Victoria County SPCA
Serving Plaster Rock, Perth and surrounding areas
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Adoptable Cats
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Pre-Adoption Application
"
*
" indicates required fields
Please note that approval for adoption does not guarantee you'll get the animal of your choice. we try to match each animal with its new owners based on criteria such as behaviour, activity level, and temperament. The Victoria County SPCA reserves the right to refuse any application if it believes it is not in the animal's best interest.
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Home Phone
*
Cell Phone
Email
*
Are you interested in a specific VC SPCA stray? If yes, please share his/her name.
*
Your Family
Number of adults (18 + years) at home
*
Number of children (8-17 years) at home
*
Number of children (0-8 years) at home
*
Are you planning on the following in the next month?
Moving?
Holiday?
Your Home
What type of home do you live in?
*
Rural House
Urban House
Rent
Own
How long have you lived here?
*
Do you have your landlord’s/condo’s permission to have pets?
Yes
No
Landlord's Name
First
Last
Landlord's Phone
Where will your animal stay during the day/night?
*
Loose in the house
Garage
Fenced kennel/run
Crate/cage inside
Fenced yard
Loose outside
General Information
Who will have the primary responsibility for this animal?
*
Have you had animals before?
*
Yes
No
What happened to them?
*
Have you surrendered or given away a pet?
*
Yes
No
If yes, please provide the reason:
Are you prepared for the expense of routine care, annual examinations and emergency medical care possibly for the next 10-15 years?
*
Yes
No
Your Pets
Are there other animals in your household?
*
Yes
No
Please list your current pets, their gender, spay/neuter status and the date of their last vaccinations:
Please provide the name and phone number of your vet:
*
*Please advise your vet that we will be contacting them and that they have permission to release information to the Victoria County SPCA.
Tell Us What You Are Looking For
Type of Animal
*
Dog/puppy
Cat/kitten
Rabbit
Other
Sex
*
Female
Male
Either
Problems you are willing to work on:
*
Separation anxiety
Excitability
Mild aggression
Obedience
House training
Fearfulness
Reaction to other animals
Barking
I am not willing to work on any problems
I need more information to decide
I would like my animal to:
Be friendly with children
*
Very important
Quite important
Not important
Be friendly with other animals
*
Very important
Quite important
Not important
Enjoy being held
*
Very important
Quite important
Not important
Enjoy being petted
*
Very important
Quite important
Not important
Never show aggressive behaviour
*
Very important
Quite important
Not important
Some Animals Require Training
Under what circumstances would you return your animal?
*
Moving
Too costly
New baby
Aggression
Medical reasons
Not enough time
Behavior problems
None of the above
Comments
Have you ever been convicted of neglect or cruelty to animals?
*
Yes
No
FALSIFIED INFORMATION WILL LEAD TO AUTOMATIC REJECTION OF THE APPLICATION. THE VCSPCA RESERVES THE RIGHT TO REFUSE ANY APPLICANT.
I understand that it is my responsibility to see and evaluate the animal for myself before agreeing to adoption. The adoption of a lifelong animal friend should not be impulsive, but rather a carefully thought out decision, which will ensure a loving, lasting relationship.
*
I understand.
Please Provide 2 References:
Reference #1 Name
*
First
Last
Reference #1 Phone
*
Reference #1 Address
*
Reference #2 Name
*
First
Last
Reference #2 Phone
*
Reference #2 Address
*
Please advise your vet that we will be contacting them and that they have your permission to release information to the Victoria County SPCA. I grant authorization to release personal information pertaining to your history of pet care and your ability to care for your pet(s):
Name
*
First
Last
Date
*
MM slash DD slash YYYY
Please feel free to make any comments that you feel are important for us to know:
Additional Information
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First
Last
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