West Hartford Animal Control Adoption Application
Applicant Information
Name of the dog you are interested in:
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Your full name:
*
Your age:
*
Street Address:
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City, State, Zip
*
Work Phone:
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Area Code
Phone Number
Cell Phone:
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Area Code
Phone Number
E-mail:
Employer:
Character reference and phone number:
Household Information
Are all members of your household in agreement with this adoption?
*
Yes
No
Don't Know
Who will be the pet's primary caregiver?
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Do you live in a
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House
Apartment
Condo
Mobile Home
Other
Do you own or rent?
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Own
Rent
If rent, provide name and phone number of landlord:
Does your landlord allow dogs?
Yes
No
Are there any restrictions from your landlord or subdivision?
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Number of pets
Size or weight restrictions
Breed restrictions
None
Height and type of fence
Do you have any of the following?
Underground fence
Kennel
Dog Run
How many adults are in your household?
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How many children are in your household?
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If children, what are their ages?
Have your children been around animals before?
Yes
No
Does anyone in your home have allergies to dogs or have asthma?
*
Yes
No
Current/Previous Pet Information
List any pets you own or have owned in the past five years, and their ages
How many of these pets are spayed/neutered?
Where are these animals now?
Have you adopted from an animal welfare group before?
Yes
No
If yes, what group?
Have you ever given up a pet?
Yes
No
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)
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Are you aware of crate training?
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Yes
No
Have you ever house-broken a dog or puppy before?
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Yes
No
If the dog has an "accident" in your home, what type of correction do you plan to use?
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How many hours each day will your new pet be home alone?
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Where will your new pet sleep at night?
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How will you supervise the dog's outdoor activity?
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Where will your new dog stay when nobody is home?
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What length of time will you allow your new pet to adjust to his new home?
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Are you willing to work through your new pet's issues, if any?
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Yes
No
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?
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Yes
No
Do you understand that a dog can be an 18 year commitment, and can cost $300 - $500 per year to care for?
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Yes
No
Do you plan to take an obedience class with your dog?
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Yes
No
Not sure
If yes, where?
Are you aware that a large breed dog takes about two years to mature? Is this something you're prepared for?
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Yes
No
What circumstances would lead you to give up your new dog?
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If you had to give up your dog, what would you do with him/her?
*
Please list your current/past veterinarian.
*
I understand that I assume full responsibility for the welfare of this pet from the date of adoption.
Submit
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