Adoption Application

Please fill out the information below to submit your application for pet adoption.

Note: We reserve the right to refuse any adoption we consider unsatisfactory. Please fill all applicable fields.

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BEFORE YOU PROCEED...

YCSPCA requires that you please contact your veterinary office to authorize the release of your pet’s medical records to the York County SPCA.

Before an adoption application can be processed, YCSPCA must confirm with your vet that medical records be released.

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Tell Us About the Pet

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Applicant Information

(Including Middle Initial)
(Will be verified at the shelter)
(mm/dd/yyyy)
Let Us Know What Your Plans are for Your Pet.

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SPCA Disclaimer

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 the 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?

List Any Pets You Have Had in the Past Ten Years.

Pet 1

Pet 2

Pet 3

Pet 4

Pet 5

Members of your Household

** 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.

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