First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Home Phone*

Work Phone
x

Cell Phone*

Alt Email

Text/Pager Email

Your age and ages of everyone in home?*

Employer and hours worked?*

Spouse's name, age and hours worked*

Which animal are you interested in?*
Choose an animal: Andres (Andy) in NH Annie in NH Cloudia (2) in NH Fern - 8 weeks Foster Homes Wanted Honor - coming soon Hope - coming soon Jax in VT Justice - coming soon Levi in NH Liberty- coming soon Logan - 8 weeks Nacho Neopolitan in VT No specific dog Nougat - Nugget Panda in NH Poppy - 8 weeks Sadie in NH Sully in NH Trader Joe - Coming soon

Please tell us about any children that live in the home or visit frequently: Names and ages?*

Is everyone in the household in agreement about this particular pet?*

IS ANYONE IN THE HOUSEHOLD ALLERGIC TO DOGS OR CATS???*

How long will this pet be alone during day?*

Where will the pet stay when no one is home?*

How will you deal with the pet's elimination needs during the day when it is alone?*

Where will your new pet sleep?*

Does your family travel much? Where does your pet go if you are out of town? *

Please tell us about your home:

Please tell us about your neighborhood:

How long have you lived at this residence?*

Do you have a fenced yard? What type of fence and how high? Are gates securely locked? If NO are you willing to do so?*

Do you have a pool? If yes, is it securely fenced off?*

If this is a rental property we MUST contact your landlord to be sure pets are ok on premise. Please provide name and phone number of landlord:*

What will you do with your pet if you have to move?*

We highly recommend crating new dogs, are you willing to purchase a crate?*

We require our dogs attend training classes as part of our adoption contract. Are you willing to take your pet to an obedience class?*

Socializing is so important for dogs especially the great pyrenees. How will you go about making sure your dog is well socialized?*

Please tell us how the pet will get exercise?*

Have you ever adopted a pet from a rescue or shelter? If yes, what group/shelter?*

What qualities are you looking for in a pet? Please be specific*

Most rescue pets come from backgrounds with little guidance or training. They will require time to decompress, settle in and be worked with. What traits or characteristics are you not willing to work with?*

Please provide us with name and number of your veterinarian. *

Please provide two references names and phone numbers.*

Please tell us about any pets you currently have. Name, breed, age, sex and length of ownership.*

Please tell us about any former pets: Name, age, breed, sex, length of ownership.*

Have you ever given up a pet? *

Have you ever had a pet stolen, lost and not recovered or hit by a car?*

Do you have anything else you would like to add?