Adoption Application – Victoria Pet Adoption Society

You can download the adoption application or complete it online.

Download Application

Cats

Dogs

Other Animals

Once the application is completed, email it to victoriapets@gmail.com and in the body of your email, please tell us about your home/family. If there is a particular pet that you’re interested in, please indicate which.

Complete Application Online

Kind of Pet:

Cat

First and Last Name: *

Address: *

City: *

Postal Code: *

Day Phone: *

Evening Phone: *

Email: *

Name of Pet You Wish to Adopt: *

Are you choosing a pet for yourself? *

YesNo

Who is the pet for? *

Please describe several personality traits of your ideal cat (what are you looking for?): *

Why have you chosen to adopt this particular pet? *

Will this be your first cat? *

Have you owned pets before? *

YesNo

What kind(s) of pets did you own? *

Do you still have all the pets listed above? *

YesNo

Please tell us why you no longer have them: *

Why do you want a pet (please check all that apply)? *

To teach kids about responsibilityFor companyFor breedingBarn cat/mouserOther

Please tell us your other reason: *

How much time will you and your family have to spend with your pet each day? *

How much grooming do you expect to do? *

How many adults live in your home? *

Do you have children under 19? *

YesNo

Please list their ages: *

Do you currently have any pets? *

YesNo

How many pets do you have? *

Please supply the following information for each pet currently living in your household:

Pet #1:

Pet Name: *

Pet Type: *

Pet Age: *

Is he/she neutered/spayed? *

YesNo

Are Vaccines Up To Date? *

YesNo

Pet #2:

Pet Name: *

Pet Type: *

Pet Age: *

Is he/she neutered/spayed? *

YesNo

Are Vaccines Up To Date? *

YesNo

Pet #3:

Pet Name: *

Pet Type: *

Pet Age: *

Is he/she neutered/spayed? *

YesNo

Are Vaccines Up To Date? *

YesNo

Pet #4:

Pet Name: *

Pet Type: *

Pet Age: *

Is he/she neutered/spayed? *

YesNo

Are Vaccines Up To Date? *

YesNo

Pet #5:

Pet Name: *

Pet Type: *

Pet Age: *

Is he/she neutered/spayed? *

YesNo

Are Vaccines Up To Date? *

YesNo

Pet #6:

Pet Name: *

Pet Type: *

Pet Age: *

Is he/she neutered/spayed? *

YesNo

Are Vaccines Up To Date? *

YesNo

Pet #7:

Pet Name: *

Pet Type: *

Pet Age: *

Is he/she neutered/spayed? *

YesNo

Are Vaccines Up To Date? *

YesNo

If any of your pets are not spayed/neutered or not up to date with vaccinations please explain why: *

Who is your regular veterinarian’s office? *

(Please list your regular veterinarian’s office even if you do not currently have any pets. This will be used for a reference check.) By completing this application I give VPAS permission to enquire about the medical history of my current and/or previous pets.

Were your pet’s last vaccinations done by your regular veterinarian? *

YesNoNot Applicable

Please list the veterinarian’s office where these were last done: *

Do you, or does anyone in your family, have pet related allergies? *

YesNo

Who has the allergy and what is the allergy to? *

Who will be responsible for the care of your pet? *

How long will your pet be left on its own each day? *

Will your pet be: *

If your pet will be going outdoors, please explain the type of yard that you have: *

Are you prepared to keep your pet indoors for at least 1 month (6 months for kittens) while he/she is adjusting to his/her new home? *

YesNo

Where will you keep your pet when he/she is unsupervised (when you are out of the house or at night)? *

How often are you prepared to visit a veterinarian (please check all that apply)? *

Once/monthOnce/yearAs required (when they get sick)Never

What will you do with your pet when you go on holidays? *

Will your pet be spayed/neutered? *

YesNoIt’s already spayed/neutered

Will your pet wear identification? *

YesNo

Will you use: *

What ID will you use? *

Have you ever had a cat declawed? *

YesNo

Please tell us why: *

If you are adopting a cat, will it be declawed? *

YesNo

Please tell us why: *

How long do you expect to have your pet? *

Are you 19 years of age or older? *

YesNo

Do you: *

If you rent or belong to a strata, please list a contact name and number for your Landlord/President. This will be used for a reference check.

Landlord/President’s name: *

Landlord/President’s phone: *

What will you do with this pet if you need to move? *

Please tell us what you will do: *

Have you ever surrendered a pet to a Humane Society, SPCA or pound? *

YesNo

Why? *

How will you deal with the following behaviours from your pet:

– Biting/scratching: *

– Aggressive play behaviour: *

– Climbing on/scratching furniture: *

– Inappropriate urination/defecation: *

Are you familiar with the options available for pet health insurance? *

YesNo

If your pet requires a special diet or has special needs are you willing to accommodate them? *

YesNoDepends on the needs

The average North American family spends $1000 per year on food, supplies, and annual vaccines for each of their pets. Are you prepared for this financial responsibility? *

YesNo

Almost every pet will require some form of veterinary treatment during his or her lifetime. Are you prepared for any unexpected financial responsibilities that may occur? *

YesNo

What would be the maximum amount that you would be able/willing to spend on an unexpected veterinary bill? *

How did you hear about the Victoria Pet Adoption Society? *

Please tell us why you think yours will be the best home for this pet: *

Dog

First and Last Name: *

Address: *

City: *

Postal Code: *

Day Phone: *

Evening Phone: *

Email: *

Name of Pet You Wish to Adopt: *

Are you choosing a pet for yourself? *

YesNo

Who is the pet for? *

Please describe several personality traits of your ideal dog (what are you looking for?): *

Why have you chosen to adopt this particular pet? *

Will this be your first dog? *

Have you owned pets before? *

YesNo

What kind(s) of pets did you own? *

Do you still have all the pets listed above? *

YesNo

Please tell us why you no longer have them: *

Why do you want a pet (please check all that apply)? *

To teach kids about responsibilityFor companyFor breedingWorking animalOther

Please tell us your other reason: *

How much time will you and your family have to spend with your pet each day? *

How much grooming do you expect to do? *

How many adults live in your home? *

Do you have children under 19? *

YesNo

Please list their ages: *

Do you currently have any pets? *

YesNo

How many pets do you have? *

Please supply the following information for each pet currently living in your household:

Pet #1:

Pet Name: *

Pet Type: *

Pet Age: *

Is he/she neutered/spayed? *

YesNo

Are Vaccines Up To Date? *

YesNo

Pet #2:

Pet Name: *

Pet Type: *

Pet Age: *

Is he/she neutered/spayed? *

YesNo

Are Vaccines Up To Date? *

YesNo

Pet #3:

Pet Name: *

Pet Type: *

Pet Age: *

Is he/she neutered/spayed? *

YesNo

Are Vaccines Up To Date? *

YesNo

Pet #4:

Pet Name: *

Pet Type: *

Pet Age: *

Is he/she neutered/spayed? *

YesNo

Are Vaccines Up To Date? *

YesNo

Pet #5:

Pet Name: *

Pet Type: *

Pet Age: *

Is he/she neutered/spayed? *

YesNo

Are Vaccines Up To Date? *

YesNo

Pet #6:

Pet Name: *

Pet Type: *

Pet Age: *

Is he/she neutered/spayed? *

YesNo

Are Vaccines Up To Date? *

YesNo

Pet #7:

Pet Name: *

Pet Type: *

Pet Age: *

Is he/she neutered/spayed? *

YesNo

Are Vaccines Up To Date? *

YesNo

If any of your pets are not spayed/neutered or not up to date with vaccinations please explain why: *

Who is your regular veterinarian’s office? *

Were your pet’s last vaccinations done by your regular veterinarian? *

YesNoNot Applicable

Please list the veterinarian’s office where these were last done: *

Do you, or does anyone in your family, have pet related allergies? *

YesNo

Who has the allergy and what is the allergy to? *

Who will be responsible for the care of your pet? *

How long will your pet be left on its own each day? *

Please explain the type of yard that you have: *

Is your yard fully fenced? *

YesNo

How tall is your fence? *

Where will you keep your pet when he/she is unsupervised (when you are out of the house or at night)? *

How often are you prepared to visit a veterinarian (please check all that apply)? *

Once/monthOnce/yearAs required (when they get sick)Never

What will you do with your pet when you go on holidays? *

Will your pet be spayed/neutered? *

YesNoIt’s already spayed/neutered

Will your pet wear identification? *

YesNo

Will you use: *

What ID will you use? *

How long do you expect to have your pet? *

Do you: *

If you rent or belong to a strata, please list a contact name and number for your Landlord/President. This will be used for a reference check.

Landlord/President’s name: *

Landlord/President’s phone: *

What will you do with this pet if you need to move? *

Please tell us what you will do: *

Have you ever surrendered a pet to a Humane Society, SPCA or pound? *

YesNo

Why? *

How will you deal with the following behaviours from your pet:

– Chewing/Mouthing: *

– Aggressive play behaviour: *

– Climbing on furniture: *

– Inappropriate urination/defecation: *

– Barking: *

Are you 19 years of age or older? *

YesNo

Are you familiar with the options available for pet health insurance? *

YesNo

If your pet requires a special diet or has special needs are you willing to accommodate them? *

YesNoDepends on the needs

The average North American family spends $1000 per year on food, supplies, and annual vaccines for each of their pets. Are you prepared for this financial responsibility? *

YesNo

Almost every pet will require some form of veterinary treatment during his or her lifetime. Are you prepared for any unexpected financial responsibilities that may occur? *

YesNo

What would be the maximum amount that you would be able/willing to spend on an unexpected veterinary bill? *

Are you aware that the Victoria Pet Adoption Society is a non-profit organization? *

YesNoUnsure

How did you hear about the Victoria Pet Adoption Society? *

Please tell us why you think yours will be the best home for this pet: *

Other Animal

First and Last Name: *

Address: *

City: *

Postal Code: *

Day Phone: *

Evening Phone: *

Email: *

Name of Pet You Wish to Adopt: *

Are you choosing a pet for yourself? *

YesNo

Who is the pet for? *

What kind of pet are you interested in adopting? *

Have you owned pets before? *

YesNo

What kind(s) of pets did you own? *

Do you still have all the pets listed above? *

YesNo

Please tell us why you no longer have them: *

Why do you want a pet (please check all that apply)? *

To teach kids about responsibilityFor companyFor breedingOther

Please tell us your other reason: *

How much time will you and your family have to spend with your pet each day? *

How many adults live in your home? *

Do you have children under 19? *

YesNo

Please list their ages: *

Do you currently have any pets? *

YesNo

How many pets do you have? *

Please supply the following information for each pet currently living in your household:

Pet #1:

Pet Name: *

Pet Type: *

Pet Age: *

Is he/she neutered/spayed? *

YesNo

Are Vaccines Up To Date? *

YesNo

Pet #2:

Pet Name: *

Pet Type: *

Pet Age: *

Is he/she neutered/spayed? *

YesNo

Are Vaccines Up To Date? *

YesNo

Pet #3:

Pet Name: *

Pet Type: *

Pet Age: *

Is he/she neutered/spayed? *

YesNo

Are Vaccines Up To Date? *

YesNo

Pet #4:

Pet Name: *

Pet Type: *

Pet Age: *

Is he/she neutered/spayed? *

YesNo

Are Vaccines Up To Date? *

YesNo

Pet #5:

Pet Name: *

Pet Type: *

Pet Age: *

Is he/she neutered/spayed? *

YesNo

Are Vaccines Up To Date? *

YesNo

Pet #6:

Pet Name: *

Pet Type: *

Pet Age: *

Is he/she neutered/spayed? *

YesNo

Are Vaccines Up To Date? *

YesNo

Pet #7:

Pet Name: *

Pet Type: *

Pet Age: *

Is he/she neutered/spayed? *

YesNo

Are Vaccines Up To Date? *

YesNo

If any of your pets are not spayed/neutered or not up to date with vaccinations please explain why: *

Who is your regular veterinarian’s office? *

Were your pet’s last vaccinations done by your regular veterinarian? *

YesNoNot Applicable

Please list the veterinarian’s office where these were last done: *

Do you, or does anyone in your family, have pet related allergies? *

YesNo

Who has the allergy and what is the allergy to? *

Who will be responsible for the care of your pet? *

How long will your pet be left on its own each day? *

Please explain the area where your new pet will live (including sunlight, temperature, humidity, cage type and size, and cage mates if any): *

Where will you keep your pet when he/she is unsupervised (when you are out of the house or at night)? *

What will you feed your new pet? *

How often are you prepared to visit a veterinarian (please check all that apply)? *

Once/monthOnce/yearAs required (when they get sick)Never

Are you comfortable clipping your pet’s nails/wings? *

YesNoUnsure

Do you have a veterinarian that provides this service? *

YesNo

What will you do with your pet when you go on holidays? *

How long do you expect to have your pet? *

Are you 19 years of age or older? *

YesNo

Do you: *

If you rent, please list a contact name and number for your landlord. This will be used for a reference check.

Landlord’s name: *

Landlord’s phone: *

What will you do with this pet if you need to move? *

Please tell us what you will do: *

Have you ever surrendered a pet to a Humane Society, SPCA or pound? *

YesNo

Why? *

If your pet requires a special diet or has special needs are you willing to accommodate them? *

YesNoDepends on the needs

The average North American family spends $500 per year on food, supplies, and annual vaccines for each of their pets. Are you prepared for this financial responsibility? *

YesNo

Almost every pet will require some form of veterinary treatment during his or her lifetime. Are you prepared for any unexpected financial responsibilities that may occur? *

YesNo

Are you aware that the Victoria Pet Adoption Society is a non-profit organization? *

YesNoUnsure

How did you hear about the Victoria Pet Adoption Society? *

Please tell us why you think yours will be the best home for this pet: *