Adoption Application

Adopt a Pet To Bring Joy to a Rescue Animal Today

Effective February 1, 2013, a Quarantine Fee of $120.00 will be required (in addition to the adoption fee) to adopt a dog that has been quarantined in MA. MA mandates that ALL dogs shall be quarantined for 48 hours in a state-approved facility. The quarantine fee shall be paid by the adopter directly to the quarantine facility or Angels Among Us Animal Rescue, depending on whether you pick your dog up at the quarantine facility or through an MA foster family.

If you are interested in adopting one of our animals, please fill the below form out completely. Once we receive it, we will start the adoption process. One of our adoption coordinators will contact you within 72 hours. If you have not received a response from us after 72 hours, please check your spam folder in your email before contacting us again.

Please keep in mind: We are all volunteers who work and have our own families. We will get back to you as soon as we can. If you contact us during the holidays, it may take us longer than normal to get back to you.

We have certain criteria that must be met in order for someone to adopt one of our animals.

Cats are inside only and not to be declawed.

It is mandatory that the pets that we adopt out are to be kept indoors! NO EXCEPTIONS! Please do not waste your time filling out the application if you want to keep the animal outside.

Our animals are spayed or neutered, up to date on shots, dewormed, heartworm tested (if over 6 months old), and heartworm treated if they are heartworm positive, and they are current on heartworm prevention. We also microchip all of our puppies and dogs.

*Please note that not everyone who applies for one of our animals will be approved.

Adoption Application

"*" indicates required fields

Step 1 of 7

14%

Name of animal you are interested in adopting

Your Name

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Daytime Phone*

Evening Phone*

Email*

Date of Birth*

MM slash DD slash YYYY

Occupation*

Spouse/Significant Other (if applicable, if not skip)

Date of Birth

MM slash DD slash YYYY

Daytime Phone

Occupation

YOUR HOUSEHOLD

How long have you lived at this address:*

How many adults live in household:*

What relationship are they to you:

How many children live in household:*

What age(s) are the children:

Does anyone in the household have known allergies to animals:*

Does anyone that lives in the household have special needs:*

If yes, Who? This does NOT mean you can not adopt, we just want to match you with the right dog for your family:

Have you or anyone in your household ever been accused, charged or convicted of animal neglect, abuse or cruelty:*

Have you or anyone in your household ever been accused, charged or convicted of animal neglect, abuse or cruelty?

Are you willing to let our organization to conduct a home visit:*

What type of home do you live in:*

Single Family

Condominium/Townhouse

Apartment

Farm

Other

Describe your household:

Noisy

Active

Quiet

Average

Do you own or rent your home:*

Own

Rent

If you rent, does your landlord allow pets:

Does your landlord require a pet security deposit:

What is your landlord's name:

What is your landlord's phone number:

Do you agree to allow us to contact your landlord:

If you have roomates, please provide their names and contact information:*

PET QUESTIONS

Is everyone in agreement with the decision to adopt a pet:*

Why are you wanting to adopt a pet:

Companion

Security

Guard Dog

Hunting Dog

Other

Do you have the time to provide adequate love and attention to a pet:*

What other pets do you have (specify breed and how many, if no pets indicate N/A )*

Are your current pets up to date on vaccines:*

Are your current pets spayed and/or neutered:*

Have you ever surrendered a pet:*

If so, why did you surrender a pet:*

Have you ever had a pet euthanized:*

If so, why was the pet euthanized:*

Have you ever lost a pet to an accident*

If so, how did the accident happen:

Do you discipline your pets:*

If so, how do you discipline your pet:

YOUR VETERINARIAN

Do you have a regular vet:*

Yes

Looking for One

Not Applicable

Do you agree to allow us to contact your vet:*

Yes

Not Applicable

Vet's Name:*

Clinic's Name:*

Clinic's Address:

Clinic's Phone Number:*

What name is the vet record under:

PET RESPONSIBILITIES

What is your idea of an ideal pet and why:

Desired age:

Desired size:

Desired Breed:

What breed would you not want to adopt:*

Desire Sex:

Female

Male

Would you adopt a special needs pet*

Yes

Maybe

Not Applicable

Where will the pet spend the day:*

Where will the pet spend the night:*

Number of hours pet will be left alone:*

Who will have primary responsiblity of the pet's daily care:*

Who will have financial responsiblity of the pet's care:*

Do you agree to provide regular health care by a licensed vet:*

Yes

Not Applicable

Do you agree to provide adequate food and water for the pet:*

Yes

Not Applicable

Do you agree to keep the pet CURRENT on vaccinations:*

Yes

Not Applicable

Do you agree to keep the pet on MONTHLY heartworm prevention:*

Yes

Not Applicable

Do you agree to provide emergency care if needed by a licensed vet:*

Yes

Not Applicable

Do you agree to keep the pet as an INDOOR pet that will reside in your home as a pet and will not be left outdoors:*

Yes

Not Applicable

How do you plan to supervise the pet when outdoors:*

Do you have a fenced in yard:*

Yes

Planning on fencing in when we adopt

Not Applicable

Do you have a swimming pool:*

Yes

Not Applicable

If you have a fence, what type of fence, how tall is the fence, and is it completely fenced in:

REFERENCES

Personal Reference #1

Name*

Relationship*

Phone*

Address*

Personal Reference #2

Personal Reference Name #2:*

Relationship*

Phone*

Address*

Personal Reference #3

Personal Reference Name #3:*

Personal Reference Relationship #3:*

Personal Reference Phone #3:*

Personal Reference Address #3:*

Do you agree to contact us if you no longer can keep the pet:*

Yes

Not Applicable

Do you agree that ALL the information you have provided is true and accurate:*

Yes

Not Applicable

How did you hear about us:*

Friend

Family

Rescue Event

Petfinder

Facebook

Other

Do you understand if ANY required field is left blank, the application will NOT submit. Please put N/A if the question does not apply to you.*

Signature: (by typing your name you are electronically signing this document)*

Date*

MM slash DD slash YYYY

Comments

Untitled

Comments

This field is for validation purposes and should be left unchanged.

Adoption Application

"*" indicates required fields

Step 1 of 7

14%

Name of animal you are interested in adopting

Your Name

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Daytime Phone*

Evening Phone*

Email*

Date of Birth*

MM slash DD slash YYYY

Occupation*

Spouse/Significant Other (if applicable, if not skip)

Date of Birth

MM slash DD slash YYYY

Daytime Phone

Occupation

YOUR HOUSEHOLD

How long have you lived at this address:*

How many adults live in household:*

What relationship are they to you:

How many children live in household:*

What age(s) are the children:

Does anyone in the household have known allergies to animals:*

Does anyone that lives in the household have special needs:*

If yes, Who? This does NOT mean you can not adopt, we just want to match you with the right dog for your family:

Have you or anyone in your household ever been accused, charged or convicted of animal neglect, abuse or cruelty:*

Have you or anyone in your household ever been accused, charged or convicted of animal neglect, abuse or cruelty?

Are you willing to let our organization to conduct a home visit:*

What type of home do you live in:*

Single Family

Condominium/Townhouse

Apartment

Farm

Other

Describe your household:

Noisy

Active

Quiet

Average

Do you own or rent your home:*

Own

Rent

If you rent, does your landlord allow pets:

Does your landlord require a pet security deposit:

What is your landlord's name:

What is your landlord's phone number:

Do you agree to allow us to contact your landlord:

If you have roomates, please provide their names and contact information:*

PET QUESTIONS

Is everyone in agreement with the decision to adopt a pet:*

Why are you wanting to adopt a pet:

Companion

Security

Guard Dog

Hunting Dog

Other

Do you have the time to provide adequate love and attention to a pet:*

What other pets do you have (specify breed and how many, if no pets indicate N/A )*

Are your current pets up to date on vaccines:*

Are your current pets spayed and/or neutered:*

Have you ever surrendered a pet:*

If so, why did you surrender a pet:*

Have you ever had a pet euthanized:*

If so, why was the pet euthanized:*

Have you ever lost a pet to an accident*

If so, how did the accident happen:

Do you discipline your pets:*

If so, how do you discipline your pet:

YOUR VETERINARIAN

Do you have a regular vet:*

Yes

Looking for One

Not Applicable

Do you agree to allow us to contact your vet:*

Yes

Not Applicable

Vet's Name:*

Clinic's Name:*

Clinic's Address:

Clinic's Phone Number:*

What name is the vet record under:

PET RESPONSIBILITIES

What is your idea of an ideal pet and why:

Desired age:

Desired size:

Desired Breed:

What breed would you not want to adopt:*

Desire Sex:

Female

Male

Would you adopt a special needs pet*

Yes

Maybe

Not Applicable

Where will the pet spend the day:*

Where will the pet spend the night:*

Number of hours pet will be left alone:*

Who will have primary responsiblity of the pet's daily care:*

Who will have financial responsiblity of the pet's care:*

Do you agree to provide regular health care by a licensed vet:*

Yes

Not Applicable

Do you agree to provide adequate food and water for the pet:*

Yes

Not Applicable

Do you agree to keep the pet CURRENT on vaccinations:*

Yes

Not Applicable

Do you agree to keep the pet on MONTHLY heartworm prevention:*

Yes

Not Applicable

Do you agree to provide emergency care if needed by a licensed vet:*

Yes

Not Applicable

Do you agree to keep the pet as an INDOOR pet that will reside in your home as a pet and will not be left outdoors:*

Yes

Not Applicable

How do you plan to supervise the pet when outdoors:*

Do you have a fenced in yard:*

Yes

Planning on fencing in when we adopt

Not Applicable

Do you have a swimming pool:*

Yes

Not Applicable

If you have a fence, what type of fence, how tall is the fence, and is it completely fenced in:

REFERENCES

Personal Reference #1

Name*

Relationship*

Phone*

Address*

Personal Reference #2

Personal Reference Name #2:*

Relationship*

Phone*

Address*

Personal Reference #3

Personal Reference Name #3:*

Personal Reference Relationship #3:*

Personal Reference Phone #3:*

Personal Reference Address #3:*

Do you agree to contact us if you no longer can keep the pet:*

Yes

Not Applicable

Do you agree that ALL the information you have provided is true and accurate:*

Yes

Not Applicable

How did you hear about us:*

Friend

Family

Rescue Event

Petfinder

Facebook

Other

Do you understand if ANY required field is left blank, the application will NOT submit. Please put N/A if the question does not apply to you.*

Signature: (by typing your name you are electronically signing this document)*

Date*

MM slash DD slash YYYY

Comments

Untitled

Name

This field is for validation purposes and should be left unchanged.