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

    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

    Newsletter

    MAKE A DONATION

    Humane Society donations

    find a pet to adopt at petfinder

    humane society of united states

    American Humane

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