Small Animal Adoption Profile Form Page 2
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210 What kind of small companion animal are you hoping to adopt?
q rabbit
q guinea pig
q rat
q hamster
q mouse
q other: _____________________________
11 Please describe what you are looking for in this pet. Why do you want this particular animal as a pet?
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12 Where have you researched this kind of animal’s needs?_________________________________________
13 What can you tell us about this animal to show that you know about this animal’s care? __________
__________________________________________________________________________________________________
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14 Where will your animal stay during the day? _______________________ At night? ___________________
15 How did you learn about us?
q word of mouth/friend
q website
q newspaper
q tv
q previous adopter
q radio
q other: _________________________
16 Did you have a specific animal in mind -- one you already knew was here? q Yes q No
If yes, how did you learn that animal was here?
q PHS/SPCA Animal Hotline -- our recorded announcement
q website
q newspaper
q tv
q radio
Please tell us which one:___________________________________ q other: _____________________________________
I certify that all the information in this application is true and I understand that false information may
void the adoption and future adoptions from the Peninsula Humane Society & SPCA.
17 Signature _________________________________________________________ Today’s Date ______________
PHS/SPCA reserves the right to deny adoptions. Our priorities are the health, safety and future well-being of the animals in our care and the health,
safety and expectations of people who visit us with hopes of finding a pet who will match their interests, lifestyle and existing companion animal(s).
this section to be completed by PHS/SPCA
Counselor: ___________________________
I have reviewed these topics (amount of time to vary, depending on adopter’s experience):
q spaying/neutering
q pet proofing your home
q our “ideal” home/caging
q solutions to less than ideal situations
q destructive chewing/solutions
q introducing animal to children living in the household
q litterbox training
q PHS/SPCA Free Behavior Helpline
q vaccinations and routine veterinary care
q your small companion with other animals (dogs, cats)
q shelter behavior vs. behavior at home -- what to expect in first few days...weeks later
Adoption finalized?
q
Yes
q
No If no, why not? _____________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Adoption Follow-up
Date of counselor’s follow-up call?_______________
Forwarded to Behavior Dept.?
q
Yes
q
No
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