Adoption Form

8 Dodd Road

New Milford, CT 06776

Tel. 860.354.1350

ANIMAL ADOPTION APPLICATION

Complete this form online. We will have it on file when you arrive.

If you prefer to complete a hard-copy of the form, download AWS Adoption Application PDF.

1) CONTACT INFORMATION

Name: Enter Full Name

Required

Email: Enter Email

Required

Street Address: Enter Address

Required

City: Enter City

Required

State: Enter State

Required

Zip code: Enter Zip

Required

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Date Today's Date

Required

Daytime Phone: Enter Daytime Phone Number

Required

Evening Phone: Enter Evening Phone Number

Required

Best Time To Call:

Required

Daytime

Evening

Type:

Required

Dog

Cat

Other

Puppy

Kitten

Gender:

Required

Male

Female

No Preference

Age:

Required

Baby

Young

Mature

No Preference

Size:

Required

Small

Medium

Large

X-Large

No Pref

Breed/Type: If you are interested in specific breed(s), type(s) of a pet (long-haired, short-haired, certain colors, etc.) – please tell us as much as you can. Or, you can enter “No preference.”

Required

Describe your experience(s) as a pet owner. Examples: If you are interested in adopting a cat, what would you do with a cat that was scratching your furniture or carpet? Or, if you are interested in adopting a dog, what kind of activity level would you be looking for in a dog?I f adopting a dog, what kind of training would you give your dog? Would you consider using the services of a professional trainer?

Required

Is this your first experience with a pet?

Required

Yes

Do you own any pets at the present time?

Required

Yes

1 Pet Pet Name

Required

1 Type Breed/Species

Required

1 Age How Old?

Required

1 Altered

Required

Yes

1 Declawed

Required

Yes

2 Pet Pet Name

Required

2 Type Breed/Species

Required

2 Age How Old?

Required

2 Altered

Required

Yes

2 Declawed

Required

Yes

3 Pet Pet Name

Required

3 Type Breed/Species

Required

3 Age How Old?

Required

3 Altered

Required

Yes

3 Declawed

Required

Yes

4 Pet Pet Name

Required

4 Type Breed/Species

Required

4 Age How Old?

Required

4 Altered

Required

Yes

4 Declawed

Required

Yes

5 Pet Pet Name

Required

5 Type Breed/Species

Required

5 Age How Old?

Required

5 Altered

Required

Yes

5 Declawed

Required

Yes

Who is your current veterinarian? Type name or “None”

Required

What name would your pet records be under? List name and include relationship (eg. Self, Parent, Relative, etc.)

Required

How many dogs have you owned in the last 5 years?

Required

None

How many cats have you owned in the last 5 years?

Required

None

Do you currently live in a:

Required

House

Duplex

Apartment

Condo

Mobile Home

Living Arrangements:

Required

Own

Rent

Live with Parents

Live With Roommates

Other (Explain below)

Living Arrangments (if “Other”) Describe your current living arrangements

Required

Does your lease allow for pets?

Required

Yes

Unsure

Can you provide written consent?

Required

Yes

Landlord's Name Landlord's Name

Required

Landlord's Telephone (000) 000-0000

Required

Do you have plans of moving in the near future?

Required

Yes

If “Yes” – What will you do with your pet? Describe your upcoming move, and plans for your pet.

Required

Do you have a private yard?

Required

Yes

If “Yes” – Is it fenced?

Required

Yes

Fence Height Feet/inches

Required

Fence Type Wood, Chain Link, Stone, etc.

Required

How do you plan to exercise your dog? Describe your planned routine for walking and exercise of your dog.

Required

How many people live in household?

Required

More than 5

Does anyone in household have allergies?

Required

Yes

Do all adults in household know you plan to adopt?

Required

Yes

Are there children in the household?

Required

Yes

If “Yes” – List their ages e.g. 2, 6, 14

Required

In a typical day, how many hours will the animal be home alone?

Required

1-2

2-4

4-8

8-10

10-12

12+

What arrangements have been made for when the animal is home alone? Offer details and explanation

Required

Describe where your pet will be kept during daytime hours: Offer details and explanation

Required

Describe where your pet will be kept during nighttime hours: Offer details and explanation

Required

Why would you return an animal to the shelter? Describe any possible instances/circumstances that you feel might warrant returning your animal to AWS Shelter.

Required

Are you willing and able to accept full and immediate responsibility for the ownership of a pet,including all health care costs and necessary obligations of caring for this animal?

Required

Yes

What happened to those pets? Leave blank if you answered “None” above.Be specific. Includes general health, age and breed of animals, veterinarians used, and reasons for adopting additional animals.

Required

2) ADOPTION INFORMATION

Indicate your preference regarding the pet you are looking to adopt.

4) HOME AND BOARDING

Required for those adopting dogs.

If you rent (Required):

If “Yes,” (you currently have pets) please list their information below.

By submitting this application via the internet, your email address will serve as your electronic/temporary Signature.

You will be required to sign a copy of the application in person once approved.

3) YOUR EXPERIENCE/HISTORY WITH PETS

[If this is your first pet, describe why you want a animal companion.]

5) CONSENT AND SUBMIT APPLICATION

Applicant's Signature

Date Signed

8 Dodd Road

New Milford, CT 06776

860.354.1350

8 Dodd Road

New Milford, CT 06776

860.354.1350

8 Dodd Road

New Milford, CT 06776

860.354.1350

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