Pet Adoption Application

The goal of our adoption program is to find permanent, loving homes for the animals in our care. We try to find a match that considers the best interest of the animal, but also your best interest as well. The day you take home a new pet is the day you begin your new friendship. While you will have many happy years together, your pet will never outgrow their need for you. Our staff is here to provide you with information and advice on pet care today, and for the life of the your pet.

Please fill out this form, print it, and bring it with you to:
Animal Rescue League Of New Hampshire
This On-Line application is meant to speedy the process of adoptions by having all the information on hand and already filled out. Please DO NOT mail this application in. We do not do pre-approvals.

Name:
Address:
City: State:

Zip Code:

Home Phone: Work Phone:
Employer: Location:
Please Check: Own: Rent: Apt: House: Condo: Other
Landlord Name: LL Phone:
Household Info: # of Adults: Ages of Children:
Any Allergies:

Please List all animals owned in the past 5 years:

Name

Type of Animal

Age

Sex

Do you still own?

Veterinarian Name:

Town:

Do you understand why we suggest that all animals be spayed or neuter?
Comments:

Type of animal you are interested in adopting:

Why would you like to adopt an animal?

Will this animal stay... Hours per day animal will be alone?

Questions or concerns?

By signing below, I certify that the information I have provided is true and that I recognize that any misrepresentation of facts may result in my losing the privilege of adopting a pet. I understand that the ARL has the right to deny my request to adopt and I authorize investigation of all statements in this application.

Signature: ____________________________________  Date: ______________________

Animal Rescue League Use Only

Adoption Counselor:____________________________  Animal Tag #:______________________
Approved: Denied Pending Reason: _______________________________________
Landlord Contact: __/__/__   Comments: ______________________________________________

Pet Hold Agreement

Pets Name: ,  is a   ,
and is being placed on temporary hold until: Date:  Time:
Reason for hold:
I understand that an animal can only be held for twenty-four hours except in special circumstances.

Signature: ____________________________________  Date: ___________________