTION 2
Number of adults in your home: *
Number of children in your home: *
Ages of children: *
Who will be responsible for feeding the pet? *
Who will be responsible for the training of the pet? *
Please select all the reasons for wishing to adopt: *
Companion
Gift
For a child
To Breed
Are ALL adults in your home, in agreement to adopt a pet? *
Have you adopted from an SPCA before? *
If yes, which branch?
Do you still own this animal?
If no, why?:
Please fill out the following for each pet you currently have or have had in the past 10 years: Pet 1:
Name:
Breed:
Age:
Sex:
Select One
Male
Female
Where was/is the pet kept?
Was/is your pet fixed?
Select One
Yes
No
If you no longer own this pet, please state why:
Pet 2:
Name:
Breed:
Age:
Sex:
Select One
Male
Female
Where was/is the pet kept?
Was/is your pet fixed?
Select One
Yes
No
If you no longer own this pet, please state why:
Pet 3:
Name:
Breed:
Age:
Sex:
Select One
Male
Female
Where was/is the pet kept?
Was/is your pet fixed?
Select One
No
Yes
If you no longer own this pet, please state why:
Pet 4:
Name:
Breed:
Age:
Sex
Select One
Male
Female
Was/is your pet fixed?
Select One
No
Yes
Where was/is the pet kept?
If you no longer own this pet, please state why:
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.
Which Vet Clinic currently looks after your pets? *
Do you understand that you MUST call your vet clinic that looks after your animal(s) and give them permission to share your information with the Gander and Area SPCA? *
Yes, I understand if I do not call my vet clinic my application will NOT be processed
I do not have a current or past vet
Whose name will the animal(s) file be under at this vet clinic? (If unsure please call the clinic and confirm) *
Please list any other vet clinics your present and/or past animals have gone to. *
If you move, what will you do with your pet? *
If you go on vacation, what will you do with your pet? *
Are you willing to accept the financial responsibility of an unexpected/required medical expense? *
If you are not working, how will you finance the spay/neuter? *
SECTION 3
Are you willing to spay/neuter this pet in the REQUIRED time given? *
Where will your pet stay during the day and during the night? *
Are you prepared to allow an adjustment period of at least one month? *
Are there people with allergies living in your home? *
Are you prepared to deal with any accident your pet may have/make in your home? *
Do you understand that once you adopt this pet there will be NO REFUND? *
How much time can you spend with the rabbit(s) or critter(s)? *
Where will your pet stay when left alone? *
Will you have your pet groomed or nails clipped when needed? *
Would this be your first small animal? *
Please select one
Yes
No
If not, give details of past or present rabbits or critters: *
What type of cage or enclosure are you planning to use for the rabbit or critter and where will they live? *
How much time will they spend in their cage or enclosure and how much time will they be allowed to get exercise? *
Explain your ideas on how your new pet will get attention and exercise daily *
Are you prepared to care for the critter for the rest of its life? *
Yes
Not Sure
No
Is there any other information you would like to add about yourself or the home you can provide for a rabbit or critter? *
REFERENCES
Please supply THREE references; one family member (other than someone living in your household), and two non family members (co-workers, friends etc.)
Name: *
Address: *
Relationship to reference: *
Phone #: *
Name: *
Address: *
Relationship to reference: *
Phone #:
Name: *
Address: *
Relationship to reference: *
Phone #: *
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 Gander and Area S.P.C.A. 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.
Do you accept the terms stated above: *
Applicant Signature
Clear
