Home - Animal Rescue Network of New England (ARNNE)



ARNNE Dog Adoption ApplicationReturn to: ARNNEP.O. Box 1053Pelham, NH 03076You are probably wondering:?"How do I decide which pet is right for my family?"?To help you find the best match, we'll ask you to complete an Adoption Application.Then you'll meet with a?trained adoption counselor?who will talk with you about your expectations for a new pet. Each family has a different idea about the ideal pet for their home; our job is to match a pet to your lifestyle.We will provide as much background information as we have available for the animal you are interested in. If you and the pet seem to be a potential match, we will ask the family to interact with the pet.About YouFirst NameLast NameAddressAddress Line 2CityStateZIP CodeEmailPreferred Phone NumberSecond Phone NumberYour Birth YearWe ask this for adoption age requirements.Type of Housing You Live In (choose one plus add parents info if applicable)Own single family dwellingOwn condoOwn mobile homeRent single family dwellingRent condoRent mobile homeLive with parent single family dwellingLive with parent condoLive with parent mobileParent's nameParent's phoneOtherYears at Current AddressHow many people (in addition to you) live in the household where the new pet will live?Others in Your HouseholdPlease list all members of your household whether they are relatives or not. (name, relationship, age if under 18). Add one household member per line. If you are the only household member please add "just me."NAMERELATIONSHIPAGEAgreement:Is everyone in your household in agreement on adopting a pet? (y/n)Specific Pet You're Interested In?Specific Pet NameIf there is a specific pet you're interested in and know the name, please enter that here. If you don't know you can enter "Don't Know" or a description like "One of the Lab puppies..."Specific Pet BreedIf there is a specific breed or breed mix you're interested in, please enter that here.What interests you about the particular pet you are applying for?Current PetsFor each current pet you own, please list: the Species (dog, cat, bird), Breed (Beagle, Tabby, Parrot...), Age, Gender, If it's Fixed aka Spayed/Neutered (Yes/No), Time (in years) you've owned this pet. Put one pet per line.Do you currently own at least one pet? (y/n)SPECIESBREEDAGEGENDERFIXEDTIME OWNEDCurrent Vet's NameCurrent Vet's PhoneOther Current VetEnter the name and number of any other vet who has treated your current pet(s).Former Pet StatusWe will ask about your previous pet(s) and your veterinarian(s).List the type of pets you have owned, how many years you owned them and reason you no longer own them. For mixed breeds a mixed guess is OK. Species (Dog, Cat, Bird...), Breed (Beagle, Tabby, Parrot), Name (as on file with your vet), Years Owned, Reason No Longer OwnedI used to own at least one pet (y/n)SPECIES (dog, cat…)BREED (Beagle, Table…)NAMEYEARS OWNEDREASON NO LONGER OWNVET NAMEVET PHONEUNNATURAL ENDINGSPlease check all that apply. Have any of your pets ever been lost, attacked, been in an accident, or been stolen? (y/n for each)Lost and never found?Lost and found?Attacked (poined, beaten, shot…)?Accident (car, other)?Stolen?Other?N/AReferencesPlease provide the name and contact information of three (3) people who are able to discuss your pet-owning abilities. Enter Name, Relationship to You, Phone, Email for each person.NameRelationshipPhoneEmailWhere will the new pet spend most of its time? (choose one)Inside CratedInside One RoomInside FreeOutside ChainedOutside FencedOtherIs anyone home during the day (choose one)YesMost of the timeA little of the timeNoIs anyone home at night? (choose one)YesMost of the timeA little of the timeNoTaking Care of Your DogWhat provisions will be made for your pet when no one is home?What provisions will be made for your pet when you are on vacation?Who will be primarily responsible for exercising, training and caring for the dog?Are you willing to provide training for your pet (obedience, housetraining)? (choose one)Yes I will train my dogYes I will hire a trainerYes I would like ARNNE's helpNoDo you already have a trainer in mind? (y/n)Are you planning on particular activities with your pet? Please explain.How will you provide exercise for your pet? (choose all that apply)Leash walkingLeash runningAerial runnerFenced yardFree roamOtherPlease tell us a little bit about your lifestyle and what role your new pet will play.Have you researched the breed/breed mix you are interested in? (y/n/NA)What changes in your life are you anticipating in the next year (for example, new baby, grandchildren, new job)?In the next 5 years? (New baby, grandchildren, new job...?)Does anyone in your household have pet allergies? (y/n)Will the pet be allowed in the house? (choose one)AlwaysSometimesNeverHow long will the pet be left alone (without humans) on a typical weekday?How long will the Pet be left alone (without humans) on a typical weekend day?If you have a yard, please enter the size.If your yard is fenced, please describe fence (type/material/height)What food do you plan on feeding your new pet?Are you willing to find out more about dog food ingredients and nutrition? (choose one)YesYes I would like ARNNE's helpNoHave you ever sold, given away, or surrendered a pet to a shelter or otherwise? (y/n)Under what circumstances would you give up your pet?Household member allergy, household member preference, moving, job hours, taking care of relative, your own sickness...Have you considered the yearly cost of owning a pet? (choose one)I have a pretty good idea of costsI would like some help from ARNNE on costsWhy do you want to bring a new pet into your home?How did you learn about ARNNE?Please add any comments here. ................
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