Society for the Prevention of Cruelty to Animals
S.P.C.A. of Polk County, Texas

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Contact
Contact Information

PLEASE SEND US YOUR COMMENTS OR YOU MAY EMAIL US AT  spcaofpolkcounty@spcaofpolkcounty.org OR CALL  936-967-2287

MAILING ADDRESS: 
SPCA OF POLK COUNTY
P.O. BOX 1403
LIVINGSTON, TEXAS 77351

PHYSICAL ADDRESS:
3731 HWY 190 W.
LIVINGSTON, TEXAS 77351

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
Comments:

Adoption Application

To adopt, a person must be:

An adult over 18 with responsibility for maintaining a household.

Have a picture ID showing address, phone number, and driver's license.

Be able to provide for the basic needs of food, water, shelter, training and veterinary care of the pet for its life.

In order to make the best match as possible and for the safety of the adoptive pet and prospective family, please anser the following questions.

 



Date:
Name and MC# of the pet you are interested in:
Applicant's Name:
Spouse Name:
Physical Address:
City:
State/Zip:
Home Phone:
Cell Phone:
Work Phone:
Email:
How long have you lived at your current address?:
If less than 2 years, previous address:
City:
State/Zip:
Ownership Status:
Own
  Rent
Apt/Landlord Name:
Phone:
Occupation of Applicant:
Employer:
Phone:
Length of time at current employer:
Proof of ID:
Occupation of spouse:
Employer:
Phone:
Length of time at current employer:
Proof of ID:
 No you have a fenced yard?
Yes
  No
Type and height of fence:
If not a fence, do you have a kennel?
Yes
  No
List people in household and include the ages of children:
List pets currently living with you, including age, sex, breed and how long you've had them:
What happened to the previously owned pets you no longer have?:
Where will the pet primarily live/sleep?
Inside
  Outisde
  Other
If other, please describe:
What will you do with your pet when you are not at home or are out of town?:
What will you do for flea control?:
Do you know about heartworms?
Yes
  No
Do you understand the importance of heartworm prevention and are you willing and able to keep your new pet on heartworm preventatives?
Yes
  No
Your veterinarian:
Address:
Phone:
 May we contact your veterinarian for a reference?
Yes

 
No
 Please list at least two references -- One may be a family member.

Reference 1:
Phone:
Relationship:
Reference 2:
Phone:
Relationship:
Reference 3:
Phone:
Relationship:
Describe why you are interested in this pet:
How did you hear about this pet?:
We hope you understand that adopting a pet is a serious lifelong commitment.  It is a major investment of emotion, finances, and time in order for it to be right for the family as well as the pet you adopt.  Thank you for your time in completing the application.

We will reply via email or phone within a day or two acknowledging receipt.  Please allow 3 to 5 business days for us to check references and notify you of a decision.
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