Application Form
By Checking this box you agree to “NIAGARA SPCA AGREEMENT”
By Checking this box you agree to “NIAGARA SPCA AGREEMENT”
Niagara SPCA & Humane Society Dog Adoption Application
Dogs Name:
*
Pet ID Number
*
First Name
*
Last Name
*
Address
*
City
*
Postal code
*
Phone
*
Email
*
1. Have you owned animals in the past 5 years?
*
YES
YES
NO
No elements found. Consider changing the search query.
List is empty.
Type N/A if this question doesn't apply to you
2. Can we contact your veterinarian for past history?
*
YES
YES
NO
No elements found. Consider changing the search query.
List is empty.
Type N/A if this question doesn't apply to you
3. Were your pet’s vaccines up to date including rabies?
*
YES
NO
No elements found. Consider changing the search query.
List is empty.
4. If this was a dog, was it’s dog license updated yearly?
*
YES
NO
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List is empty.
5. What do you plan to do with your pet if you move?
*
6. What do you intend to do with your pet if you go on vacation, have an unscheduled trip or an emergency?
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7. How long have you been planning to adopt?
*
8. Do you understand the responsibilities involved in owning a pet, for example: feeding, housing, medical care, yearly vaccinations, safety in and out of the home, by- laws relating to animals?
*
YES
NO
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9. Are you adopting this animal for yourself?
*
YES
NO
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10. If the answer to # 9 is ‘no’ please be advised that we do not adopt animals out for gift giving.
*
11. Do the other members of your household know and approve of the adoption?
*
YES
NO
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List is empty.
12. Do you have any objections to a property inspection?
*
YES
NO
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List is empty.
13. Do you live in a:
*
House
Apartment
Condo
Townhouse
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List is empty.
14. Do you rent or own?
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RENT
OWN
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15. If renting, please give landlords name and phone number.
*
16. Check all that apply:
*
Work outside home
Work at home
Student
Retired
17. Where will the pet be during the day?
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18. Where will the pet sleep at night?
*
19. What is the maximum number of hours your pet will be left alone during the day?
*
20. How many adults are in the home?
*
21. Please list the ages of any children in the home:
*
22. Please list any animal you own / have owned in the past 5 years (including any who has passed away)
*
Name
Breed
Age
Sex
Fixed?
STill own? If Not, Why
23. Are your other animals’ spayed/neutered?
*
YES
NO
No elements found. Consider changing the search query.
List is empty.
24. Will this animal be mainly kept
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INDOORS
OUTDOORS
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25. How many times a day will you exercise/walk your dog?
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26. How do you intend to housetrain your dog if it is not already done?
*
27. How would you correct the following behaviors?
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Running Away:
Chewing:
Mouthing:
Barking:
Jumping:
28. Do you intend to take your dog to obedience/socialization classes?
*
29. Do you have a fenced in yard?
*
YES
NO
No elements found. Consider changing the search query.
List is empty.
30. Do you plan to tie or kennel your dog outside? YES or NO
*
31. CURRENT VETERINARIAN
*
Type N/A if this question doesn't apply to you
GOOD LUCK!