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Adoption
Lost & Found
Get Involved
Donate
Programs
About Us

Dog/Puppy
Adoption Questionnaire

Name of dog you are interested in:
Name
First Last
Home Phone
Work/Cell Phone
Physical Address
Street Address Address Line 2 City State ZIP Code
Mailing Address (if different from physical address)
Address Address Line 2 City State ZIP Code
How long have you lived at this address?
Email
Preferred Communication Method
- Email
- Phone
- Text
May we share your email address with 24PetWatch?
- Yes, please
- No, thank you
All of our animals are microchipped! 24PetWatch is the company who registers the microchips.
Do you currently have any other pets?
- Yes
- No
What kind and how many?
My dog needs to be good with...
- Younger Children
- Older Children
- Elderly People
How will you exercise your dog?
- Walking/Hiking
- Running
- Other
Other:
Who are the members in your household? Please list age(s) and relationship to you.
Any questions/concerns you would like to discuss with us?

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Contact Details

236 Boardman Street
Middlebury, VT 05753

(802) 388-1100 ext. 110

Canine@homewardboundanimals.org

Adoption Center Hours

Dog adoptions require appointments, Tuesday - Saturday, 10:00 am - 3:30 pm

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