Application fee-Dog Payment Method *
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Applicant Name: *
Email * Are you a Veteran? (our adoption fees for veterans are waived- certain conditions apply) * What type of pet are you interested in? * What type of pet are you interested in? How many people currently reside in your household? Any children in the household? None 1 2 3 4 5 6 7 8 9 10 For Whom are you adopting the pet Does any member of of the family have allergies to animals? Yes No How many hours (per day) will the animal be left unattended? Where do you live? Apartment Condo Farm Mobile Home Townhouse House Do you own or rent your residence? Own Rent Are pets allowed? Yes No Not Sure Where will the pet be kept? Indoors only Outdoors only Both in/out If outdoors will pet be? attended unattended collar and tags? Will anyone be home during the day? Yes No How many hours will the pet be left unattended? Is your yard fenced in? Yes No If adopting a cat, do you plan to declaw? What is the volume of traffic? Light Moderate Heavy Have you ever had a pet before? Yes No Describe the pets you still care for or that you have had in the last 5 years. Are your pets current on their vaccinations? Yes No Personal References: Are you financially able and willing to provide annual checkups, vaccinations, and ANY medical care necessary? (Pets can live upwards of 15 years.) Yes No Have you ever adopted an animal from a rescue/animal control agency? Yes No Are you familiar with your local animal control laws? Yes No Are you willing to sign legal pet adoption papers? Yes No Do you agree to permit a visit to your home/farm by appointment? Yes No Under which circumstances would you give your pet away or surrender to a shelter? Please select all that apply. If not listed, please indicate under “Other”. Have you ever surrendered a pet to a shelter?
By signing this form, l/we acknowledge that all information on this form is true and correct. I/we understand that any misrepresentation of fact may result in Darbster Foundation refusing adoption privileges to me/us. If my/our request for adoption is approved and later Darbster Foundation discovers the above information is not true or correct, Darbster Foundation reserves the right to remove the adopted cat from my home/farm.
If you have exhausted all reasonable efforts to keep your pet, Darbster Foundation accepts the return of any animal adopted from our facility. Adoption returns must be scheduled in advance and are accepted by appointment only. Guardians who wish to return their adopted animal should call 603-635-4495 or email firstname.lastname@example.org to schedule an appointment. Note- there will be an intake fee of $75 if the dog is returned after 14 days from the original adoption date.