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Matchmaker Application

  1. Town Seal
    Animal Shleter and Adoption Center Matchmaker Application

  2. Important Note

    It is our policy to make certain that each person who adopts a dog is aware of the responsibility abilities of pet guardianship and is capable of and willing to accept those responsibilities morally, physically, and financially.

    ****We reserve the right to determine which home would be best suited for each one of our animals. ****

    By completing this questionnaire, you will aid us in determining if you and your family are indeed ready for pet guardianship, and if the dog of your interest would suit you and your lifestyle.

    Should you agree that adopting a pet is a commitment throughout the lifetime of your companion animal, please fill out this questionnaire.

  3. Are you Interested in seeing our DOGS or CATS?*

  4. What behavior(s) do you desire or could accept?

  5. Are you open to rescuing a Special Needs Pet?*

  6. Specialties

    Medical, will require continued veterinary care

    Behavioral; that will require additional professional help
    o Guarding issues
    o Fearfulness
    o Severe Separation Anxiety
    o Stranger Weary
    o Socially Restricted pet
    o Very strict, not good with other animals

  7. I hereby certify that all information is true, accurate and complete.

  8. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  9. Leave This Blank:

  10. This field is not part of the form submission.