Adoption Application for Poultry/Fowl/Pigeon

Thank you for your interest in adopting from the Surrey Animal Resource Centre. If you have any questions or concerns about any part of this form, please let us know! Adopters must be over 19 years old. We reserve the right to refuse this application.

Date*

Animal Name:*

Animal #:*

Contact Information

First Name:*

Last Name:*

Unit # / Address:*

City:*

Province:*

Postal Code*

Phone Number:*

Email:*

About Me

Have you ever surrendered a pet to a shelter or other organization in the past?*

About My Home

What kinds of animals live on your property?*

Do you live in a:*

Is your property zoned for the keeping of livestock and/or poultry?*

Do you own or rent?*

Do you have landlord's permission to keep animals?*

Landlords Name (First & Last):*

Phone #:*

How long have you lived at this address?*

Information we collect and why we collect it.

Personal information is collected for the purpose of adopting an animal. The City of Surrey is collecting this information under s. 26 (c) of the Freedom of Information and Protection of Privacy Act. For questions regarding the collection of personal information, please contact the Surrey Animal Resource Centre Manager, 17944 Colebrook Road Surrey, 604-574-6625.

 



Request Technical Support