To be considered as an adopter, you must:

  • Have the knowledge and consent of your landlord (if renting).
  • Allow GCSPCA to contact both vet and personal references.
  • Consent to a home visit by a GCSPCA representative.
  • Be able and willing to spend the time and money necessary to provide training, medical treatment and proper care for an animal.

Completion of this interest form does not guarantee adoption of a GCSPCA animal. We keep the right to refuse adoption for any reason.

Please enter your first and last name followed by the name of the animal(s) you are interested in.
Information About You
Name *
Address *
Cell Phone
Cell Phone
Home Phone
Home Phone
Work Phone
Work Phone
Employment Status *
Household Information
(including self and roommates)
Do you or others have allergies specific to animals? *
Type of Residence *
Do you own or rent? *
Landlord/Manager Phone
Landlord/Manager Phone
Are there pet weight or breed restrictions? *
Do you have a fenced yard or area? *
(wood privacy, chain link, invisible, etc.)
Is this animal for? *
(check all that apply)
Pet Information
Please list all animals currently residing in your home (including roommate’s) & for the last 5 years:
(dog, cat, etc.)
Pet 1 - Sex
Pet 1 - Spayed/Neutered
(dog, cat, etc.)
Pet 2 - Sex
Pet 2 - Spayed/Neutered
(dog, cat, etc.)
Pet 3 - Sex
Pet 3 - Spayed/Neutered
(dog, cat, etc.)
Pet 4 - Sex
Pet 4 - Spayed/Neutered
(dog, cat, etc.)
Pet 5 - Sex
Pet 5 - Spayed/Neutered
Have you ever turned a pet into a shelter? *
Have you ever euthanized a pet? *
Veterinarian Information
**Please notify your vet of your permission for our volunteers to discuss your pets’ vet records.
Vet Phone
Vet Phone
General Environment
Future Plans
Under what circumstances would you return the dog to us? *
(check all that apply)
Are you willing and able to pay the veterinary costs of caring for your new animal? *
Are you willing to take the time to work with the animal on behavioral issues (housebreaking, chewing, etc.) if such problems arise? *
Personal Reference
Reference Name *
Reference Name
Reference Phone *
Reference Phone