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Disclaimer

Please read and sign below
Thank you for carefully and honestly filling out this form. We, the staff at the North Attleboro Animal Shelter, dedicate ourselves in trying to find the best suitable home for the animal and for the family looking to adopt.
If we feel that a certain animal is not suitable or does not meet the requirements of the animal adoption, then we have the right to deny the adoption at anytime. Please do not take this personally; it’s only fair that both parties find the right match for each other.
NOTE: Applications are done on a day to day basis. Every application that comes in is read thoroughly and you will be contacted by a staff member within a few days (Please allow us a few days to go over the applications). Other applications may have already been received on the same animal.
We may also contact your vet, landlord, and animal control officer of your town as a background check.
The declawing of adopted cats and kittens is strictly prohibited!
You must be 21 years of age or older to complete this form and to adopt an animal.
Electronic Signature Agreement*
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree.
Electronic Signature*
Today's Date*
Today's Date
I'm looking to adopt a:*
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Person Information

First Name*
Last Name*
Address*
City*
State*
Zip Code*
Email Address*
Phone Number*
Occupation*
Date of Birth*
Date of Birth
I wish to adopt (name of animal):*
My residence is:*
Describe other residence:*
Do you:*
Describe other living situation:*
Landlord's Name*
Before application will be considered, we must contact landlord for permission
Landlord's Phone Number*
If you live with parents, friends or other do you have permission to have an animal?*
If renting, do you have landlord's permission to have an animal?*
If you rent, is there a restriction on the size/breed of dogs allowed?
What are the restrictions?
How long have you lived at your current residence?*
What would you do with the pet if you had to move? *
Have you ever had to give up ownership of a pet?*
How long ago?*
What were the circumstances?*
How many children are living in or frequently visit your household?*
Children's ages:*
Have they ever been around pets if you have not owned one?*
What types of animals?*
Are any members of your family allergic to animals? *
If allergic, to what kind of animal?*
Who will be responsible for the animal?*
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Pet Information

Other Information

Name of your Veterinarian:
Phone Number
Address
City
Reason for adopting a pet:*
Other reason for adopting:*
Reason for adopting a dog:*
Other reason for adopting:*
Where did you hear about the North Attleboro Animal Shelter?
Other comments:
Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree.
Electronic Signature
Date
Date

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Email address

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