On-line Adoption Application Form
Hamilton Township Animal Shelter and Adoption Center
2100 Sylvan Avenue
Hamilton, NJ 08610
(609) 890-3550
On-Line Application to Adopt a Dog or Cat
Note: This on-line application form is intended to indicate your interest in adopting a pet. This form is not a replacement for the official application form and adoption agreement. You will be required to fill out an official adoption agreement at the time when you adopt a shelter pet. This application will be rejected if information is incomplete or found to be incorrect.
Dog #
Cat #
Your Name:
Your Date of Birth:
Phone (work):
Phone (home):
Address:
City:
State:
Zip Code:
Driver's License Number:
Your Email Address:
Do you own or rent? Own Rent If rent, landlord's phone number:
Landlord's Name:
If you rent, does the landlord approve of you having a pet? Yes No
How many children in family?
Children's age(s)
Have you ever adopted a pet from us? Yes No Type of Animal:
Have you ever surrendered animals to us? Yes No
Is your yard fenced? Yes No If yes, height of fence:
Are you interested in an outside pet or house pet? Outside pet House pet
Is this a gift for someone else? Yes No
If yes, Name of person:
Address:
Phone Number:
What type of animal are you interested in? Size: Gender:
Age preference: Type or Breed Preference:
Are you financially able to pay a veterinarian bill should the pet become ill or injured?
Yes No Veterinarian's Name: Phone#:
The animal shelter officers may check periodically to see if the animal is well fed and has adequate shelter. Any neglect will be cause to remove the animal from said property. To the best of our knowledge, the animal being adopted is in good physical condition. We make no claims or representation as to the behavior or temperament of the animal being adopted.
I, the adopting person, agree to the following conditions: To provide food, clean fresh water, adequate shelter and kind treatment to my adopted pet and not to sell, abandon or give away to be used for experimental purposes. I will provide immediate veterinary care for the animal whenever needed, I will use a collar with the Municipal License attached to it at all times and I will obey all State and Local animal regulations.
I am at least 18 years of age and I agree to the terms of this adoption agreement.
I hereby attest that all information provided above is truthful and accurate to the best of my knowledge.