Mobile SPCA

PET ADOPTION APPLICATION

Are you 21 years or older?

How did you hear about this adoption event?
Is this your first experience with a dog or cat?

Have you previously adopted from us?
Cat or dog?

?


Why do you want a pet?

Do you have a fenced yard?


How tall?
'

Kind of fence:

How will you keep your pet confined to your property? (Check all that apply)

Are you familiar with leash and licensing laws in your community?
Are you financially able to take your pet to the vet and provide necessary monthly
  treatment and annual vaccinations?
Are you familiar with canine heartworm disease?


Are you familiar with feline leukemia?

Do you:
  It is a:

How long have you lived there?
If you rent, is there a pet deposit?
Have you paid the deposit if there is one?
Is this pet going to be living with you?
Are you aware of crate training?

Are you aware of obedience lessons
( )

What Pets Currently Live In Your Home?

1.
Is it spayed or neutered


2.
Is it spayed or neutered?


Do you own more than 2 pets?


What Pets Have You Owned In The Past?

1.
Was it spay or neutered?

2.
Was it spay or neutered?

3.
Was it spay or neutered?

Conditions Of Adoption

In applying for this animal, I agree to the terms, conditions and policies established by the Mobile Society for the Prevention of Cruelty to Animals. I agree: 1. To provide food, water, shelter and humane treatment for this animal at all times.
2. To provide annual vaccinations and veterinary exams required by law.
3. To prevent this animal from running at large - dogs must be on a leash or kept in an enclosed area; cats must be kept indoors.
4. To not allow this animal to be used for experimentation.
5. To not use this animal as a guard dog.
6. To submit to an investigation should it be determined that the conditions of this contract are not being complied with.
7. To allow the Mobile SPCA to contact my current or previous veterinarians to check my record of ownership.
8. To accept full responsibility for this animal's temperament and personality.
9. That I am 21 years old or older.
10. If there is a problem, you agree that it will be easy for you to return thepet to the Mobile SPCA anytime during its lifetime.
11. That if I live in an apartment I have paid any additional security fees and any additional rent that may be required of me to keep this pet in my apartment.
12. I understand that the Mobile SPCA reserves the right to refuse adoption for any reason at any time.
13. I understand that the Mobile SPCA reserves the right to reclaim said pet if conditions of this agreement are not met.
14. I understand that the Mobile SPCA reserves the right to refuse adoption to prospective owners who fail to provide accurate information on the adoption application.
15. I understand that cats and kittens will be taken home in a carrier.
16. I understand that I will have the proper facilities to maintain and contain this pet.
17. That all pets in the household have current veterinary care.
18. If this pet does not work out and you return him/her within one week you will be refunded part of your adoption fee at the discretion of the adoption committee. After one week no fees are refunded. You must return vet records or you will be billed at $25 record replacement fee.

I UNDERSTAND THAT IF I CAN NO LONGER CARE FOR THIS PET IN THE MANNER SET FORTH IN THIS AGREEMENT OR I MUST REHOME IT FOR ANY REASON THAT I PROMISE TO RETURN THE PET TO THE MOBILE SPCA. IF I BREACH THIS SIGNED CONTRACT I WILL BE LIABLE FOR LIQUIDATED DAMAGES IN THE AMOUNT OF $1000.

Human Verification

Please enter the verification codes listed below to continue with submitting your form.