Fulton County Regional SPCA

Dog Adoption Application

Thank you for your interest in adopting!

What dog are you interested in adopting? (leave blank if you'd like help deciding!) Leave blank if you'd like help picking the dog that best fits your home!
Have you already met the dog you are applying to adopt? *
Where did you meet the dog? *
How did you find out about our adoptable dogs?
Volunteer's Name
Applicant's First Name *
Applicant's Last Name *
Street Address *
City *
State *
Zip Code *
Date of Birth *
Email Address * Please enter correctly as this is the main way we will contact you
Phone Number *
Co-adopter name
Employer Name *
Employer Address *
Have you applied anywhere else for a dog? *
If yes, where else have you applied?
About Your Household
Please list the names and ages of EVERYONE in your household; even if they are not full-time (ie college students or shared custody minors). Anyone over 18 must include first and last name. *
List any regular visitors (both human and animal) to your household. For humans, please include age. *
Does anyone in your household have allergies to dogs/cats? *
If yes, please explain:
I live in a *
Do you rent: *
Does your landlord and lease allow dogs? * Please send a copy of your lease or letter from your landlord showing permission to have pets to contact@fcrspca.org. Your application will not begin processing until this is received.
Please provide your landlord's name and contact information. *
Please send a copy of your lease or letter from your landlord giving you permission to have animals on premises to contact@fcrspca.org YOUR APPLICATION WILL NOT BEGIN PROCESSING UNTIIL THIS IS RECEIVED.
Is a deposit required? If so, how much and has it been paid? *
Are there any restrictions on breed, size and/or number of pets in your subdivision or apartment complex? *
Do you operate a business in your home? (i.e., home day care, etc.) *
Have you or anyone in your family ever been convicted of abuse or neglect of a child or animal? *
If yes, please explain: *
Have you or anyone in your family ever surrendered an animal to the shelter? *
If yes, why? *
What is the name of veterinarian office you currently use or have used in the past? PLEASE CONTACT THEM WITH APPROVAL TO SPEAK TO US. YOUR APPLICATION CAN NOT BE PROCESSED UNTIL THIS IS DONE. *
Vet Office Phone Number *
Are the vet records under your name? *
What name is on the vet records? *
Date of last visit *

What vet will you use for this dog? *
How many pets are currently in your home? *
Name of pet #1
Species of pet #1
Sex of pet #1	Male Female
Age of pet #1
Is this pet spayed or neutered?
Is this pet up to date on vaccines?
Where does this pet reside?	Inside Outside
How long have you had this pet?
Name of pet #2
Species of pet #2
Sex of pet #2	Male Female
Age of pet #2
Is this pet spayed or neutered?
Is this pet up to date on vaccines?
Where does this pet reside?	Inside Outside
How long have you had this pet?
Name of pet #3
Species of pet #3
Sex of pet #3	Male Female
Age of pet #3
Is this pet spayed or neutered?
Is this pet up to date on vaccines?
Where does this pet reside?	Inside Outside
How long have you had this pet?
Name of pet #4
Species of pet #4
Sex of pet #4	Male Female
Age of pet #4
Is this pet spayed or neutered?
Is this pet up to date on vaccines?
Where does this pet reside?	Inside Outside
How long have you had this pet?
Name of pet #5
Sex of pet #5	Male Female
Species of pet #5
Age of pet #5
Is this pet spayed or neutered?
Is this pet up to date on vaccines?
Where does this pet reside?	Inside Outside
How long have you had this pet?
Name of pet #6
Species of pet #6
Sex of pet #6	Male Female
Age of pet #6
Is this pet spayed or neutered?
Is this pet up to date on vaccines?
Where does this pet reside?	Inside Outside
How long have you had this pet?
Other than those listed above, how many pets have you had in the past 5 years? *
Pet name, species, and age?
Fixed?
Time owned:
What happened to this pet?
Pet name, species, and age?
Fixed?
Time owned:
What happened to this pet?
Pet name, species, and age?
Fixed?
Time owned:
What happened to this pet?
Pet name, species, and age?
Fixed?
Time owned:
What happened to this pet?
Pet name, species, and age?
Fixed?
Time owned:
What happened to this pet?
Fixed?
Pet name, species, and age?
Time owned:
What happened to this pet?
Who will be responsible for the care of this dog? *
Where will this dog primarily be kept? (please explain) *
If outside, how many hours per day? *
If crated or kenneled, how many hours a day? Type and Size of crate? *
Where will it be kept when unattended? *
How many hours per day will this dog be left with no one home? *
Where will this dog sleep? *
How will you keep your dog confined? *
What will you do with this pet when you go on vacation? *
If you answered "other" above, please explain: *
Do you have a completely fenced-in yard? If so, what kind of fence? *
Where and how will you exercise your dog? How often?
You will need to invest the time and effort to allow this dog to adjust to its new home. How long seems reasonable for this? Please explain. *
With any new pet, there may be “accidents” during the adjustment period. How will you handle the adjustment process? *
You will probably have to house-train a new puppy. Please explain your method of house training:
What type and traits are you looking for? (pick all that apply) *
What preferences and personality traits are you looking for in a dog? *
What traits do you consider undesirable? *
What will you do if the dog demonstrates any of the following behaviors: digging, chewing, not getting along with other pets, difficulty adjusting to household? *
How much would you spend on your dog in an emergency situation? *
What type of food will you feed this dog? *
If this dog requires surgery or special care, what would you do? *
What do you consider valid reasons for giving up a pet, including this one or any other recently adopted: (mark all that apply) *
Please explain
If you have to give up this dog, what will you do with it? *
Will you allow us to perform home checks?
Please provide 3 personal references including phone numbers. You may include any previous shelters or rescue groups you have adopted from in the past. *
Anything else you would like us to know?
By submitting this application, I certify that the above information is true and correct. I understand that false information may result in denial of adoption and/or revocation of adoption. Fulton County Regional SPCA, Inc. reserves the right to approve or deny adoption to anyone for any reason. Fulton County Regional SPCA, Inc.’s main interest is in the well-being and proper placement of the dog. The submission of this application is not a guarantee of adoption.
You will receive a copy of your application via email! We will also be in touch via email - please add adopt@fcrspca.org to your safe senders list. If you do not hear from us, check your spam folder, or contact the shelter through our website or social media.

Fulton County Regional SPCA

Dog Adoption Application

Thank you for your interest in adopting!

About Your Household