ADOPTION APPLICATION
- SNAP Lancaster Adoptions
EMAIL:
adoptions@SNAPofPA.org
WEBSITE:
SNAPofPA.org
LIKE US ON FACEBOOK:
https://www.Facebook.com/SpayNeuterAssistanceProgram
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indicates Required Field
Please Read All Questions Carefully and Answer Them Completely.
Failure to provide complete information will result in a delay in processing your application
Full Name:
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Date:
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Street Address:
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City:
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State:
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Zip:
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Email address:
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Home Phone Number:
In What Year Were You Born:
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Cell Phone Number:
Best Way to Reach You:
Cell
Text
Email
HomePhone
Name of Cat(s) Interested In Adopting:
How did you learn about this cat:
If you'd like us to help you choose, tell us what you are looking for(Sex, Age, Color, Personality, etc)?
PERSONAL DETAILS
Employment Status (full-time, part-time, student, retired, other(explain):
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Do you Rent or Own Your Home:
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If You Rent, Name and Contact Number of Your Landlord:
If You Live in Another Person's Home (Parent, Relative, Friend)
Please Provide the Homeowner's Name, Phone Number and Relationship to You:
If You Rent, Please List All Pet Restrictions Specific to Cats in Your Lease:
*** We encourage you to review your homeowner, townhouse, condo association or municipality rules for pet restrictions ***
Length of time at this address:
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If You Have Lived at Your Current Address Less than 1 Year, Please Provide Your Previous Address:
How Many Adults Live in Your Home, Including Yourself.
What is Your Relationship to Them?
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How Many Children (less than 18 years old)are in your home? What are their ages:
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PET OWNERSHIP AND HISTORY
List at Least One Reference (who is not a family member, spouse, partner, boyfriend or girlfriend)
Who is Familiar With You and Your Ability To Care For Pets-Name, Relationship, Phone Number.
How Long Have You Known This Person?:
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Please List All Pets You Currently Have, Including Name(s), Age(s) and Species for Each.
Are They All Spayed or Neutered? Are They All Current on Rabies and Distemper Vaccinations?:
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What Is Your Current Veterinary Practice Name and Phone Number:
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List Pets, Both Alive and Deceased, Who Have Been Seen At This Veterinary Practice In The Past 5 Years:
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Please Provide Practice Name and Phone Number For Any Other Vets That Have Records For Any Of Your Pets:
List Pets, Both Alive and Deceased, Who Have Been Seen At This Veterinary Practice In The Past 5 Years:
Do We Have Permission To Contact The Veterinarian(s) Listed Above As a Reference For You?
Yes
No
I've Never Had a Veterinarian
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*** Please Contact Your Vet(s) to OK the Release of Information to SNAP of PA ***
Have You Ever Surrendered or Lost a Pet? (if yes, please explain below):
Yes
No
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Is there a circumstance that would cause you to surrender this cat or kitten? (if yes, please explain below):
Yes
No
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If you should predecease or otherwise become incapacitated, or for any reason would be unable to care for
your pet(s), who have you appointed to take responsibility for them and have they agreed to this role?
Include Name and Contact Information Below.
By Providing This Information You Are Indicating Your Approval For Us To Contact.
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Despite the best of care, animals can become ill and require extensive and expensive medical attention.
Are you willing to provide the necessary treatment despite the fact that the cost for doing so can
add up quickly and be quite costly?
Yes
No
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Any Additional Comment:
Is There Anything Else You'd Like Us To Know?:
BY SUBMITTING THIS APPLICATION TO SNAP of PA,
I CERTIFY THAT THE INFORMATION PROVIDED BY ME IS TRUE AND CORRECT
TO THE BEST OF MY KNOWLEDGE AND BELIEF.
BY SUBMISSION YOU ARE CONSENTING TO VERIFICATION
OF ALL INFORMATION PROVIDED ON THIS APPLICATION.
ACKNOWLEDGEMENT OF RECEIPT OF THIS APPLICATION WILL COME FROM
ADOPTIONS@SNAPOFPA.ORG. PLEASE ADD IT TO YOUR WHITELIST OR MONITOR
YOUR SPAM FOLDER FOR EMAILS FROM THIS ADDRESS.
Version Essie December 31, 2025
