Clarenville Area SPCA - The Gladys Groves Copeland Animal Shelter

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Please be sure to include your contact information, so we can correspond with you.

Adult Name 1:
Adult Name 2:
Address:
City / Prov.:
Postal Code:
Telephone:
Telephone (Evening)
Email Address:
Animal your interested in:

Do you presently own a pet?		Yes No
If Yes, please give details

If No, have you ever owned a pet before?		Yes No
If Yes, please give details including where the animal is now, if still alive.

Do you currently have a Veterinarian?		Yes No
If yes, please provide name, address & phone number.

Do you currently own or rent?		Own Rent

Does your lease allow pets?		Yes No
Please provide landlord's name and phone number.

Are there any children living in your home?		Yes No
If yes, please provide names and ages.

Does anyone living in your household have allergies or asthma? Yes No

Has anyone living in your household ever had an animal confiscated for any reason? Yes No
If Yes, please provide details.

Please check the appropriate boxes which apply to your home if you are wishing to adopt a dog.

	I have a fenced yard.
	I am prepared for housetraining my puppy/dog.
	My dog/puppy will be a house-pet.
	I am prepared to have my puppy/dog spayed/neutered within the required time frame.
	I am aware of the costs of having my new pet spayed/neutered.

Please check the appropriate boxes which apply to your home if you are wishing to adopt a cat.

	My cat/kitten will be an indoor cat.
	My cat/kitten will be allowed outside but will live primarily as a house-pet.
	I am aware that cats/kittens may scratch at furniture.
	I am prepared to have my new pet spayed/neutered within the required time frame.
	I am aware of the costs of having my new pet spayed/neutered.

I have read the Adoption Policies and I am aware of all requirements for adopting an animal from the Clarenville Area SPCA. Yes No

Dogs for Adoption

Cats for Adoption

Other Animals/ Rescue Groups