Pope Memorial Frontier Animal Shelter

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ONLINE ADOPTION APPLICATION

Adoption Application 2025

Which animal are you interested in?:

Name:

Co-Adopter's Name (if applicable):

Email:

Home and/or Cell Phone Number:

Adopter's Date of Birth:

Describe your Employment Status:

Place of Employment:

Mailing Address:

City/State:

Zip Code:

Street Address if Different:

How long have you lived at your current address?:

Do you own or rent your home?:

Landlord's Name/Phone Number:

How many adults live in your home?:

How many children? What are their ages?:

General Home Life

General Home Life

Do you live in a:

Which best describes where you live?:

Describe the traffic by your home:

What word best describe your household?:

What reason(s) do you want a pet?:

Family Pet

Companion

Protection

Hunting

Mouser

Barn Cat

Describe the people that your animal will need to be able to live with (Select ALL that apply):

Children under 8

Children 8+

Teenagers

Other Adults

Frequent Visitors/Guests

Describe your home and the environment where the animal will primarily live and spend time.:

Who are you adopting this animal for?:

Who will be responsible for the care of this animal?:

Who will care for this animal when you go out of town?:

Who will care for the animal in case that you have a personal emergency?:

What will you do if your lifestyle ever changes in the future (e.g, moving, job changes, family)?:

What experience do you have with other pets?:

Have you ever adopted an animal from this shelter before?:

If so, when, and where is this pet now?:

Have you ever surrendered an animal from this shelter before?:

If so, why?:

How do you plan to handle any potential challenges

Define any traits or characteristics that would be a challenge for you to handle:

Vet Info:

Veterinary History/Information:

Are you aware that the cost of vet care annually can be anywhere from $60.00 to an excess of $250.00 and are you willing to make this commitment?:

Do you have an established relationship with a veterinarian? List current or past veterinarians you have used:

Who is Veterinarian?:

Phone Number:

How often and for what do you take your pet(s) to the veterinarian?:

List all pets

Please list ALL pets in your home currently and/or have had in the past 5 years:

Animal(s) Name/Species/Age:

Spayed and/or Neutered?:

When did you get your pet(s)?:

Where did you get your pet(s)?:

Where is your pet(s) now? (If deceased, please clarify):

Is this pet up to date on vaccines?:

(FOR DOG OWNERS...) Are your dogs licensed?

If so, in which town?:

How do you think your current animal(s) will adjust to a new cat or dog in the home?:

Personal References

Personal References

Please list...

Please list two personal references that are NOT family members, co-adopters, spouses, etc. and include their telephone number.

Personal Ref 1

Personal Reference #1:

Name:

Phone Number:

Relationship to the Adopter (Friend, Co-worker, etc.):

Personal Reference #2

Personal Reference #2

Name:

Phone Number:

Relationship to the Adopter (Friend, Co-worker, etc.):

PR suggestions

(Personal Reference Suggestions: Friends, Neighbors, Co-workers, etc.)

dog apps

________________

Dog Applicants

Do you have a preference of age, sex, size, etc?:

Describe your ideal dog! What traits or characteristics are most important to you?:

Where will your dog stay when you are not home?:

When your dog is outside, how will you control him/her?:

Where will your dog sleep?:

Are you interested in crate training?:

Would you like training information? If obedience lessons are recommended, are you willing to pay and attend these classes?:

cat apps

________________

Cat Applicants

Do you have a preference of age, sex, size, etc?:

Describe your ideal cat! What traits or characteristics are most important to you?:

Do you plan to let your cat outside?

What kind of cat are you looking for - indoor, outdoor, or both?:

Do you plan to have a litter box?

Do you plan to declaw this cat and if so, why?:

anything else?

Anything Else?

Is there anything else you would like us to know about yourself or your plans for a new pet?:

disclaimer

Disclaimer!

Thank you for your interest in adopting and taking the time to complete this questionnaire! Your responses will help us match you with the right animal. Please remember that submitting a questionnaire does not claim an animal or place an animal on hold for you. Once your questionnaire has been reviewed, you will receive a confirmation email or phone call with the next steps in the adoption process.

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PLEASE READ BEFORE SIGNING -The Pope Memorial Frontier Animal Shelter (PMFAS) reserves the right to verify all information given on this application. Any misinformation or falsification will result in automatic refusal of an animal or confiscation of the animal if the adoption has already taken place. If, following verification, PMFAS criteria is not met, PMFAS reserves the right to refuse adoption. Animals adopted from PMFAS are to be placed in permanent homes where a lifetime of commitment can be assured.

I, (print name):

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grant permission for PMFAS to verify the information I have presented on this application. I also give the veterinarian/clinic named on this application permission to release information PMFAS may request in order to process this application.

t+c

**I have read and agree to the Terms and Conditions**

Thank you for submitting an application!

It may take a few days for your submission to be processed - we will get back to you as soon as possible.

Oops, there was an error sending your message.
Please try again later.

Pope Memorial Frontier Animal Shelter

Address:

4473 Barton Orleans Road Orleans, VT 05860

Business Hours:

Open Daily

8:00AM - 5:00PM

(By appointment only)

Adoptions:

Tues, Fri, Saturday:

12:00PM - 3:00PM

12:00pm-1:00PM - Cat Visiting Hours

1:00PM - 3:00PM - Adoption Process for Approved Adopters

Contact Us:

Ph: 802-754-2228

Email Us At:

animals@fasv.comcastbiz.net

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