ANNIE

Bristol Animal Shelter

DOG ADOPTION APPLICATION
What animal are you interested in adopting? (Species, name)
Your name*
First & Last Name
Your Address*

Street Address

Street Address Line 2

CityState

Zip Code
Your Email*
example@example.com
Your Phone Number*
Names of all permanent residents of your home*
Ages of all permanent residents of your home*
Please list any pets currently living in your home, and if they are vaccinated and altered.*
Vet reference, please list vet office and phone number. Some states (MA) require vet offices to have your permission to release your information. Please be sure to call your vet and give permission to access your vet records before submitting this application, failure to do so will delay the application process.*
Vet name, address & phone number (if phone number is omitted, application may be denied)
When will you be ready to adopt this animal?*

TodayThis weekendWithin a weekWithin a monthNot ready yet, just researching
Is anyone in your home allergic to the animal you're planning to adopt?*

YesNoYes, but it is tolerable for them and they are OK with it.
Are you familiar with the breed?*

YesNo
You live in a:*

Single Family HomeDuplex/TwinCondo/TownhomeTrailerApartment
Do you rent or own this property?*

RentOwn
During Phase 2 of the application process, if you own, you must be able to provide proof of home ownership, such as a mortgage statement or a tax statement. If you rent, you must be able to provide your lease that states that you are allowed to have pets.
Do you have a yard?*

Yard, fenced with a vertical fenceYard, fenced with invisible fencingYard, no fenceNo yard (apartment/condo/townhome)
Have you discussed this adoption with all members of your household?*

YesNoYes, adults have discussed. Kids don't know yet.
Additional reference (if desired)
Do you have any additional comments, questions or concerns?*
By filling out this application and signing below, I understand that I am not guaranteed approval to adopt. I also understand that adopting and owning an animal is a lifelong commitment. Aside from basic care and needs, I understand that animals require yearly veterinary care as well as occasional emergency veterinary care and am prepared for that financial responsibility.

I understand the above, and have tried to the best of my knowledge to make sure all information is correct.
Signature*

Clear
Signature date*
Thank you for taking the time to submit this appplication. If you are approved for this animal, you will receive a phone call within a week to set up an appointment to come into the shelter and visit with the animal. After you click the Submit, you will be redirected to the main page, and you will also receive a confirmation email.

PLEASE NOTE: We do not contact everyone who applies. If you do not here back from us within two weeks, the animal was either adopted by another party, or your application was not approved for this particular animal. This application will not remain on file. You must submit a new application for each and every animal that you are interested in adopting.

Thank you for your patience during this process.
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Bristol Animal Shelter