Windsor Animal Shelter Adoption Application

Windsor Animal Shelter Adoption Application
Windsor Animal Control

970 Marshall Phelps Rd, Windsor, CT 06095

Ph# 860-688-5273 / Fax# 860-683-2862

Application is the first step of the adoption process. Please provide complete and accurate information. Time necessary to verify the information provided will differ from case to case; a minimum of 24 hours is required for processing. Multiple applications for the same animal are evaluated and final decision is made by the ACO.
**Filing an application does not guarantee approval for adoption**

** You must be 21 years of age to adopt an animal from this facility**

**No third party applications will be accepted**
Applicant Information
Name of the dog/cat you are interested in:*
Your full name:*
Your age:*
Street Address:*
City, State, Zip*
Home Phone:*

Area CodePhone Number
Work Phone:

Area CodePhone Number
Cell Phone:

Area CodePhone Number
E-mail:
Employer:
VETERINARY reference and phone number:*
Household Information
Are all members of your household in agreement with this adoption?*

YesNoDon't Know
Who will be the pet's primary caregiver?*
Do you live in a*

HouseApartmentCondoMobile HomeOther
Do you own or rent?*

OwnRent
If rent, provide name and phone number of landlord:*
Does your landlord allow pets?*

YesNoOther
Are there any restrictions from your landlord or subdivision?*

Number of petsSize or weight restrictionsBreed restrictionsNone
Do you have a fully fenced yard?*

YesNo
Height and type of fence
Do you have any of the following?

Underground fenceKennelDog Run
How many adults are in your household?*
How many children are in your household?*
If children, what are their ages?
Have your children been around animals before?

YesNo
Does anyone in your home have allergies to dogs or have asthma?*

YesNo
Current/Previous Pet Information
List all current pets in the home, including ages*
How many of these pets are spayed/neutered?*
If not spayed or neutered, why?*
Have you adopted from an animal welfare group before?

YesNo
If yes, what group?
Have you ever given up a pet?*

YesNo
If yes, what were the circumstances?
Please provide the name and phone number of your current and/or previous veterinarian or clinic:*
New Pet Information
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)*
Are you aware of crate training?*

YesNo
How many hours each day will your new pet be home alone?*
Where will your new pet sleep at night?*
Where will your new pet stay when nobody is home?*
What length of time will you allow your new pet to adjust to his new home?*
Are you willing to work through your new pet's issues, if any?*

YesNo
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?*

YesNo
Do you understand that a pet can be an 18 year commitment, and can cost $300 - $500 per year to care for?*

YesNo
If adopting a dog, do you plan to take an obedience class?

YesNoNot sure
If yes, where?
If you had to give up your pet, what would you do with him/her?*
I understand that I assume full responsibility for the welfare of this pet from the date of adoption.
Should be Empty:

Windsor Animal Shelter Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information