Adoption Application for Small Animals

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 #:*

Animal Type:*

Contact Information

First Name:*

Last Name:*

Unit # / Address:*

City:*

Province:*

Postal Code*

Phone Number:*

Email:*

About Me

How long have you been thinking of welcoming a new pet into your home?*

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

About My Home

Number of adults in the household?*

Number of children?*

Ages?

What kinds of animals live in your home?*

For whom are you adopting this animal?*

Who will be the primary care giver?*

Do you live in a:*

Do you own or rent?*

Do you have landlord's permission to keep a pet?*

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.

 



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