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*Pet's AFS#:
Pet's Description:
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*1st Applicant's Full Name (Including middle Initial):
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*Applicant's Drivers License #: (will be verified at the shelter)
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*Applicant's Date of Birth: mm - dd - yyyy
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2nd Applicant's Full Name (Including middle Initial):
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*Home Phone:
*Work Phone:
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*Email:
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*Address:
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*City:
*State:
*Zip:
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*Do You:
Own
Rent
Live w/ Parents
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*Do You Live In:
House
Trailer
Apartment
Other
If Other, Please Specify:
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*Where will the Pet live during the day?
Inside
Outside
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*Where will the Pet live during the night?
Inside
Outside
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*If the Pet will live outside, what type of shelter do you have? (Check all that apply):
Dog Box
Chain
Fenced Area
Kennel
Other
If Other, Please Specify:
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*When this Pet becomes an adult, will the living area change?
Yes
No
If Yes, Please Specify:
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*Do you plan to have your Pet spayed or neutered?
Yes
No
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*If your Cat is not litter-trained, are you willing to train it?
Yes
No
What Methods would you use?
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*If your Cat claws furniture or scratches people, what methos would you use to correct it?
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*If adopting a Dog, are you willing to train it?
Yes
No
If so, what methods would you use?
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*If your Dog chews, are you willing to train it?
Yes
No
If so, what methods would you use?
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*What Veterinary Office do you use?
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Plan to use?
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*Have you ever adopted from the York County SPCA?
Yes
No
When:
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*Have you ever brought an animal to a shelter?
Yes
No
If so, why?
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*Do you want this Pet as a (Click all that apply):
Companion
Gift
To Breed
Mouser
Protection
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*Does anyone in your household have Pet Allergies?
Yes
No
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*Are you planning to move in the next six months?
Yes
No
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*How long will this Pet be left alone during the day?
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*How long will this Pet be left alone during the night?
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*Most shelter animals have unknown backgrounds. Are you prepared to take this Pet to the Veterinarian within one week for necessary treatment?
Yes
No
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*Do you fully understand that if you can no longer keep this Pet, you must return it to the York County SPCA or do a proper transfer of ownership?
Yes
No
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*Do you understand the State and Local Ordinances concerning (Click all that you understand):
Licensing
Leashing
Rabies Law
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*Do you understand that the SPCA makes no guarantees about the temperament of any animal, that any comments made about the disposition or habits of an animal are based on information provided by the previous owner and are believed to be true and that the SPCA is not liable for future injury or damage caused by this animal?
Yes
No
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List any pets you have had in the past ten years:
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List all members living in your household and the ages of the children:
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*Who will be responsible for pet's care?
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**The YCSPCA has been receiving many adoption applications from non-York County and non-Pennsylvania residents. Because of this we must require additional references since it is more difficult to give an animal back if they are not being cared for properly. Thank-you for your understanding and support.
*Denotes Required Field
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