application.spaohio.orgSpa Ohio Adoption/Foster Application

ADOPTION / FOSTER APPLICATION STORE ADOPTION / FOSTER APPLICATION Test Are you applying to: * Foster Adopt Name: * First Last Your Age * Spouse or Partner’s Name Pet’s Name (that you wish to adopt) * Home Phone: * - Area Code Phone Number Cell Phone: - Area Code Phone Number Work Phone: * - Area Code Phone Number Address: * Street Address City State / Province / Region Postal / Zip Code E-mail: * How long have you lived at this address? * Any plans to move in the next few years? * Yes No How many times have you moved in the last five years? * Place of Employment * How long employed there (years/months)? * Reasons for adopting this pet * Companion Mouser Family Pet Gift Barn Cat Breeding Guard Dog I understand that annual shots and veterinary care can cost between $150 to $250 per year * Yes No Are you able/willing to pay for emergency care, which could result in a bill of $200 to $1,000 or more? * Yes No I am willing and able to accept the additional cost of owning a pet * Yes No Everyone in my household knows I am adopting this pet * Yes No Do you * Own Rent Live with parents Is it a * House Apartment Condo Mobile Home Dormitory Landlord’s Name Landlord’s Phone Number My Landlord allows pets Yes No List the names and ages of everyone living in your household List ages of children who visit your household The pets will be kept * Indoor Outdoor Indoor/Outdoor Are there children who visit your household on a regular basis? * Yes No How many hours a day will your pet be left alone? * 0-2 2-4 4-6 6-8 8-10 10-12 12-14 How many pets have you had in the three years? * List Each of these Pets: Name | Age | Gender | Species | Breed All of my pets are up-to-date with shots/vaccinations * Yes No Which of the above mentioned pets were spayed/neutered? Which of the above-mentioned pets live with you currently? What happened to the above mentioned pets that you no longer own? For whom would you be adopting this dog/cat? * Myself/My Family My Child/My Children Someone else Does anyone in your household suffer from asthma or have allergies to pets? * Yes No Describe your household activity/noise level * High Medium Low How often do you travel? * Frequently Occasionally Rarely Never If you have a cat does it get along with dogs? Yes No My current pets live Indoor Outdoor Indoor/Outdoor If you have a cat is it declawed? Yes No Who will be the principle caregiver of this pet? * If you have a dog does it get along with other dogs? Yes No Who will be financially responsible for this animal? * Veterinarian’s Name Veterinarian’s Phone: May we contact this vet? Yes No Where will your new pet sleep ? * I have a secure, fenced area(Large breed and active dogs require a fenced area) * Yes No Describe fencing height Describe fencing type Chain Link Privacy Split Rail Other Does your fence have a gate with secure latch? Yes No Does door to your house open directly into fenced area? Yes No Have any of your pets have died from Leukemia, FIP, FIV, Heartworm, Parvo or other unknown causes in the last 3 months? * Yes No If yes, please explain What circumstances might justify giving up a pet? (check all that apply) * Baby Divorce Dog not getting along with other pets Moving Allergies New household member dislikes dog Shedding Behavior problems House Soiling/Urine marking Want to travel Dog becomes ill Destructive Children lost interest Too time consuming None Other I have adopted from S.P.A. before * Yes No Additional Comments * Required Fields By submitting this application I contend that I am capable of handling and interacting with the pet I propose to adopt, and I am prepared to demonstrate this to the satisfaction of S.P.A. I further understand that completing this application is not a guarantee that I will be approved for adoption of this particular pet, and S.P.A. has the right and responsibility to deny any adoption. type_submit_reset_119 Submit Reset Return to S.P.A. Ohio Home Page Proudly powered by...