Style Guide Forms

Adopter Form

Mailing Address:

City:

State:

Zip:

Physical Address (if different):

Home Phone:

Cell Phone:

Work Phone:

Email:

*I'm interested in adopting a:

Dog Cat or Small Animal

Please list all people currently living in your household:

Name

Relationship

Age (if under 18)

Is this person here today?

Please list all animals currently living in your household:

Name

Breed or Type

Age

Sex

Is pet spayed or neutered?

Are you aware of any housing restrictions that would prevent you from keeping your new pet?

I am not allowed dogs
I am not allowed cats
There are size restrictions
Declawed cats only

Limited number of pets allowed
I don't know
No restrictions

Which veterinary clinic do you/will you use?:

I am a current client here

I don't know

Why are you adopting a pet today? (check all that apply):

Companion
Therapy /Service Animal
Buddy for another pet

Protection
Gift

Other:

TOP

Contact Us

Humane Society of Chittenden County
142 Kindness Court
South Burlington, VT 05403
Phone: (802) 862-0135 | Fax: (802) 860-5868

Email: bestfriends@hsccvt.org

Adoption Center Hours:

Tuesday - Saturday: 1:00 - 5:00 pm
Sunday & Monday: CLOSED

Please note that our facility remains closed to walk-in visitors and adoptions are available by appointment only. Visit the Pet Adoptions page for more details and to schedule a time with an adoption counselor.

Adopter Form

*I'm interested in adopting a:

Please list all people currently living in your household:

Please list all animals currently living in your household:

Are you aware of any housing restrictions that would prevent you from keeping your new pet?

Why are you adopting a pet today? (check all that apply):

Dog Personality Profile

Please check the answer that best applies:

The ideal dog for me would be best described as (check all that apply):

I want to enjoy the following activities with my dog (check all that apply):

I would like to discuss or take home information about (check all that apply):

Cat Personality Profile

Please check the answer that best applies:

The ideal cat for me would be best described as (check all that apply):

I would like to discuss or take home information about (check all that apply):

Small Animal Personality Profile

Please check the answer that best applies:

The ideal pet for me would be best described as (check all that apply):

I would like to discuss or take home information about (check all that apply):

Contact Us

Email: bestfriends@hsccvt.org

Adoption Center Hours:

Follow Us: