Adoption Application

Adoption Application

Wethersfield Police Department / Animal Control Division
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Applicant's Date of Birth

MonthDayYear
Which animal are you interested in adopting?
Household Information
Type of Residence:

Other
Do you own or rent?
If renting, please provide the full name and contact information of the homeowner/landlord/leasing company:
If renting, do you have permission from the homeowner/landlord/leasing company to own a pet?
If no, please explain:
Are you planning to move in the next 6 months?
If you do move, what is your plan for your pet?
How many adults live in your home?
How many children live in your home?
What are the ages of each child?
Animal Experience
Have you ever owned a pet before?
Have you ever surrendered a pet before?
If yes, which shelter?
Please list all pets owned in the last five years (starting with pets currently owned):
Please include species/breed of pet, length of ownership, and which pets are still owned.
Are the pets living in your home currently spayed/neutered?
Are the pets living in your home currently up to date on all vaccinations?
Please include the name and phone number of your pets' current veterinarian:
Lifestyle
Which of the following best describes your lifestyle? (Check all that apply):
Where will your pet be kept when you are home? Where will your pet be kept when you are NOT home?
How many hours (on average) will your pet be alone?
Who will be the primary caretaker(s) of your pet?
What are your reasons for wanting a pet?
If you selected other, please explain:
How do you plan to train/discipline your pet?
(ex. pronged collar, positive reinforcement, shock collar, hire a trainer, etc.)
Please upload a photo of your License/ID below

Cancelof
Agreement & Signature

By signing below, I certify that the information provided is true and complete. I understand that submitting this application does not guarantee adoption.
Signature
Should be Empty:

Household Information

Animal Experience

Lifestyle

Agreement & Signature