Small Animal Application

ATTENTION

If you have recently submitted an application for a small animal, please do not submit another.

Instead e-mail adoptions@aacspca.org to have your application that is already on file moved to a new small animal.

Submitting multiple applications will only slow how fast your application(s) are worked.

* Appointments with animals are by invitation only IF you pass our preliminary screening process

* We are not obligated to contact or inform you should you not pass our preliminary screening process so please complete our questions with as much detail as possible to ensure you do

* You may be notified via email of an update on your application. Please monitor your spam folder for further correspondence.

* We reserve the right to decline any Request for Adoption application

Animal Info

Animal:
ALEX - 46526766Adam Jr - 54007559Amethyst(w/ Benji) - 46684100Anchovy(w/ Piranha,Flounder) - 56925075Benji(w/Amethyst) - 56245074Betty Lou(w/Prarie dawn) - 50381645Blu - 57041639Brisbane - 55472872Brownie - 54151621Camille(w/ Giselle) - 55405753Canary(w/Ruby and Rosie) - 52751011Chip - 47820242Chorizo - 51776514Cream Soda(w/Rootbeer) - 56000769Darwin - 55472943Dash(bonded w/ Elan) - 54151112Daulin(w/ Luella) - 55023677Ekans - 55806900Elan(bonded w/Dash) - 54151105Flounder(w/ Anchovy,Piranha) - 56925066French Toast(bonded with Waffles) - 48822689Ghost(w/Spongebob) - 46652769Giselle(w/Camille) - 55405359Goldie(w/Mahogany) - 52751024Grumpy - 55520164Ham - 51776512Happy - 55520174Joey - 55472968Kiki - 54581658Layla - 54921811Luella(w/Daulin) - 55023659Mahogany(w Goldie) - 52751008Maude - 57313235Melbourne - 55472988Mickey - 57313215New Guinea(w/Pig latin) - 56474680Noel ( Piggy Sue( w/ Mary Tyler Boar) - 51682063Nutmeg - 55237619Oreo - 56866231Oreo Silk - 43519245Pancake(w/ Peaches and Peanut Butter) - 57186735Parsnip - 54007553Pastrami - 51776518Peaches(w/ Pancake and Peanut Butter) - 57186620Peanut Butter(w/ Peaches and Pancake) - 57186602Pig Latin(w/New Guinea) - 56474738Piranha(w/ Anchovy,Flounder) - 56925056Prairie Dawn(w/Betty Lou) - 50381661Priscilla - 56071993Pumpkin - 57141707Radish - 38095527Roast Beef - 51776513Roo - 55473016Root beer(w/Cream Soda) - 56000751Rosie(w/Canary, Ruby) - 52751020Ruby(w/ Rosie and Canary) - 52751013Scary Spice(w Posh) - 51594820Shadow (Mary Tyler Boar(w/ Piggy Sue) - 51682069Spongebob(w/Ghost) - 53869837Sydney - 55473226Waffles(bonded with French Toast) - 48822698Willow - 55257486Wombat - 55472921

Applicant Info

Applicant Full Name

First Name:

Middle Name:

Last Name:

Age:

Phone #:

Email Address:

Address:

Apt #:

City:

State:

Zip Code:

County:

Co-Applicant Info

Co-Applicant Full Name

First Name:

Middle Name:

Last Name:

Age:

Phone #:

Email Address:

Homeowner Info

Do you:
Own
Rent
Live with relative

Who is the homeowner/landlord?

Homeowners/Lordlords Phone #:

Applicant Home

Could you be moving/being deployed soon?

Yes No

Please explain:

If you had to move/be deployed, what would you do with the animal?

Are you currently employed?
Yes No Retired

Where?

How many other adults and children live in the home?


Please list their name, age, and contact numbers below:

Does anyone in the home suffer allergies related to animals?
Yes No

Please explain:

By your best estimate, how much money do you anticipate to spend on a pet each year (vet care, food, toys, etc)
$

Small Animal Care

How many hours per day would the animal be left alone on a normal day?

Who will be the animals primary caregiver?

Where will this animal be kept?
Indoors
Outdoors
Not sure yet

Are you familiar with the type of animal you're applying for?
Yes No

Please explain:

Please describe your PREVIOUS pets (Include pet names, breeds, spayed/neutered, dates owned, etc.):

Please describe your CURRENT pets (Include pet names, breeds, spayed/neutered, when owned, etc.):

Which veterinary hospital did your previous pets attend?

Veterinary Hospital Phone #:

Which veterinary hospital do your current pets attend?

Veterinary Hospital Phone #:

What persons name would the vet records be under?

Are your current pets up-to-date on vaccines and preventative medications?
Yes No N/A

What would you consider a valid reason to give up/return this animal?

Have you ever surrendered to a shelter or re-homed an animal before?
Yes No

Please explain:

Please use this box for any additional information you'd like us to know:

SUBMIT