Dogs Deserve Better of Windsor

Adoption Form

Your full name:  * required

Mailing Address:

Phone Number:  * required

What sex dog are you looking for? Male Female Either

What age dog are you looking for? Puppy Young Adult Senior Any

Is there a certain dog you are interested in?

What is your veterinarians name and phone number?  (They will be contacted)

I hereby give permission to call my vet for reference. Yes

Is your yard fenced in? Yes No

Do you have children that live in or visit your home? Yes No If so, what are their ages?

Do you have any other pets? Yes No If so, what are there breeds and ages? Are they spayed or neutered? Yes No If not, why not?

Does everyone in the family want this dog? Yes No

Why do you want a rescued pet, and how are you prepared to meet their special needs?

Will the pet be left alone for long periods of time? Yes No If yes, where will they be kept?

Do you own or rent? Own Rent If you rent, does your landlord welcome pets? Yes No What is your landlord's name and phone number?  (They will be contacted)

Describe previous dogs you have owned.  How long have they lived?  And, ultimately what happened to them?

Date: ____________________________________________

Witness: ____________________________________________________________