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The Sparky Fund Application for Adoption

"*" indicates required fields

This field is for validation purposes and should be left unchanged.
Address*
1. Are you over 18 years of age?*
2. Please list the number of people and age that currently live in your household*
Adults
Age
Children
Age
3. Are other members of your household in agreement with the adoption?*
4. Who are you adopting this pet for?*

Veterinary Care Information

1. Can you afford regular veterinary care for the new pet which may range from $200-$300 a year?*
2. Can you afford to provide emergency care if the animal gets injured or becomes ill? This may range from several hundred to several thousand dollars.*

*OWNER MUST SUBMIT ALL CURRENT PETS VACCINE RECORDS*

PET HISTORY (CURRENT-LAST 5 YEARS)*
Pet Name
Type of Pet
Male/Female
Age
Spayed/Neutered
Status
 

Housing

ALL SPARKY FUND ANIMALS ARE INDOOR ANIMALS ONLY!!!

If renting please include a copy of the lease agreement that states pets are allowed and that there are no breed or size restrictions. Also contact info for your landlord.

Max. file size: 256 MB.

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