General Adoption Application
Species of pet you would like?
*
Bird
Cat
Chicken
Chinchilla
Dog
Ferret
Gerbil
Goat
Guinea Pig
Hamster
Horse
Mouse
Pig
Pony
Rabbit
Rat
What age group are you interested in? (select all that apply)
Puppy/Kitten
Young Adult
Adult
Senior
What is your preferred sex of animal?
*
Male
Female
No peference
Preferred size when fully grown?
*
Small
Medium
Large
Extra Large
No preference
Desired breed?
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Abyssinian
Affenpinscher
Afghan Hound
Airedale Terrier
Akbash
Akita
Alaskan Malamute
American
American Bulldog
American Curl
American Eskimo Dog
American Fuzzy Lop
American Sable
American Shorthair
American Staffordshire Terrier
American Water Spaniel
American Wirehair
Anatolian Shepherd
Angora Rabbit
Appaloosa
Appenzell Mountain Dog
Applehead Siamese
Arabian
Australian Cattle Dog/Blue Heeler
Australian Kelpie
Australian Shepherd
Australian Terrier
Balinese
Basenji
Basset Hound
Beagle
Bearded Collie
Beauceron
Bedlington Terrier
Belgian Hare
Belgian Shepherd Dog Sheepdog
Belgian Shepherd Laekenois
Belgian Shepherd Malinois
Belgian Shepherd Tervuren
Bengal
Bernese Mountain Dog
Beveren
Bichon Frise
Birman
Black and Tan Coonhound
Black Labrador Retriever
Black Mouth Cur
Bloodhound
Bluetick Coonhound
Bobtail
Bombay
Border Collie
Border Terrier
Borzoi
Boston Terrier
Bouvier des Flanders
Boxer
Boykin Spaniel
Briard
Britannia Petite
British Shorthair
Brittany Spaniel
Brussels Griffon
Bullmastiff
Bull Terrier
Bunny Rabbit
Burmese
Burmilla
Cairn Terrier
Calico
Californian
Canaan Dog
Canadian Hairless
Cane Corso Mastiff
Carolina Dog
Catahoula Leopard Dog
Cattle Dog
Cavalier King Charles Spaniel
Champagne D'Argent
Chartreux
Checkered Giant
Chesapeake Bay Retriever
Chihuahua
Chinchilla
Chinchilla
Chinchilla
Chinese Crested Dog
Chinese Foo Dog
Chocolate Labrador Retriever
Chow Chow
Cinnamon
Clumber Spaniel
Clydesdale
Cockapoo
Cocker Spaniel
Collie
Coonhound
Corgi
Cornish Rex
Coton de Tulear
Cow
Creme D'Argent
Cymric
Dachshund
Dalmatian
Dandi Dinmont Terrier
Devon Rex
Doberman Pinscher
Dogo Argentino
Dogue de Bordeaux
Domestic Long Hair
Domestic Medium Hair
Domestic Short Hair
Donkey/Mule
Draft
Dutch
Dutch Shepherd
Dwarf
Dwarf Eared
Egyptian Mau
English Bulldog
English Cocker Spaniel
English Coonhound
English Lop
English Pointer
English Setter
English Shepherd
English Spot
English Springer Spaniel
English Toy Spaniel
Entlebucher
Eskimo Dog
Exotic Shorthair
Extra-Toes Cat (Hemingway Polydactyl)
Ferret
Field Spaniel
Fila Brasileiro
Finnish Lapphund
Finnish Spitz
Fish
Flat-coated Retriever
Flemish Giant
Florida White
Foxhound
Fox Terrier
French Bulldog
French-Lop
Gaited
Gecko
Gerbil
German Pinscher
German Shepherd Dog
German Shorthaired Pointer
German Wirehaired Pointer
Glen of Imaal Terrier
Goat
Golden Retriever
Gordon Setter
Grade
Great Dane
Greater Swiss Mountain Dog
Great Pyrenees
Greyhound
Guinea Pig
Hamster
Harlequin
Havana
Havana
Havanese
Hedgehog
Himalayan
Himalayan
Holland Lop
Hotot
Hound
Hovawart
Husky
Ibizan Hound
Iguana
Illyrian Sheepdog
Irish Setter
Irish Terrier
Irish Water Spaniel
Irish Wolfhound
Italian Greyhound
Italian Spinone
Jack Russell Terrier
Japanese Bobtail
Japanese Chin
Javanese
Jersey Wooly
Jindo
Kai Dog
Karelian Bear Dog
Keeshond
Kerry Blue Terrier
Kishu
Komondor
Korat
Kuvasz
Kyi Leo
Labrador Retriever
Lakeland Terrier
Lancashire Heeler
Leonberger
Lhasa Apso
Lilac
Lionhead
Lizard
Llama
Lop Eared
Lowchen
Maine Coon
Maltese
Manchester Terrier
Manx
Maremma Sheepdog
Mastiff
McNab
Miniature Pinscher
Mini-Lop
Mini Rex
Missouri Foxtrotter
Mixed Breed
Morgan
Mountain Cur
Mountain Dog
Mouse
Munchkin
Munsterlander
Mustang
Neapolitan Mastiff
Netherland Dwarf
Newfoundland Dog
New Guinea Singing Dog
New Zealand
Norfolk Terrier
Norwegian Buhund
Norwegian Elkhound
Norwegian Forest Cat
Norwegian Lundehund
Norwich Terrier
Nova Scotia Duck-Tolling Retriever
Ocicat
Old English Sheepdog
Oriental Long Hair
Oriental Short Hair
Oriental Tabby
Otterhound
Paint/Pinto
Palomino
Palomino
Papillon
Parakeet (Other)
Paso Fino
Patterdale Terrier (Fell Terrier)
Pekingese
Percheron
Persian
Peruvian Inca Orchid
Peruvian Paso
Petit Basset Griffon Vendeen
Pharaoh Hound
Pig (Farm)
Pit Bull Terrier
Pixie-Bob
Plott Hound
Pointer
Polish
Polish Lowland Sheepdog
Pomeranian
Pony
Poodle
Portugese Podengo
Portuguese Water Dog
Pot Bellied
Prairie Dog
Presa Canario
Pug
Puli
Pumi
Quarterhorse
Ragamuffin
Ragdoll
Rat
Rat Terrier
Redbone Coonhound
Retriever
Rex
Rhinelander
Rhodesian Ridgeback
Rottweiler
Russian Blue
Saddlebred
Saint Bernard St. Bernard
Saluki
Samoyed
Satin
Schipperke
Schnauzer
Scottish Deerhound
Scottish Fold
Scottish Terrier Scottie
Sealyham Terrier
Selkirk Rex
Setter
Shar Pei
Sheep
Sheep Dog
Shepherd
Shetland Sheepdog Sheltie
Shiba Inu
Shih Tzu
Siamese
Siberian
Siberian Husky
Silky Terrier
Silver
Silver Fox
Silver Marten
Singapura
Skunk
Skye Terrier
Sloughi
Smooth Fox Terrier
Snake
Snowshoe
Somali
South Russian Ovcharka
Spaniel
Sphynx (hairless cat)
Spitz
Staffordshire Bull Terrier
Standardbred
Sugar Glider
Swedish Vallhund
Tan
Tennessee Walker
Terrier
Thai Ridgeback
Thoroughbred
Tibetan Mastiff
Tibetan Spaniel
Tibetan Terrier
Tiger
Tonkinese
Tosa Inu
Toy Fox Terrier
Treeing Walker Coonhound
Turkish Angora
Turkish Van
Turtle
Vietnamese Pot Bellied
Vizsla
Warmblood
Weimaraner
Welsh Corgi
Welsh Springer Spaniel
Welsh Terrier
West Highland White Terrier Westie
Wheaten Terrier
Whippet
White German Shepherd
Wire-haired Pointing Griffon
Wirehaired Terrier
Xoloitzcuintle/Mexican Hairless
Yellow Labrador Retriever
Yorkshire Terrier Yorkie
First Name
*
Last Name
*
Date of Birth
*
Street Address
*
City
*
State
*
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
How long have you lived at this address?
*
Email Address
*
Cell Phone
*
Home Phone
Occupation
*
Name of employer
*
Are you a veteran?
*
No
Yes
Why do you want to adopt this pet?
*
Do you have other pets?
*
No
Yes
Please list their Species, Age, Sex and if they are Spayed/Neutered.
Who will be responsible for this animal? Please choose all that apply.
*
Myself
Spouse
Children
Family Member
Roommate
Friend
Are you a frequent traveler?
*
No
Yes
Where will this animal stay while you're away?
Please list all occupants in your home. (Name, Age, and Relation to You)
*
Do you rent your home?
*
No
Yes
Please provide you landlord's Name and Phone Number.
I agree, in accordance with the DCSPCA adoption contract, that if I cannot keep this animal for any reason, I will return the animal to the DCSPCA (I will not rehome or give away the animal without contacting the DCSPCA first).
*
No
Yes
How many hours per day will this dog be left alone?
*
0-4 Hours
5-9 Hours
10+ Hours
Where will this dog be when left alone?
*
How do you plan to train this dog?
*
Enroll in obedience class
Hire a trainer to visit my home
I will train the dog myself
Do you acknowledge that it can take up to 2 months for a dog to adjust to a new home?
*
No
Yes
Have you ever had a declawed cat?
*
No
Yes
How many hours per day will this cat be left alone?
*
0-4 Hours
5-9 Hours
10+ Hours
When left alone, where will this cat be kept?
*
This cat will be:
*
Indoors
Outdoors
Both
What is your plan to introduce this animal to other animals in your home?
*
Do you acknowledge that it can take up to 3 months for a cat to adjust to a new home?
*
No
Yes
Where will this rabbit be housed?
*
How many hours per day will this rabbit be left alone?
*
When left alone, where will this rabbit be kept?
*
If caged, how often do you plan to take this rabbit out for playtime and exercise?
*
Do you acknowledge that it can take up to 3 months for an animal to adjust to a new home?
*
No
Yes
Where will this chinchilla be housed
*
How many hours per day will this chinchilla be left alone?
*
Where will this ferret be housed?
*
How many hours per day will this ferret be left alone?
*
Where will this gerbil be housed?
*
How many hours per day will this gerbil be left alone?
*
Where will this guinea pig be housed?
*
How many hours per day will this guinea pig be left alone?
*
Where will this hamster be housed?
*
How many hours per day will this hamster be left alone?
*
Where will this mouse be housed?
*
How many hours per day will this mouse be left alone?
*
Where will this rat be housed?
*
How many hours per day will this rat be left alone?
*
Please provide a personal reference. (Name, Phone #, Relationship)
*
Please provide a personal reference. (Name, Phone #, Relationship)
*
Please provide a personal reference. (Name, Phone #, Relationship)
*
Please provide the Name and Phone # of your current Veterinarian.
*
*
I give the veterinarian named permission to release any and all medical information about my animals, past and present, to the DCSPCA.
For the purpose of adopting, I certify that the above statements are true and complete. The DCSPCA retains the right to deny any adoption due to false information, or if the staff believes that it is in the best interest of the animal.
*
Clear