Company Santa Cruz SPCA Adoption Application Please take a moment to complete this adoption profile so that we can help find the best possible match for both you and the animals!Which animal(s) are you interested in? (if you aren't sure yet, enter "undecided" into the animal name field) Animal Name(s) * Animal Type * Information About You Your Full Name * Spouse or Partner's Name (if applicable) Street Address * City/State * Zip Code * Home Phone * Cell Phone * CA Driver's License # or CA ID * DOB (example: 4/09/75): * Email Address * Emergency Contact Please list someone you trust OUTSIDE of your household. This information will be used as an alternate contact for your animal's microchip Name of Emergency Contact * Phone Number * Household Information Do you: * Own (we will verify) Rent (lease or landlord letter required) Live with Parents (home owner approval required) What type of home do you live in? * House Apartment/Condo Mobile Home Studio Rent a room Other If Other, please describe How many total adults live in your household, including yourself? * How many adults identify as MALE: * How many adults identify as FEMALE? * How many children live in your household? * List the age/sex of each child (example: 14/M, 10/F, 2/F): The activity level in my home is * Low Medium High On average, I'm * Rarely home At home fairly often Home all day Other (please fill out "Other" field) If Other, please describe On a typical day, how many hours will your pet be WITHOUT human company? * When you are home, where will your pet spend its time? * Indoors Outdoors Access to go in/out Garage When you are NOT home, where will your new pet spend its time? * Indoors Outdoors Access to go in/out Garage At night, where will your new pet spend its time? * Indoors Outdoors Garage Does your property have a fenced yard? * Yes No If yes, how tall is the fence (in feet) and what is it made of? What behaviors or circumstances, if any, may cause you to give up a pet? * Current Pets How many DOGS do you currently have? * 0 1 2 More than 2 How many CATS do you currently have? * 0 1 2 More than 2 What other types of pets do you own? Where do you keep them? How long have you owned them? Past Pets in HouseholdPlease tell us about the dog(s) or cat(s) that you've had but no longer own. Have you owned a dog in the past? * Yes No Have you owned a cat in the past (excluding any current)? * Yes No Veterinary Information My current veterinarian is * Do you need a recommendation for a vet? Yes No Matchmaking Information What is the age range you are looking for in a pet? (check all that apply) * Under 1 year 1-5 years 5-10 years 10+ years No Preference - I'm open! What gender are you looking for in a pet? (check all that apply) * Male Female No Preference I'm looking to adopt a pet for (check all that apply) * Running/Hiking/Outdoor Activity Cuddling/Snuggling/Companionship Protection/Alarm/Safety Hunting/Mousing Companionship for other pet Companionship for child A gift for someone else Other If Other, please describe How much time are you willing to exercise your dog/cat daily? (Check all that apply) * Less than one hour One hour or more None Other If Other, please describe What kind of exercise are you willing to provide? (Check all that apply) * Walking Jogging Bicycling Playing fetch Indoor playtime Dog park time Playdates Day care (group play) How willing are you to take your dog to training classes? * Very willing, the more structured training the better Somewhat willing, I will enroll in a class if I feel I need it Willing to do some at-home training on my own Not interested in training classes I’m adopting a cat, this does not apply I'm looking for a dog/cat that is (Click on all that apply) * Good or tolerant with other dogs Good or tolerant with other cats Good with children Good or tolerant with all people Good with a wheelchair/walker Good with other animals (rabbits, birds, etc.) Good with me, none of the other things matter. Which of the following personality type(s) do you feel most drawn to? * Social Butterfly Energetic Athlete Shy Wallflower Independent Explorer Netflix and Chill Affectionate Cuddle Bunny Life of the Party Scaredy Cat Sassy Pants Bookworm Which of the following animal behaviors do you have prior experience with? (Check all that apply) * Shy/Fearful/Timid Reactivity to other dogs or cats Reactivity to strangers Escape Artistry Separation Anxiety Housetraining Issues Handling Sensitivities I don’t have experience with any of these behaviors Which of the following behaviors would you NOT be willing/able to work with? (Check all that apply) * Shy/Fearful/Timid Reactivity to other dogs or cats Reactivity to strangers Escape Artistry Separation Anxiety Housetraining Issues Handling sensitivities I am NOT willing/able to work with any of these behaviors I am willing/able to work with ALL of these behaviors Does any member of your household have allergies to animals? * Yes No What coat type(s) do you prefer? * Short and Easy Wirey Bedhead Long and Luxurious Medium Length/Fluffy Cute and Curly (low-shed) No Preference What are your thoughts on a pet that would require professional grooming? * I’ve had pets who require professional grooming and am ready for another I’ve never had a pet that required professional grooming, but am open to adopting one I’d rather not adopt a pet who requires professional grooming General Information I'd like more information on (check all that apply) Time Commitment Financial Commitment Introduction to other animals House-training/Litter-box training Destructive Behavior Barking Intro to children in the home Behavior Training Vaccinations, routine vet care, general health What to expect in the first few weeks/months How did you hear about us? (Check all that apply) Word of mouth/friend Website Facebook Instagram Newspaper Radio Other If other, please describe * I certify that all the information in this application is true and I understand that false information may void the adoption and future adoptions from the SCSPCA Sign Below
