Name of dog you are interested in adopting; if you are not sure of a particular dog, enter "View": * Your age: * Mailing Address If Different from Home Address: Please provide you main contact number: * Main contact number: * Alternate contact number: Email: * A home visit may be required prior to adoption. Are you agreeable to this? * List any pets you currently have or have had in the past five years and their ages. * Where are these animals now? How many of these pets are spayed/neutered? Have you ever given up a pet? * Are all of your animals current on vaccinations? * Please select your current or if you do not have a current veterinarian, any veterinarian clinic you have used within the last 5 years. If not on the list, select "Other". If you do not have a veterinarian clinic, select "Do Not Have A Vet": * Astoria Animal Hospital 503-325-1581 Bayshore Animal Hospital 503-861-1621 Columbia Veterinary Hospital 503-325-2250 Country Pet Veterinary Clinic 360-484-7228 Oceanside Animal Clinic 360-642-2232 Seaside Pet Clinic 503-738-8846 Vetters Animal Hospital 360-942-3440 Willapa Veterinary Service 360-942-2321 Other - Provide Name & Number Below Do Not Have A Vet Is your account with your veterinarian clinic listed in your name? * If available, please provide current pet(s) copy of vaccination record.
Number of Adults in Household: * Do you have children in your household? * How many hours each day will your dog be alone? * I prefer a dog that is: * My dog's activity level should be: * I prefer a dog that is: * I am open to adopting a dog with special needs: * If your dog has an accident in your home, what type of correction do you plan to use? * Where will your new dog sleep at night? * How will you supervise your dog's outdoor activity? * Please describe family, friends and children that are frequent visitors to your home including ages of children. * List animals who frequently visit your home, include breed, age and their personality/behavior. * Do your neighbor's have dogs? * Where will your new dog stay when nobody is home? * Are you willing to work through your new pet's issues, if any? * Are you aware that a new environment may be stressful for your pet, and they may exhibit uncharacteristic behavior? * Do you understand that a dog can be an 18 year commitment and can cost $300 to $500 per year to care for? * Under what circumstances would you not keep your new dog? Please consider all possible future situations: financial status, moving, health changes, job changes, children, etc. * If you have to give up your dog or are no longer able to care for your dog, what is your plan for the care of your dog? * I am 18 years or more of age. I agree the animal I am adopting will reside in my home as a pet. It is solely my responsibility to provide adequate food, water, shelter, training, affection, safety and medical care. SPCHS is in no way liable or responsible for any damage, accident or injury resulting from the placement of a dog into my household and I/we agree to indemnify and hold harmless SPCHS and its officers, members, and/or agents from any claims for damages arising from actions of a dog adopted by me/us. SPCHS may in the future contact us to check on the dog adopted. If for any reason, we are no longer able to provide a home to the dog adopted through SPCHS, we shall immediately notify them of the situation and make arrangements to return the dog to SPCHS. *
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