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Adopter Form

Name:
Date:
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:

Dog Personality Profile

This information will help us to assist you with selecting an animal that is a good match for both you and your home. To meet the individual needs of animals and potential adopters we may require certain additional information or conditions later on.

Please check the answer that best applies:
1. I would describe my household as:
2. My dog will need to be alone:
3. I would describe my experience level caring for dogs as:
4. My dog will be kept:
5. My current residence is a:
The ideal dog for me would be best described as (check all that apply):
Playful
Active/energetic
Out-going/social
Confident/adventurous
Curious/inquisitive
Affectionate/cuddly
Lap dog
Talkative
Tolerant/gentle
Well-mannered
Independent
Mellow/calm
Reserved/shy
Trainable/intelligent
Food-motivated
Puppy
Young adult
Established adult
Senior
Special needs
It is most important to me that my dog:
I could not tolerate a dog that
I want to enjoy the following activities with my dog (check all that apply):
Swimming
Travel/riding in car
Hiking
Playing with other dogs
Dog sports/agility
Hanging out/watching TV
I would like to discuss or take home information about (check all that apply):
Crate/house-training
Introducing a new dog to current pets
Socializing shy or nervous dogs
Finding pet-friendly housing
Finding a vet
Leash-walking & other obedience topics

Cat Personality Profile

This information will help us to assist you with selecting an animal that is a good match for both you and your home. To meet the individual needs of animals and potential adopters we may require certain additional information or conditions later on.

Please check the answer that best applies:
1. I would describe my household as:
2. I would describe my experience level caring for cats as:
3. I would prefer a declawed cat:
4. My cat will be kept:
5. I live in a:
The ideal cat for me would be best described as (check all that apply):
Playful
Active/energetic
Out-going/social
Confident/adventurous
Curious/inquisitive
Affectionate/cuddly
Lap cat
Talkative
Tolerant/gentle
Low-maintenance
Independent
Mellow/calm
Reserved/shy
Trainable/intelligent
Quirky
Kitten
Young adult
Established adult
Senior
Special needs
It is most important to me that my cat:
I could not tolerate a cat that
I would like to discuss or take home information about (check all that apply):
Scratching furniture
Introducing a new cat to current pets
Socializing shy or nervous cats
Cat toys & enrichment ideas
Finding pet-friendly housing
Finding a vet
Litter box training & tips
Keeping outdoor cats safe

Small Animal Personality Profile

This information will help us to assist you with selecting an animal that is a good match for both you and your home. To meet the individual needs of animals and potential adopters we may require certain additional information or conditions later on.

Please check the answer that best applies:
1. I would describe my household as:
2. I would describe my experience level caring for this type of animal as:
3. My pet will be kept:
4. My current residence is a:
The ideal pet for me would be best described as (check all that apply):
Playful
Active/energetic
Out-going/social
Confident/adventurous
Curious/inquisitive
Affectionate/cuddly
Lap cat
Talkative
Tolerant/gentle
Low-maintenance
Independent
Mellow/calm
Reserved/shy
Trainable/intelligent
Quirky
Kitten
Young adult
Established adult
Senior
Special needs
It is most important to me that my pet:
I could not tolerate a pet that
I would like to discuss or take home information about (check all that apply):
Small animal housing & enrichment
Introducing a new pet to current pets
Socializing shy or nervous pets
Species-specific dietary needs
Finding a vet
Proper handling

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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 - Friday: 1:00 - 6:00 pm

Saturday: 10:00 am - 4:00 pm  

Sunday & Monday: CLOSED           

Please note that our facility remains closed to general visitors. Visit the Pet Adoption page for more details on our latest adoption process updates.

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