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Home / Adoption Form

Adoption form

  • How do I adopt a pet?

    Adopting a pet is as easy as filling out the adoption application form, and we’ll reach out to you! Please remember, we’re an all volunteer organization, so it may take a few days – but we promise we’ll be in touch!

  • Are there any adoption requirements?

    At this time we can only adopt to MA, NH and CT residents! Once you apply to adopt, we will perform reference checks, then reach out to schedule a home visit. Please be patient, as all our adoption coordinators are volunteers!

  • How to avoid picking the wrong pet?

    We will work with you to make sure you get a great fit between a dog and your family! Between the information included on your application and the the home visit, we’ll have everything we need to make sure we have a great partnership.

  • Vet Q&A: Are pets for adoption healthy?

    All of our dogs will be spayed or neutered, and will have had a wellness check with a vet! Some dogs may have come from rough lives, but we’ll make sure they are as healthy and happy as can be when they come to their new home!

1Adoption Application Form
2About the pet
3References
4Authorization

Primary Applicant information

Contact information for the primary applicant

Co-applicant information

Contact information for the co-applicant

Primary applicant information

Back to the primary applicant
Please include the applicant and co-applicant name
Under 18's
Check our website for the current adoptable pets.
Please note, we may may have multiple applications for individual pets!
Please describe the traits (temperament, size etc) you are looking for in a pet.
Please include: type of animal, name, age, M/F, Fixed, still have; if no why?
Puppies and adult dogs may need obedience, behavior and other training, in one on one, group or other settings.
Major life changes such as changes in work or work schedules, divorce, changes in living situation etc happen. What will happen to your dog?

Veterinarian contact information

Current, or prior veterinarian contact details. If this is your first pet, please use N/A.

Personal reference #1

How long have they known you, and in what capacity?

Personal reference #2

How long have they known you, and in what capacity?

Personal reference #3

How long have they known you, and in what capacity?

Adoption Application Agreement

I, the undersigned, understand that this is a basic application for adoption of a pet under the care of Safe With Us Animal Rescue. I understand that an application must be processed, which includes but is not limited to, reference and vet checks, and a home visit. I understand that an adoption of a pet requires full completion of the process and that filling an application out does not guarantee me the pet that I am interested in. Likewise, filling out an application does not mean that I have to adopt the pet that I am interested in.

Adoptable animals
Majin
Majin
Meet Majin! This sweet very little guy was an owner surrender. He is tiny, weighing...
Hollie
Hollie
Meet Hollie! On Christmas night this girl was found in the middle of a very...
Trixie and Rollie
Trixie and Rollie
Meet Trixie and Rollie! This senior mother-son pair have lived an incredibly sad life. They...
Jensen
Jensen
Meet Jensen! He was on the euthanasia list at a shelter in Texas. His sweet...
Rizzo
Rizzo
Meet Rizzo!! This little guy found himself returned to the shelter after it was discovered...
Tony Bennett
Tony Bennett
Meet Tony Bennett or Bennett for short! This boy is 10 months old and a...

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