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Cat and Kitten Adoption Form – Spike’s Rescue
Dog and Puppy Adoption Form – Spike’s Rescue
Foster Form – Spike’s Rescue
Foster/Volunteer Form – Spike’s Rescue
Dog and Puppy Adoption Form – Spike’s Rescue
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Step
1
of 3
Would you like to adopt a dog or a puppy?
Dog
Puppy
Name of dog/puppy if known.
Name of Foster Parent if known
Contact Information
Name
*
First
Last
Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone
Email
*
Emergency Contact Information
*
First
Last
Emergency Contact Phone
About Your Home
Do you own or rent your residence?
Own
Rent
Landlord Name
Landlord Phone Number
Do you have a fenced in yard?
Yes
No
How many adults live in your household?
How many childred live in your household
Age range of the children
3 and under
4-12
13-17
Has everyone agreed to take responsibility for this animal
Yes
No
Next
Reason for Adopting
Is this an impulse adoption?
Yes
No
Is this adoption a gift for someone else?
Yes
No
Who will be taking care of the dog/puppy?
Existing/Previous Pets
Do you currently have any pets
Yes
No
Please describe the pets. Include approximate ages and types/breeds.
Are all pets spayed or neutered?
Yes
No
Have you previously owned any dogs?
Yes
No
Briefly tell us about them
Plans for the New Dog/Puppy
Where will this dog spend most of their time?
Inside
Outside
Screened Porch
Briefly Describe the Environment
How will this dog spend its time when home alone?
Indoors
Outdoors
Briefly Describe the Environment
On average, how many hours will the dog/puppy be home alone?
How do you plan to exercise the dog or puppy?
Do you have a pet door?
Yes
No
If you move, will you take the dog or puppy with you?
Yes
No
Briefly describe a situation where you would not take the dog or puppy with you.
What would prevent you from keeping this dog or puppy now or in the future?
Next
Acknowledgements
Most shelter animals have unknown medical backgrounds. Once you take possession of this animal are you prepared to take it to a licensed veterinarian for regular check-ups and any other necessary medical treatment at your expense?
Yes
No
Are you prepared for the costs of a pet, including food, yearly check-ups, grooming, etc?
Yes
No
Are you aware that this animal requires a lifetime commitment and may live 15+ years?
Yes
No
Do you agree to participate in follow-up calls or visits from Spike's Rescue?
Yes
No
Who is or will be your pet's veterinarian?
Veterinarian's Phone Number
By checking this box, you agree to return the animal to Spike's Rescue if the adoption does not work out.
I agree
Our funds are very tight due to medical and other costs. Therefore, we have a "no refund" policy.
I understand there are no refunds
Please tell us anything else you'd like us to know.
The information above is truthful. I understand Spike's Rescue may refuse adoption for any reason, or confiscate an animal due to false info or improper care. If for any reason I can't keep this animal, I agree to return then to Spike's Rescue.
*
First
Last
Email
*
Submit