Adoption Form

Please fill out this form as completely and accurately as possible.

Adoption Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit. Disclaimer: We do not hold pets, please make an appointment as soon as possible.

Owner's Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Primary Phone *

Secondary Phone

How did you hear of us? *

Website
Sign
Facebook
Google
Referral
Other

If other, please specify

Please specify the animal(s) you are interested in adopting: *

Thank you for considering adopting a dog from our shelter. You will be making a 10-15 year commitment and our goal is to help make the best possible match for you and our shelter animals. The following questions will help us achieve that goal.

Do you currently live in a:

House
Apartment
Condo
Other

If other, please specify

Do you currently:

Rent
Own

How many adults live in your home?

How many children?

If there are children in your home, what are their ages?

Does anyone in your household have pet allergies?

Who will be primarily responsible for the care of this pet?

Is this pet a gift?

Where will the pet be kept at night?

Pet Information

Pet Name *

Species *

Dog
Cat
Other

If other, please specify *

Breed *

Color markings *

Date of birth or age *

Sex *

Male
Female

Spay or neutered? *

Name of previous vet? *

Would you like us to request medical records from previous caregiver? *

Add a second pet? *

Second Pet's Name *

Species *

Dog
Cat
Other

If other, please specify *

Breed *

Color markings *

Date of birth or age *

Sex *

Male
Female

Spayed or neutered? *

Name of previous vet? *

Would you like us to request medical records from previous caregiver? *

Add a third pet? *

Third Pet's Name *

Species *

Dog
Cat
Other

If other, please specify *

Breed *

Color markings *

Date of birth or age *

Sex *

Male
Female

Spayed or neutered? *

Name of previous vet? *

Would you like us to request medical records from previous caregiver? *

I grant Kittery Animal Hospital and Creature Comforts permission to post my pet’s picture and story on social media. *

Yes!
No, thank you

We will gladly prepare a written estimate if you desire (please ask your technician or doctor). This will be important to you since ALL SERVICES ARE DUE THE TIME SERVICES ARE RENDERED.

We accept Cash, Check, Visa, MasterCard, Discover, Scratchpay, or Care Credit Card.

Signature *

By signing this document you agree to accepting all financial responsibility for any and all treatments performed, and that you are at least 18 years of age or older.

Date *

Email *

Contact Adoption

It is our mission to make every client and their pet feel comfortable from the moment they walk through the door and have their experience be “Fear Free”.

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Address

195 State Rd. Kittery, ME 03904

Contact

P: (207) 439-4158
F: (207) 438-9155
E: adoptions@kitteryanimalhospital.com

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Hours

M-F: 8:00 am – 6:00 pm
Sat: 8:00 am – 4:00 pm (Appointments Only)
Sun: Closed

Adoption Questions?

Let’s get in touch! Fill out our contact form and a member of our adoption team will be in touch shortly. If you need immediate assistance, please feel free to call us.

Name *

First

Last

Email *

Phone

How can we help you? *

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