Second Chance Animal Shelter, Inc.
Adoption Center
111 Young Road, P.O. Box 136
East Brookfield, MA 01515
(508) 867-5525
(508) 867-5019 (FAX)		Pet Wellness & Education Center
Spay/Neuter | Vaccines | Training
372 North Main Street
North Brookfield, MA 01535
(508) 637-1333
Email: info@secondchanceanimals.org
APPLICATIONS for DOGS, CATS, and SMALL PETS

(Spay/Neuter/Vaccinations)

Interested in giving a shelter pet a second chance?

Our On-line Adoption Application will help make the adoption process as smooth as possible and ensure that all of our pets go to loving homes, so please be as accurate and specific as possible. Incomplete applications will not be considered so please take the time to include phone numbers, addresses, and requested information. Information discovered to be falsified or omitted will result in an automatic denial so please be honest.

Please note that we routinely conduct a vet check on current and previous pets. In order to ensure that this check can be done promptly, please call your vet in advance to let them know that you have submitted an application and that they have your permission to release information to Second Chance. Because many vets will not release this information without prior approval, failure to do so may result in a delay in processing your application.

In addition, most applications are responded to via email from the Adoption Coordinators who have varying emails addresses. Please make sure to check your email filters and junk mail so you do not miss any correspondence from us. Thank you for helping us process your application as quickly as possible!

To adopt a dog, please complete the online dog adoption application form.

To adopt a cat, please complete the online cat adoption application form.

Please use Microsoft Internet Explorer when submitting online applications.

If you have any trouble, please call the shelter at (508) 867-5525.

**If you would prefer to download the application (.pdf format) and fax
it to us later at 508-867-5019, you may do so using these links:

**For dogs: Dog Adoption Application
**For cats: Cat Adoption Application

Second Chance Animal Shelter
Dog Adoption Application
Dog Interested In:
Your Name:
Your Address:
Your City, State and Zip:
Your Home Phone #:
Your Work/Cell Phone # (with area code):
Your Email Address (REQUIRED):

Description of Living Situation:
Additional description of home:


Do you:
If you rent, what is your landlord's name and phone number:

Is your yard fenced in:

Number of adults in household:
Do all adults in household know you wish to adopt:

Age(s) of children in household:

Do you have other pets:
If yes, please provide name, breed, age and gender of all animals in the household:


Who is your veterinarian (name, address, and phone number):
Note: Please call your vet and give your permission for Second Chance to speak with them.


Are pets current on vaccinations:

Are pets spayed/neutered:

Are pets on heartworm preventative and if so, what type:

Where are they kept during the day:


Where at they kept at night:


How many hours a day/night is pet left alone:


If you don't have pets now, have you had pets in the past:
If yes, please list pet(s) breed, name, age, gender:


How long has it been since you had the pet(s)?

If this pet's veterinarian was different from the one above, please provide name, address, and phone number:


How long did you have your last pet:

What happened to your last pet (please be as specific as possible):


Is this your first pet:
If this is your first pet,
what vet do you plan to use (name, address, and phone number):

References are required for your application to be considered and you must include contact information. Please provide three references, at least two being non-family members, (name, address, phone, and email):
1.

2.

3.

Additional Comments:


How did you find this pet?

I have reviewed my application and certify that the information provided on it is true and correct.

Full Name:
Date of submission:


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Second Chance Animal Shelter
Cat Adoption Application
Cat Interested In:
Your Name:
Your Address:
Your City, State and Zip:
Your Home Phone #:
Your Work/Cell Phone # (with area code):
Your Email Address (REQUIRED):

Description of Living Situation:

Do you:
If you rent, what is your landlord's name:
Landlord's Phone Number:

Number of adults in household:
Do all adults in household know you wish to adopt:

Age(s) of children in household:

Do you have other pets:
If yes, please provide name, breed, age and gender of all pets in the household:


Who is your veterinarian (name, address, and phone number):
Note: Please call your vet and give your permission for Second Chance to speak with them.


Are pets current on vaccinations:

If you have other cats, have they been combo tested for Feline Leukemia (FELV) and Feline Aids (FIV):

Are pets spayed/neutered:

Do you want your new cat to be:

If you don't have pets now, have you had pets in the past:
If yes, please list pet(s) breed, name, age, gender:

If this pet's veterinarian was different from the one above, please provide name, address, and phone number:


How long did you have your last pet:

What happened to your last pet (please be as specific as possible):


References are required for your application to be considered and you must include contact information. Please provide two (2) references (name, address, phone and email):
1.

2.



How did you find this pet?

I have reviewed my application and certify that the information provided on it is true and correct.

Full Name:
Date of submission:


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