SOCA-FBC
PLEASE DO NOT USE FIREFOX OR APPLICATION WILL NOT SUBMIT
Please understand that not all families and pets are compatible. Every effort is made to match traits exhibited by an animal with characteristics you desire in a pet. Our goal is to ensure the welfare of the animal by only placing pets in the best possible home.
To be considered as an adopter, you must be:
• 18 years of age or older and have identification showing present address.
• Prepared to provide proof of age and a copy of your rental agreement or insurance policy if requested.
• Your current pets of the same species are spayed/neutered and up-to-date on vaccinations.
• Willing and able to invest the time and money required to provide proper care for the pet, including but not limited to annual veterinary visits and monthly heartworm and flea prevention.
• Agree to allow us to call your veterinary and references.
• Prepared to pay an adoption fee.
• Prepared to pay a deposit after your application is approved in order to hold any animal. Deposits are non-refundable but will be applied to your adoption fee.
• After approval, be prepared to pay with cash, check or you may go to our website (www.soca-fbc.org) and pay online with either a credit card or debit card under the “Donate” tab. Please put the animal’s name in the notes and let us know when the amount has been paid. If paying through Paypal, please login to Paypal and “send money via friends and family” to socafbc@yahoo.com
First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone*
Cell Phone*
Alt Email
You must be at least 18 years old to apply. Are you over the age of 18?* Choose one: Yes No
You may be asked to provide a copy of your driver's license. Are you willing to provide proof you are over 18 years old?* Choose one: Yes No
If applicable, please select the animal you are applying for. Choose an animal: Abilene Andie A Baby Girl Belle Big Steppy Blossom M Blue Brit B Caesar K Callie Bee Carlie Charro Chester Clancy Dusty Bee Ella Bella Ellie Benelli Ember Geordie Indie KangaRoo Leif Livy Mateo Maxwell Millie W Nino Nori Oso Otis Petal M Phoebe LaRue Pluto J Prissy Ranger Roscoe Rose Rossi Roux B Sandy K Sardie Scruffy Shereece Sidney C Spring W Steffi Taz Teddy Bee Thiago Tillie Tiny Tim Titan A Tobey Trooper Tweety Venus J Wylie Zeus
If the animal's name is not available, please write in the name, animal ID, or n/a.
Where did you find out about the animal you are applying for? Choose one: Adopt-A-Pet Adoption Event Animal Shelter Facebook Friend Other Petfinder SOCA Website
How did you find out about us? FB, IG, online or in-person? *
Best time to call
How long have you lived at above address?
How many adults are there in your family? (Please provide their ages and relationship to you)*
How many children (ages)?*
In what type of home do you live Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing
Please describe your household* Choose one: Active Average Noisy Quiet
Do you own or rent your home Choose one: Rent Own
If you rent, please give the rules governing pets and the landlord’s name and number. By providing this information you are allowing SOCA-FBC to contact your landlord. Please inform them of this call so they will speak with us.
Does your homeowner's insurance have any limitations on having dogs or a specific breed? If so, what or which breeds are not covered?
Does anyone in the family have a known allergy to dogs?
Is everyone in agreement with the decision to adopt a dog?* Choose one: Yes No
Do you have time to provide adequate love and attention?* Choose one: Yes No
What other pets do you have ? For each pet, please list type of pet, sex, age, name (eg: dog, female, 5yrs, Spot*
Are your pets up to date on vaccines? Choose one: Yes No
Are your current pets on monthly heartworm prevention?* Choose one: Yes No N/A
Are these pets spayed/neutered?* Choose one: Yes No
If not, please explain.
Have you ever given up a pet? If yes, please explain*
Have you ever had a pet euthanized? If so, why?*
Have you ever lost a pet to an accident?*
How do you discipline your pets and why?*
Do you have a regular veterinarian or vet clinic?* Choose one: Yes No
Veterinarian’s name:*
Vet Clinic Name:*
Vet Clinic Address:*
Vet Clinic Phone:
By providing SOCA-FBC with this information you are authorizing us to call your vet. Please notify your vet and ask that they release the information on your pets to SOCA-FBC.
What is your idea of an ideal dog and why? (Desired Age, Activity Level, Size, Breed, etc?)*
Is there a breed you would NOT adopt? If so, which breed? *
Desired Sex?
Willing to adopt:
Where will the pet spend the day? Describe.*
Where will the pet spend the night? Describe.*
Number of hours (average) the dog will spend alone?*
Who will have primary responsibility for the daily care?*
Who will have financial responsibility for this dog?*
Do you agree to provide regular healthcare by a Licensed Veterinarian? * Choose one: Yes No
Do you agree to keep the animal on monthly heartworm prevention?* Choose one: Yes No
Do you agree to keep the dog as an indoor dog? If not, why?*
Do you have a fenced yard?* Choose one: Yes No
When the dog goes out, how do you plan to supervise it?*
Do you agree to contact SOCA-FBC if you can no longer keep this animal?* Choose one: Yes No
Are you be willing to let a representative of SOCA-FBC visit your home by appointment?* Choose one: Yes No
Would you be interested in fostering? Choose one: Yes No Would like to know more
If there are any additional comments or information you would like to provide, please use the space below.
By entering my name below, I certify that all of the information I have given is true and complete. This animal will reside in my home as a pet. I will provide it with quality food, plenty of fresh water, indoor shelter, affection, annual physical examination and vaccinations under the supervision of a licensed Veterinarian.
*ALL ADULTS RESIDING IN THE HOUSEHOLD OVER THE AGE OF 18 MUST CERTIFY BY ENTERING THEIR NAMES AND THE DATE BELOW.
Applicant (Signature)(Date)*
Names of All Residents of Household Over 18 (Signature)(Date)