MobileSPCA.org - A NO-KILL ADOPTION GUARANTEE HUMANE SOCIETY SINCE 1885

Personal Information
Name
Address
City
State
Zip
Home Phone
Cell Phone
Work Phone
Where do you work?
Email address
Are you 21 years or older?	Yes No
How did you find out about this pet?
Is this your first experience with a dog or cat?	Yes No
Have you previously adopted from us?	Yes No If yes, when Cat Dog
What kind of pet are you looking for today?
Specifically, which pet are you interested in?
Why do you want a pet?	House Pet Guard Dog Gift Barn Cat Companion For other pet
Do you have a fenced yard?	Yes No How tall? 4' 6' 8' Over 8'
Kind of fence	Chain Link Board Other
How will you keep your pet confined properly? Check all that apply.	Kennel In Garage Inside Home Chain Trolley Dog House Fenced Yard Other
Where will the pet stay when you are gone during the day?
Where will the pet sleep at night?
How will you exercise your new pet?
What qualities are you looking for in a pet?
How would you describe your lifestyle?
How long has it been since you've had a puppy or kitten?
What types of activities would you like to do with your pet?
Are you familiar with leash and licensing laws in your community?	Yes No
Are you financially able to take your pet to the vet and provide necessary monthly treatment and annual vaccinations?	Yes No
Are you familiar with canine heartworm disease?	Yes No
If yes, what kind of preventative do you use?
Are you familiar with feline leukemia?	Yes No
Do you own, rent, or live with your family?	Own Rent Live with family
If you rent, is there a pet deposit?	Yes No
Is it a house, apartment, condo, or mobile home?	House Apartment Condo Mobile Home
How long have you lived there?	Less than 2 years More than 2 years
If less than 2 years, what is your previous address?
Have you paid the deposit if there is one?	Yes No
Name of complex:
Is this pet going to be living with you?	Yes No
If not, who?
How many people live in your household?
What are the ages of any children living in your home?
Are you aware of crate training?	Yes No
Are you aware of obedience lessons?	Yes No
Who is your veterinarian?

What pets currently live in your home?
Pet 1 Name
Pet 1 Breed
Pet 1 Kept where
How old is Pet 1 now?
How many years have you owned Pet 1?
Is Pet 1 spayed or neutered?	Yes No
Pet 2 Name
Pet 2 Breed
Pet 2 Kept where
How old is Pet 2 now?
How many years have you owned Pet 2?
Is Pet 2 spayed or neutered?	Yes No
Do you own more than 2 pets?	Yes No
If yes, how many?

What pets have you owned in the past?
Pet 1 Name
Pet 1 Breed
What happened to Pet 1?
How old was Pet 1 when it left you?
How many years did you own Pet 1?
Was Pet 1 spayed or neutered?	Yes No
Pet 2 Name
Pet 2 Breed
What happened to Pet 2?
How old was Pet 2 when it left you?
How many years did you own Pet 2?
Was Pet 2 spayed or neutered?	Yes No
Pet 3 Name
Pet 3 Breed
What happened to Pet 3?
How old was Pet 3 when it left you?
How many years did you own Pet 3?
Was Pet 3 spayed or neutered?	Yes No

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: To provide food, water, shelter and humane treatment for this animal at all times. To provide annual vaccinations and veterinary exams required by law. 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. To not allow this animal to be used for experimentation. To not use this animal as a guard dog. To submit to an investigation should it be determined that the conditions of this contract are not being complied with. To allow the Mobile SPCA to contact my current or previous veterinarians to check my record of ownership. To accept full responsibility for this animal’s temperament and personality. That I am 21 years old or older. That I am a resident of Mobile, Baldwin, Washington, Clarke, Monroe or Escambia counties in Alabama, Escambia County, Florida or Jackson or George counties in Mississippi. This limited area is to ensure that, if there is a problem, it will be easy for you to return the pet anytime during its lifetime. 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. I understand that if I can no longer care for this pet in the manner set forth in this agreement that I must return the animal to the Mobile SPCA. IF I BREACH THIS CONTRACT I MAY BE LIABLE FOR LIQUIDATED DAMAGES IN THE AMOUNT OF $1000. I understand that the Mobile SPCA reserves the right to refuse adoption for any reason at any time. I understand that the Mobile SPCA reserves the right to reclaim said pet if conditions of this agreement are not met. 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. I understand that cats and kittens will be taken home in a carrier. I understand that I will have the proper facilities to maintain and contain this pet. That all pets in the household have current veterinary care. If this pet does not work out, you may return him/her within one week and you will be refunded 50% of your adoption fee. After one week no fees are refunded.
Signed:	Date:
The Mobile SPCA is a member of Maddie's ® Pet Rescue Project in Mobile County

See all of our pets for adoption.
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THE MOBILE SPCA IS A NO-KILL ADOPTION GUARANTEE HUMANE SOCIETY SINCE 1885

M-F 9 to 5:30 and Sat 10 to 4