Humane Society of Marlboro County - Adoption Questionnaire

Adoption Questionnaire

First and Last Name

Street Address

City

Zip Code

Select a State

Home Phone

Work Phone

Cell Phone

Employer or School

Animals you are interested in (names listed on website)

Live in

Do you Have a Fenced Yard?

If renting, is there a size or breed restriction?

Landlord's Name & Phone

Please list any family or roommates living with you:

What is your daily schedule?

If you are looking generally for a pet, what are you looking for? (dog/puppy)

What size animal are you looking for?

Breed

Traits You Prefer (Energy level, training, etc.)

Behaviors that will most concern you about your new pet:

Have Children? Please list their ages:

Have Other Pets? Please list what age and kind:

Please tell us about previous pets and what happened to them (if deceased, why?)

Name and Phone of vet you have or will use:

Please give us any additional information that will help us to help you find the right pet:

Barbara Mazeika says:

Thursday, 25th October 2012 at 1:31 pm

Pixie a 2-3 yr old female dachshund who, 10 lbs. Recovering from a uterine infection. What would the transportation cost be to Massachusetts ?
HSMCadmin says:

Friday, 26th October 2012 at 11:43 am

Hi Barbara,

Pixie was adopted but thank you for your interest! Transport costs are normally about $150.