I BELIEVE...DOG RESCUE Adoption Application
Your Name
Your Email Address
Animal you are interested in adopting
Please list current pets and their ages
Your Address (Physical)
Your Address (Mailing)
Telephone Numbers (Day, Evening and Cell)
How Many Adults in your home?
How many children? Ages?
Do you own or rent?
If rent, please supply landlord name and telephone or email
Contact Information for your Veterinarian
Please tell us about your reasons for adopting a pet
How will your pet be exercised?
Where will your pet stay while you are at work?
Where will your pet sleep?
Have you researched the breed/breed mix you are applying for?
Do you have a fenced yard?
Please list names and phone/email addresses for TWO non family r
Please list name and contact information for a family reference
Have you applied elsewhere to adopt a pet?
What was the outcome?
Please use the space below to share any other information that a
I understand that any application may be approved/denied at the
yes
no
I am able to travel to Albany NH to meet my new pet if approved
yes
no
I am ready to take my new pet home as soon as I am notified of a
yes
no
I agree that all information I have supplied on this application
yes
no
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