Animal Application Form

Please fill out the form below and click the button at the end of the form to proceed with your application to adopt an animal from Waterford SPCA.

Click HERE to return to terms and conditions.

Name *

Required

Address *

Required

Eircode *

If you do not knor your Eircode, you can find it at https://finder.eircode.ie/

Mobile Phone number *

Required

Landline Number

Email *

Confirm Email

Dogs Name *

Breed *

Describe number and ages of children in the household *

Required field, if there are no children in the house answer 'None'

Are there any other pets in the house? If yes how many? Type and age? *

Required field, if there are no other pets in the house answer 'None'

Have you adopted a dog from a shelter or dog pound before? *

If you have adopted from a shelter before, give details below

If you have adopted from a shelter or dog pound, give details here.

Do you have a secure area where the dog has sufficient area to play? *

Please give some details in the box below

Give a short description of the area where the dog will live.

How many hours per day on average do you expect the dog to be alone? *

Choose from drop down menu

Are you registered with a Veterinary Surgeon *

Choose answer from drop down menu.

What Veterinary Surgeon do you use? Please supply the name and address of your Vet. *

Is anyone in the household allergic to animals? *

Choose answer from drop down menu.

Has anyone in the household been charged with an animal cruelty offence? *

Choose answer from drop down menu.

Has anyone in the household ever had to surrender a dog to a dog pound or animal shelter? *

Choose answer from drop down menu.

If you live in rented accommodation, do you have permission from the landlord to keep pets? *

Have you any other information that might help us make a decision in your favour?

Click the button below to agree to Waterford SPCA's rehoming policy and submit your application.

If the animal being applied for is with another orginisation, do you give Waterford SPCA permission to pass this application form to the other body? *

Name

WSPCA Office: Summerland Square, Yellow Road, Waterford. X91 AP28 Office Hours: Monday to Friday - 10.00am - 2.00pm. Phone: 051-841432. Enquiries by Email: info@waterfordspca.ie