Who will be responsible for the pet’s care (feeding, walking, litter box, taking to the vet)?
What would happen if you were no longer able to take care of the animal?
Has anyone in your household experienced pet allergies? Yes ☐ No ☐
Are you prepared to care for this pet for 10 - 20 years? Yes ☐ No ☐
Do you have children? Yes ☐ No ☐ If yes, list ages
Do you rent? ☐ Own home? ☐ Live with parents? ☐
How long have you lived at this address?
If renting, do you have your landlord’s permission to have a pet? Yes ☐ No ☐ n/a ☐
Landlord name and phone #:
Do you have a contingency plan to pay for unexpected emergency vet bills?
If you are adopting with a partner, who will get custody if there is a break up?
What will you do with your pet if you move?
Take it with you ☐ Re-home ☐ SPCA ☐ Contact CCAR ☐
Have you ever surrendered an animal that you owned to the SPCA, animal pound, or a rescue
organization? If yes give details.