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Home
Adopt Me!
Dogs ‘n Puppies
Cats ‘n kittens
Special Needs Pets
Waiting in the wings
Applications
Dog Application
Cat Application
Volunteer Application
Foster Application
Donate
One Time Donation
Monthly Donations
Donate Your Vehicle
SPOTlight
Featured Pets
Spot Events
Success Stories
In Loving Memory
Foster a Pet
Events
Contact
About SPOT
Friends
Resources
Shop
ADOPTION APPLICATION – DOGS
Name of dog you are interested in
*
If this dog is no longer available, what are you looking for in a dog so that we can try to match you to another?
Date
*
How did you hear about this dog?
*
ADOPTER INFORMATION
Name
*
First
Last
Spouse/Significant Other’s Name
*
Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Home phone
*
Cell phone
Email
*
List ages and relationships of all people who live in this home, please include yourself:
*
Do you plan to have children within the next 3 years?
*
Yes
No
REFERENCES
(Must be someone other than an immediate family member)
Personal Reference Name
*
Phone
*
How you know this person
*
Your Employer
*
Phone
*
How long have you been employed there? How many hours a day do you work?
*
Spouse/Significant Other's Employer
*
Phone
How long is your spouse/significant other been employed there? How many hours a day does your spouse/significant other work?
REASON FOR ADOPTION
1. Why are you considering adding a pet to your life? (check all that apply)
*
Companion for Children
Companion for Adults
Companion for other pets
Companion for Family
Working dog
Protection
Other
2. Does everyone in the house want a pet?
*
3. Do any family members have allergies or asthma?
*
4. Will this animal be given as a gift?
*
5. Have you ever owned pets before?
*
6. If yes, how long did you have your pets?
7. If pet(s) is/are no longer with you, what were the circumstances of the passing or absence?
8. What other pets live with you? Check all that apply:
Dog(s)
Cat(s)
Other
Please indicate below for each pet, the pet’s sex, if spayed/neutered, breed, and age:
*
HOUSING
9. Do you live in a:
*
House
Condo
Apartment
Mobile Home
Military Housing
Other
Other Housing
“How long have you lived at this residence?”
*
Do you plan on moving in the next 3 years?
*
Yes
No
If yes, what will happen to your dog if you move?
10. Do you own or rent your home?
*
Own
Rent
If you own, what name is the home ownership under?
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
11. Do you have a yard?* Is yard fenced?
*
Yes
No
Height of yard fence
12. Do you have a pool?* Is pool fenced?
*
Yes
No
Height of pool fence
13. Where will your new pet be when you are not at home?
*
14. If your pet will be outdoors, will he/she be chained or tied up?
Yes
No
What will a typical day look like for your dog?
15. How many hours per day will your pet be left alone?
*
Where will your pet sleep at night?
*
16. May we visit your home for a basic safety and security check?
*
Yes
No
17. Do you have the time and will you make the commitment to train your new pet should behavior concerns arise?
*
Yes
No
What steps would you take if your new dog began to have behavior issues or was not fully house trained?
*
18. 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
How would you handle the dog if he/she suddenly needed expensive medical care ($1,500 or more)?
*
VETERINARIAN
Veterinarian
Phone
Vet’s clinic or hospital name:
Sometimes pets out-live us. In the event you can no longer care for your pet, has anyone already agreed to take your pet for the duration of the pet’s life?
Yes
No
If yes, name of person & relationship: Phone / Email:
This pet must not be passed into other hands or relinquished to an animal shelter of any kind. Do you agree that if for any reason you could not keep this pet you would 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
Email
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