ADOPTION APPLICATION – DOGSSaving Pets One at a TIme | Animal Rescue | Oceanside, CA | Saving Pets One at a TIme | Animal Rescue

Name of dog you are interested in*

Date*

Adopter Information

Name*

FirstLast

Address*

Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry

Home phone*

Cell phone

Email*

REFERENCES

Personal Reference Name*

Phone*

How you know this person*

Your Employer*

Phone*

1. Why are you considering adding a pet to your life?*

Why are you considering adding a pet to your life?*

2. How many people live in your home?*

3. If you have children, what are their ages?*

4. Does everyone in the house want a pet?*

5. Do any family members have allergies or asthma?*

6. Will this animal be given as a gift?*

7. Have you ever owned pets before?*

8. If yes, how long did you have your pets?

9. If pet(s) is/are no longer with you, what were the circumstances of the passing or absence?

10. What other pets live with you?*

11. Do you live in a:*

Other Housing

12. Do you own or rent your home?*

Own
Rent

If renting, do you have your landlord’s permission to have a pet?

Yes
No

If renting, may we contact your landlord?

Yes
No

Landlord’s name

Phone

13. Do you have a yard?*

Yes
No

Is yard fenced?

Yes
No

Height of yard fence

14. Do you have a pool?*

Yes
No

Is pool fenced?

Yes
No

Height of pool fence

15. Where will your new pet be when you are not at home?*

16. If your pet will be outdoors, will he/she be chained or tied up?

Yes
No

17. How many hours per day will your pet be left alone?*

18. May we visit your home for a basic safety and security check?*

Yes
No

19. Do you have the time and will you make the commitment to train your new pet should behavior concerns arise?*

Yes
No

20. Pets are an addition to the family, and as such will require investment of your time and money for medical care, grooming, appropriate food, water, proper shelter, clean environment, exercise, attention, affection, and protection from harm. Are you willing and able to provide the appropriate resources that your new pet requires?*

Yes
No

21. Veterinarian

Phone

Vet’s clinic or hospital name:

22. This pet is not to be passed into other hands without approval of SPOT. Do you agree that if for any reason you could not keep this pet you will contact SPOT?*

Yes
No

Please contact SPOT with least one week notice for return to allow us time to find a foster home. Call 760-593-7768

*

I CERTIFY THAT THE ABOVE IS TRUE, AND THAT ANY FALSE INFORMATION MAY RESULT IN NULYFING MY APPLICATION. I AGREE TO ACCEPT THE DECISION OF SPOT REGARDING THE SUITABILITY OF ADOPTING A PET. I UNDERSTAND THAT SAID DECISION IS FINAL AND IF NOT APPROVED, NO EXPLANATION OR JUSTIFICATION IS NECESSARY. I ALSO UNDERSTAND THAT FILLING OUT THIS APPLICATION DOES NOT GUARANTEE THAT I WILL BE SELECTED TO ADOPT THIS ANIMAL.

DIGITAL SIGNATURE*

Please type your first and last name above.

If you would like to have a copy of the form please print this document before submitting