Adoption Application

Animal you are interested in adopting *

Applicant's First Name *

Applicant's Last Name *

Street Address *

City *

State *

Apartment Number (if applicable)

Zip Code *

Phone Number *

Email Address *

Alternate Phone Number

Do you own or rent your home? *

Please select your current residence type. *

If you answered "other" above, please explain here:

How long have you lived at this address? *

If you rent, does your landlord and lease allow pets?

Is everyone in your household aware that you are planning to adopt a pet? *

Does anyone in your household have allergies to dogs/cats?

Including yourself, how many people live in your household? *

Please list the ages & relationship of those who live in your home. *

Are you over the age of 21? *

Why are you interested in this particular animal(s)? *

Is this pet for you or someone else? *

Do you own other pets at the current time? *

If yes, please list their names, breeds, and ages.

Are all of your pets spayed/neutered/fixed? *

If no, why not?

How many pets have you owned in the last 5-10 years?

What happened to them?

Are your pets current on their vaccinations?

Have you ever turned your dog or cat into a shelter? *

If yes, please explain?

If you have pets, will they adjust to a new pet in the house?

Please check the main reason you plan to adopt a pet: *

If you answered "other" above, please explain here:

Please describe in detail the pet you are looking for. *

On average, how many hours per day will your pet be left alone? *

How much do you think the annual medical bills will be for your pet? *

What would you do if the bills went over this amount?

Will this pet be predominantly living inside, outside, or both? *

Please provide a description of this pet's living conditions. *

Do you have a completely fenced-in yard? If so, what kind of fence? *

If you answered "other" above, please explain:

If you do not have a fenced yard, how will you let the dog out?

Where will the animal sleep? *

If you answered "other" above, please explain:

How will you handle housebreaking? *

How will you handle destructive behavior? *

How would you discipline your pet? (Please select all that apply) *

If you answered "other" above, please explain here:

Are you willing to seek help and hire someone if training or behavior problems arise? *

Will you keep the animal up-to-date on vaccinations and any necessary annual tests or procedures? *

If no, please explain:

What energy level are you looking for? *

Are you willing and able to exercise the dog on a regular basis? *

If yes, what is the method of exercise?

If you answered "other" above, please explain:

For what reason(s) would you consider returning/giving up the animal? *

What would you do with your animal if you had to move? *

If you answered "other" above, please explain:

Are you willing to take responsibility for this animal for the next 10-20 years? *

If no, please explain:

Will you allow us to perform follow up on the animal? *

I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. You are also aware that we cannot guarantee the health and temperament of the animal. *

Please Sign that you acknowledge submission of this application is not an immediate guarantee that you will be able to adopt this particular animal. SPCA of Solano County Staff has the right to deny an application if an animal does not seem fit. *