Pet Adoption | The Chenango SPCA - Animal Shelter For Pet Adoptions, and Animal Care

Email

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To ensure your application is properly submitted, please read the following:

*Make sure to answer ALL questions on the application. If a question does not apply to you, please enter "0" or "NA"! You will be taken to a confirmation page after your application has been successfully submitted!

Adoption Fees

Dog: $155; Cat: $100; Adoption fees are currently waived thanks to the Safe Haven Fund!

Which animal you are looking to adopt?*

If you're not applying for a specific animal, please type "none."

Is the animal a cat or dog?*

Cat
Dog

Personal Information

Name*

First Last

Spouse's or Significant Other's Name

First Last

Date

Phone*

Physical & Mailing Address*

Street Address City State ZIP Code

Email*

Employer*

Occupation*

Spouse's or Significant Other's Employer

Spouse's or Significant Other's Occupation

Do you own your home?*

Do you own the land your home is on?*

What is your landlord's name?

First Last

Landlord's Phone Number

Are you over the age of 18?*

Do you plan to move in the next 6 months?*

Prior & Current Pet Information

Please list ALL the pets you currently have in your home:*

Please include name and species, as well as any pets that belong to anyone who lives with you, or who comes and stays for any significant period.

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Are they currently all spayed/neutered

Yes
No

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Are they currently up to date on their vaccination*

Yes
No

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Have you ever surrendered an animal to the shelter?*

Yes
No

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List of the pets you have previously owned, in the last 10 years.*

Include: reason why you no longer have the animal.

Veterinarian's Name:*

Phone Number of Veterinarian's Office:*

General Inquires

Do you have any children in your home?*

Yes
No

What are their ages?*

Please list anyone else that resides with you or stays for an extended period of time.*

On average, how long will the pet be alone during the day?*

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How do you plan to deal with behavioral issues if they arise?

Dog-Specific Questions

Complete these questions only if you're applying to adopt a dog.

How is the dog going to be confined to your property?

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Have you owned a dog in the past?

Yes
No

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Have you adopted a dog from a shelter in the past?

Yes
No

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Are you familiar with crate training?

Yes
No

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Are you familiar with house breaking?

Yes
No

Is this going to be an indoor or outdoor dog?

Indoor
Outdoor
Both

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Are you familiar with grooming needs?

Yes
No

Cat-Specific Questions

Complete this portion only if you're applying to adopt a cat.

Is this going to be an indoor or outdoor cat?

Indoor
Outdoor
Both

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Do you plan on declawing?

Yes
No

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Have you adopted a cat from a shelter in the past?

Yes
No

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Are you familiar with grooming needs?

Yes
No

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Part 6-Personal References ( NON FAMILY)

List 2 non-family personal references.

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Name*

First Last

First Reference

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Phone*

First reference

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Relationship*

First reference

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Name*

First Last

Second Reference

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Phone*

Second Reference

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Relationship*

Second Reference

Certification

MUST READ*

I agree to these terms.

I certify that the above information is accurate and complete to the best of my knowledge. I understand that the CSPCA has the right to reclaim the animal if any given information is found to be false. I authorize the release of veterinarian information related to my current and past pets. I understand the costs associated with owning a pet, that these costs can range from $400-800 annually, and that there may be additional costs due to injury or illness. Photo ID may be required.

Sign Here:

Online Signature*

Please type your full name confirming that you have read and understand the above statement.

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Online Signature-Error

Please type your full name confirming that you have read and understand the above statement.

Look for our confirmation page to ensure your application was submitted correctly!

Once you complete the application and submit, you will be redirected to a confirmation page.

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Ref 1- Do you think they are exceptional pet owners?

Yes
No

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Ref 1- Would you trust them to watch your pet if you were away?

Yes
No

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Ref 2- Do you think they are exceptional pet owners?

Yes
No

Adoptions

Adoption Application

To ensure your application is properly submitted, please read the following:

Adoption Fees

Personal Information

Prior & Current Pet Information

General Inquires

Dog-Specific Questions

Cat-Specific Questions

Part 6-Personal References ( NON FAMILY)

Certification

Sign Here:

Look for our confirmation page to ensure your application was submitted correctly!

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