BC SPCA > Emergency Boarding Request Emergency Boarding Request This form is for BC SPCA staff to complete on behalf of pet owners in need of temporary emergency animal boarding. BC SPCA shelters may be able to provide temporary care for your pets under certain emergency circumstances, while you make alternate arrangements or accommodations. *Please contact the BC SPCA Provincial Call Centre at 1-855-622-7722 for assistance completing this form. Please do not fill out this form without contacting the BC SPCA first.* 1. Why are you requesting emergency boarding?(Required) Domestic Violence Entering detox/rehabilitation centre Hospitalization or isolation due to COVID-19 Hospitalization - other House fire Loss of housing Natural disaster (e.g. wildfire, flood, earthquake) Other (Please Specify) 2. If you answered Other above, please specify:3. What other options have you explored prior to contacting the BC SPCA? E.g. family/friends, neighbours, private boarding facility?(Required)4. Have you used our Emergency Boarding program before?(Required)Please select responseYesNo5. If yes, when?6. If yes, which BC SPCA Community Animal Centre assisted you in the past?Please select response100 Mile HouseAbbotsfordAlberniBurnabyCampbell RiverChilliwackComox ValleyCowichanEast KootenayHaida GwaiiKamloopsKelownaMaple RidgeNanaimoNelsonNorth CaribooNorth PeaceParksvillePrince RupertqathetQuesnelRichmondSalt Spring IslandSea to SkyShuswapSouth OkanaganSouth PeaceSunshine CoastSurreyTri-CitiesVancouverVernonVictoriaWest KootenayWest VancouverWilliams Lake7. Please list the requested start and end dates (14 days max) for which you are requesting temporary emergency boarding while you make alternative arrangements.(Required)8. Is the person applying:(Required) Animal Guardian/Pet Owner (Complete Contact Information 1 & 2) Friend/Family Member (Complete Contact Information 1, 2, & 3) Referring Agency (Complete Contact information 1, 2 & 3) Contact Information 1: Animal Guardian (Pet Owner) Contact Information 9. 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Which BC SPCA branch is closest to you?(Required)Please select response100 Mile HouseAbbotsfordAlberniBurnabyCampbell RiverChilliwackComox ValleyCowichanEast KootenayHaida GwaiiKamloopsKelownaMaple RidgeNanaimoNelsonNorth CaribooNorth PeaceParksvillePrince RupertqathetQuesnelRichmondSalt Spring IslandSea to SkyShuswapSouth OkanaganSouth PeaceSunshine CoastSurreyTri-CitiesVancouverVictoriaWest KootenayWest VancouverWilliams LakeContact Information 2: Emergency contact11. Emergency Contact Full Name(Required)12. Emergency Contact Relationship to Animal Guardian(Required)13. Emergency Contact Phone Number(Required)14. Emergency Contact EmailContact Information 3: Please complete this section if you are an agency or friend/family member contacting us on behalf of an animal guardian. 15. Referring agency (if applicable)16. Referring friend/family or agency contact name17. Referring friend/family or agency contact phone18. Referring friend/family or agency email19. If a friend or family member, what is your relationship to the animal guardian?20. Who should we contact to follow up on this request?(Required) Please contact the referring agency or friend/family member Please contact the animal guardian directly About Your Animal(s) 21. How many animals?(Required)22. Animal 1 Name:(Required)23. Animal 1 Type:(Required) Dog Cat Bird Rabbit Other small animal (hamsters, guinea pig, mouse, rat etc) Other Please specify:(Required)24. Animal 1 Breed/Species:(Required)25. Animal 1 Gender:(Required) Male neutered Male intact Female spayed Female intact Unknown 26. Animal 1 Age:(Required)27. Does your pet have any special medical needs (e.g. medications, specialized care for a health condition)? If yes, please provide detail.(Required)28. How safe is your animal to handle by staff/volunteers?(Required)29. Does your pet have permanent identification?(Required) Yes - tattoo and microchip Yes - tattoo Yes - microchip My pet has no permanent identification Unknown 30. Animal 2 Name (Optional)31. Animal 2 Type: (Optional) Dog Cat Bird Rabbit Other small animal (hamsters, guinea pig, mouse, rat etc) Other Please specify:(Required)32. Animal 2 Breed/Species: (Optional)33. Animal 2 Gender: (Optional) Male neutered Male intact Female spayed Female intact Unknown 34. Animal 2 Age: (Optional)35. Does your pet have any special medical needs (e.g. medications, specialized care for a health condition)? If yes, please provide detail.36. How safe is your animal to handle by staff/volunteers?37. Does your pet have permanent identification? (Optional) Yes - tattoo and microchip Yes - tattoo Yes - microchip My pet has no permanent identification Unknown 38. Animal 3 Name: (Optional)39. Animal 3 Type: (Optional) Dog Cat Bird Rabbit Other small animal (hamsters, guinea pig, mouse, rat etc) Other Please specify:(Required)40. Animal 3 Breed/Species : (Optional)41. Animal 3 Gender: (Optional) Male neutered Male intact Female spayed Female intact Unknown 42. Animal 3 Age: (Optional)43. Does your pet have any special medical needs (e.g. medications, specialized care for a health condition)? If yes, please provide detail.44. How safe is your animal to handle by staff/volunteers?45. Does your pet have permanent identification? (Optional) Yes - tattoo and microchip Yes - tattoo Yes - microchip My pet has no permanent identification Unknown 46. Additional animals? Provide all required information for each of them:47. Are you able to provide vaccination and other medical records?(Required) Yes, I can provide my pet(s)' medical records No, but you can contact my veterinarian to obtain my pet(s)' medical records My pet(s) has/have not been to the vet in one year or more Unknown 48. Veterinary Clinic Name49. Veterinarian Name50. Veterinarian Phone Number51. Name of person completing this form:(Required)52. Other Details53. I understand that with the ever changing circumstances of an emergency, the need could arise to move my animal(s) to an alternative BCSPCA location. (In the event that your animal(s) is moved, you will be updated with their new location. Once possible, the BC SPCA will arrange transport of your animal(s) back to the intake BC SPCA location or potentially, if resources allow, an alternate BC SPCA location closer to you.)(Required) I understand54. I understand emergency animal boarding is offered for 14 days while I make alternate arrangements or accommodations.(Required) I understand55. The BC SPCA's work, including emergency response, is made possible by the generosity of donors and other funders. Photos and videos of your adorable pet helps raise awareness of the current urgent need. Do you agree to allow the BC SPCA to take photos and videos of your pet(s) while they are in our care and possibly use them for publicity and fundraising purposes to help fund Emergency Response. No identifying details besides the image, and the pet's name will be shared. Do you give permission?(Required) Yes No 56. Thank you for submitting your request. We will review it with your local BC SPCA Branch and be in touch within 24 hours.(Required) I understandCAPTCHA Δ