Application for Dog Adoption


"*" indicates required fields

  • Thank you for adopting.  Since 2020 we have had an overwhelming number of applications. We have a $15 application fee which helps to cover our administrative expenses of processing. We do ask what pet you are interested in; BUT  please note we cannot guarantee that pet will still be available once you are approved.   Once approved your application is good for one year and you will have  a meet and greet with pets we do have available at that time.  We will do our very best to match you with a pet. Please feel free to call us or email us for the status of your application if you do not hear back within 48-72 hours. 603-635-4495 or

Payment Method*
American Express
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Applicant Name:*
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What type of pet are you interested in?*
What type of pet are you interested in?
Please enter a number from 1 to 50.
For Whom are you adopting the pet
Please enter a number less than or equal to 12.
Accepted file types: jpg, gif, png, pdf, Max. file size: 2 MB.
A tax bill or proof of purchase. If your attachment is too big, please email it to
Please enter a number from 0 to 24.
If adopting a cat, do you plan to declaw?
Describe the pets you still care for or that you have had in the last 5 years.
Time in your care
Up to Date Vaccinations
Personal References:
Phone Number
Years known

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 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.
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.