Fulton County Regional SPCA

What dog are you interested in adopting *

How did you find out about our adoptable dogs?

Applicant's First Name *

Applicant's Last Name *

Street Address *

City *

State *

Zip Code *

Date of Birth *

Email Address *

Phone Number *

Drivers License Number *

Attach a picture of drivers license or other official ID *

Co-adopter name

Co-adopter's Drivers License

Place and Address of Employer

Have you applied anywhere else for a dog? *

If yes, where else have you applied?

About Your Household

Please list the names and ages of everyone in your household, including yourself. *

Does anyone in your household have allergies to dogs/cats? *

If yes, please explain:

I live in a *

Do you: *

If you rent, does your landlord and lease allow dogs?

Please provide your landlord's name and contact information. *

Please send a letter stating that your landlord is giving you permission to have animals on premises to contact@fcrspca.org

Is a deposit required? If so, how much and has it been paid?

Are there any restrictions on size and/or number of pets apply in your subdivision or apartment complex? *

Is there a breed restriction? *

Do you operate a business in your home? *

Have you or anyone in your family ever been convicted of abuse or neglect of a child or animal?

If yes, please explain:

Have you or anyone in your family ever surrendered an animal to the shelter?

If yes, why?

What Veterinarian(s) have you used in the past? *

Date of last visit

What vet will you use for this dog? *

How many pets are currently in your home? *

Name of pet #1

Species of pet #1

Sex of pet #1

Male
Female

Age of pet #1

Is this pet spayed or neutered?

Is this pet up to date on vaccines?

Is this pet on heartworm preventative?

Where does this pet reside?

Inside
Outside

How long have you had this pet?

Name of pet #2

Species of pet #2

Sex of pet #2

Male
Female

Age of pet #2

Is this pet spayed or neutered?

Is this pet up to date on vaccines?

Is this pet on heartworm preventative?

Where does this pet reside?

Inside
Outside

How long have you had this pet?

Name of pet #3

Species of pet #3

Sex of pet #3

Male
Female

Age of pet #3

Is this pet spayed or neutered?

Is this pet up to date on vaccines?

Is this pet on heartworm preventative?

Where does this pet reside?

Inside
Outside

How long have you had this pet?

Name of pet #4

Species of pet #4

Sex of pet #4

Male
Female

Age of pet #4

Is this pet spayed or neutered?

Is this pet up to date on vaccines?

Is this pet on heartworm preventative?

Where does this pet reside?

Inside
Outside

How long have you had this pet?

Name of pet #5

Sex of pet #5

Male
Female

Species of pet #5

Age of pet #5

Is this pet spayed or neutered?

Is this pet up to date on vaccines?

Is this pet on heartworm preventative?

Where does this pet reside?

Inside
Outside

How long have you had this pet?

Name of pet #6

Species of pet #6

Sex of pet #6

Male
Female

Age of pet #6

Is this pet spayed or neutered?

Is this pet up to date on vaccines?

Is this pet on heartworm preventative?

Where does this pet reside?

Inside
Outside

How long have you had this pet?

How many pets have you had in the past 5 years? *

Pet name, species, and age?

Fixed?

Time owned:

What happened to this pet?

Pet name, species, and age?

Fixed?

Time owned:

What happened to this pet?

Pet name, species, and age?

Fixed?

Time owned:

What happened to this pet?

Pet name, species, and age?

Fixed?

Time owned:

What happened to this pet?

Pet name, species, and age?

Fixed?

Time owned:

What happened to this pet?

Fixed?

Pet name, species, and age?

Time owned:

What happened to this pet?

Why do you want to get a dog? *

How long have you considered this decision? *

Please explain why you picked the dog you are applying to adopt:

Do all the adults agree to this adoption? *

Do you want a dog for:

Please explain:

Please explain

Please explain:

Animal Care Information

Who will be responsible for the care of this dog? *

Where will this dog live? *

Where will this dog be kept? *

If crated or kenneled, how many hours a day? Type and Size of crate?

If outside, how many hours per day?

Where will it be kept when unattended? *

How many hours per day will this dog be left with no one home? *

Where will this dog sleep?

How will you keep your dog confined?

What will you do with this pet when you go on vacation?

If you answered "other" above, please explain:

Where will your dog be able to relieve itself? *

Where and how will you exercise your dog? How often?

Do you have a completely fenced-in yard? If so, what kind of fence?

How will you transport this dog?

Dogs often live in excess of ten years. Are you prepared to assume responsibility for that long? *

Can you invest the time and effort to allow this dog to adjust to its new home? *

How long seems reasonable for this? Please explain. *

With any new pet, there may be “accidents” during the adjustment period. How will you handle the adjustment process? *

You will probably have to house-train a new puppy. Please explain your method of house training:

What type and traits are you looking for? (pick all that apply) *

What preferences and personality traits are you looking for in a dog?

What traits do you consider undesirable?

What will you do if the dog demonstrates any of the following behaviors: digging, chewing, not getting along with other pets, difficulty adjusting to household? *

Do you plan to take this dog to training classes, and if yes, what kind?

How much would you spend on your dog in an emergency situation?

What type of food will you feed this dog? *

How would you prevent heartworms?

Are the dog(s) you have at home now (or was the dog you last owned) on a heartworm preventative?

Will you keep this dog up-to-date on vaccinations and heartworm preventative? *

If no, please explain:

If this dog requires surgery or special care, what would you do? *

If the dog were lost, what would you do? *

What do you consider valid reasons for giving up a pet: (mark all that apply) *

Please explain

What reason(s) would cause you to give up this dog? *

If you have to give up this dog, what will you do with it? *

Is there anything else that you think that is important or that you would like to add?

Will you allow us to perform home checks?

Please provide 3 personal references including phone numbers. You may include any previous shelters or rescue groups you have adopted from in the past. *

Anything else you would like us to know?

By submitting this application, I certify that the above information is true and correct. I understand that false information may result in denial of adoption and/or revocation of adoption. Fulton County Regional SPCA, Inc. reserves the right to approve or deny adoption to anyone for any reason. Fulton County Regional SPCA, Inc.’s main interest is in the well-being and proper placement of the dog. The submission of this application is not a guarantee of adoption.

Dog Adoption Application

Thank you for your interest in adopting!

About Your Household

Animal Care Information