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Adoption Application

Dog with Kids

Please send your completed application by email to or mail to SPCA of Luzerne County,

524 East Main Street, Wilkes-Barre, PA 18702 or fax to 570-825-7898.

First Name *
Last Name *
First Name
Last Name
Address Line 1 *
City *
State/Province *
Postal Code *
Pleaese indicate if you are interested in adopting a dog, cat or small animal.
Do you rent or own your home?
First Name
Last Name
Are you in the process of moving, or anticipate moving in the next few months?
Do you live with your parents?
Have you ever adopted from the SPCA?
Have you ever surrendered or given away any pet to any animal welfare group, private rescue, or individual person?
Where will this pet live during the day?
Where will this pet live during the night?
Do you want this pet as a:
Do you want this animal to be declawed?
Have you ever had a pet:
The SPCA makes no guarantees about the temperament or the health of any animal. Comments made about the disposition or health of an animal are based on information provided by the previous owner and are believed to be true. The SPCA is not liable for any future injury or damage, including, but not limited to, financial cost of veterinarians, insurance or property damage.
Are you prepared to take your animal to the veterinarian within 10 to 14 days?
Do you understand that if you can no longer afford to keep this pet, it must be returned to the SPCA of Luzerne County, or do a proper transfer of ownership? Please contact us for an appointment.
Does anyone in your household have pet allergies?
Will this pet live outside for any period of the day?
Will this pet be living:
Please list any animals you have owned in the past five years.What is their name, breed, and sex? Are they spayed or neutered? Where did you acquire this pet? (Adopted, purchased, gifted, other) Were they kept inside? Where is this pet now? (Still home, deceased, surrendered, other) If you have not had any pets, please type "N/A".
Adopting a pet? Here are some things to think about.
Are you willing to work with chewing?
Are you willing to work with house training?
Do you understand State and Local ordinances and laws concerning licensing for dogs?
Is your dog or cat up to date on their state mandated rabies vaccination?
Do you understand state and local ordinances concerning leash laws for dogs?
Are your pets current on vaccinations (received within the last year)?
Are your pets taken to the veterinarian annually?
Are your pets spayed or neutered?
Vet Authoization
Please list 2 references and their telephone numbers. These references may not reside in the same household.
First Name *
Last Name *
First Name *
Last Name *
By typing my name I am certifying that the information that I have provided above is true and correct. Any false statements will result in denial of my adoption application.

2023 Year End Numbers

  • Animals Adopted


  • Animals Transferred


  • Pets Returned Home


  • Trap, Neuter, Vaccinate, Return (TNVR)


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