Adoption Application Please enable JavaScript in your browser to complete this form.Name (first, middle, last) *Your DOB *Partner's NamePartner's DOBStreet Address *City, State, Zip Code *Mailing Address (if different)Mailing Address City, State, Zip CodeEmail AddressPhone Number *Alternate Phone NumberWhat type of animal are you interested in adopting *CatDogWhat is the name (or names) of the cat(s) or dog(s) that you would like to adopt?My reason for adopting this animal is: (Check all that apply) *companionfor childrengiftguardhuntingotherIf other, please state.Who will be responsible for the care of this animal? *myselfpartnerboth childrenallHow many hours will the animal be left alone for per day? *If you are gone for more than 24 hours, who will care for your pet(s)? *Where primarily will the animal live? *indoors onlyoutdoors onlyindoors/outdoorsWhen the animal is inside they will be: (check all that apply) *cratedroombasementloosetiedWhen the animal is outside they will be: (check all that apply) *fenced yardinvisible fencetiedrunnerwalkedloosesupervised looseHave you ever adopted from this shelter before? *yesnoIf so, when?Do you live in a: *country homecity homemobile homeapartment otherIf other housing, please state. If you rent, please provide the landlord's name and phone number.How many adults live in your home? *How many children? *Ages of children?How much money do you expect to spend in a year on your new companion? *How do you plan to exercise the animal? *Are you planning to attend an obedience class if you are adopting a puppy/dog? *yesnoWould you ever declaw a cat or crop a tail or dock the ears of a dog? *yesnoAre you willing to take a minimum of 1-2 months to house-train and allow the animal time to adjust to a new home with a new routine, people, and other animals? *yesnoAre you prepared to provide a safe, permanent home for this animal for the next 10 to 20 years? *yesnoAre you or will you be moving in the near future? *yesnoIf you move/relocate, are you willing to find a home that will allow you to bring this animal with you? *yesnoHave you ever had a pet for a short time (less than six months) and it didn’t work out? *yesnoIf yes, please explain the circumstances and what happened to the pet. Have you or your partner ever surrendered or returned an animal to a shelter before? *yesno If yes, please explain why: Have you or your partner ever given an animal away to another person? *yesno If yes, please explain why:Please provide name and phone number of veterinarian:What type of animal(s) do you currently have?Please list their name, breed, age, sex, and indicate whether they have been spayed or neutered.What type of animal(s) have lived with you in the past?Please list their name, breed, age, sex, and indicate whether they have been spayed or neutered, and where the animal is now.Please provide 4 references (e.g. friends, relatives, coworkers) aged 21 or order. Be sure to list the reference name, phone #, and relationship to adopter.By clicking the Apply button below, I certify that the above statement are true and complete, for the purpose of adopting an animal. Further, I authorize the SPCA of Cattaraugus County or its agents to verify any information given and to obtain past medical information from the veterinarian concerning current or previous animals. The SPCA of Cattaraugus County reserves the right to determine whether a given animal is suitable to the person, family or lifestyle and to deny any adoption in the best interest of the animal.Apply!
