Dog Adoption Form - Greenwich printable pdf download

Greenwich Animal Control

Adoption Application

Date __________________

Name ________________________________________________

Address _________________________________ City _______________________

State __________ Zip __________ Telephone (______) _______________

1. Do you live in a (circle one):

Single family home

Duplex

Condo

Apt

Other

2. If you rent, does your landlord allow pets?

Landlord Name _________________________ Landlord Telephone (______) _______________

3. Are you employed?

Employer Name _________________________ Employer Telephone (______) _______________

4. Number of children at home _______________ ages ______________

5. Do you presently have a dog? _____

6. Do you presently have a cat? _____

7. Do you have any other animals? _____ What kind? ______________________________________

8. Are your current pets spayed and neutered? _____

9. Do you have a veterinarian? _____

Veterinarian Name ________________________ Veterinarian Telephone(______) _______________

10. What kind of pet are you looking for? ___________________________________________________

11. Is this pet a gift for someone? _____

12. For what purpose are you seeking this pet? ______________________________________________

13. Will you be spaying or neutering your pet? _____

14. How will your pet be kept under control when outside? (circle one)

Fenced yard

Cable run

Walked on leash

Other

15. Where will this pet be kept? ________________________________________________________

16. Will there be someone at home to care for the pet during the day? _____

17. Have you discussed getting a pet with other members of your household? _____

18. In the future, if you need to move, what will you do with your pet? ____________________________

___________________________________________________________________________________

19. Are you willing to participate with your pet in obedience training if deemed beneficial? _____

20. Are you aware of the state laws regarding rabies vaccination and town licensing of dogs? _____

21. What is your estimated cost of owning a pet for each year? $________________

Dog Adoption Form - Greenwich