ADOPTION APPLICATION

Adoption Application

If you would prefer to print the application, fill it out by hand and mail it to us, please click here and mail the application to:

Above the Notch Humane Society
ATTN: Adoption Coordinator
PO Box 98
Franconia, NH 03580

PRINTABLE FORM

Name or breed of dog you are interested in adopting

Dog Information (required)

About You

First Name (required)

Last Name (required)

Your Email (required)

Spouse

Contact Info

Street Address

City

State

Zipcode

Home Phone

Cell Phone

Are you over 21?

YesNo

Number of children?

Ages of children?

How many people reside in your home?

Is anyone allergic to animals?

YesNo

Do you own your home?

YesNo

If not, provide landlord name and phone number

How long have you been at this home?

Employer Name

Employer Address

Employer Phone

How many years at current job?

How many hours a day are you away from home?

Where will the pet be while you are away?

Veterinarian Name

Veterinarian Address

Veterinarian Phone

Why do you want to adopt this pet?

Other pets you have owned in the last 5 years

Personal Reference #1 Name and Phone

Personal Reference #2 Name and Phone

Stay Informed

MAKE A DONATION

Humane Society donations

find a pet to adopt at petfinder

humane society of united states

American Humane

aspca
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