Dog Adoption Profile Form Page 2
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29 Who is your veterinarian? _______________________________________________________________________
10 How much money do you anticipate spending per year for food, training, toys, vet bills, etc?
q less than $100
q more than $100
Your guess as to yearly amount spent on a pet $ _________
11 Your new pet will spend its time?
q mostly indoors
q mostly outdoors
q out during the day / in at night
q free access to indoors & outdoors
12 How do you plan to get your new dog to adjust to your existing pets? ____________________________
_________________________________________________________________________________________________
13 How do you plan to housetrain your new companion? ___________________________________________
__________________________________________________________________________________________________
14 How did you learn about us?
q word of mouth/friend
q website
q newspaper
q tv
q previous adopter
q radio
q other: _________________________
15 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.
16 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 time commitment (incl. exercise, training)
q financial commitment
q escaping/prevention
q introducing dog to children living in the household
q housetraining
q PHS/SPCA obedience classes, Dog Day Mornings
q vaccinations and routine veterinary care
q separation anxiety/solutions
q outdoor pet’s access to the house
q surrendering back to PHS/SPCA -- utilizing the Helpline
q dog’s shelter behavior vs. behavior at home
q introducing dog to other animals in the household
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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