Adoption Application

- Step 1 of 7

Email *

If you have a specific dog in mind, please let us know which one

Name *

First

Last

Are you intertested in Foster Care or Adoption? *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Mobile *

Do you own or rent your home? *

If you rent please provide Landlord's Name & Number

First

Last

Landlord's Phone

Is a pet deposit required at your residence? *

If a deposit is required has it been paid? *

Are there any bans or restrictions on certain breeds at your place of residence? *

Do you have permission to keep pets? *

Are there any restrictions as to the number of dogs and /or combination of dogs and cats that you may have at your residence? *

Please list other family members that live with you, along their ages: *

Is anyone in your household allergic to animals? *

If you answered "yes" above please explain.

How many pets do you currently have in your household? *

Please provide the age, sex and breed of each pet *

Are all the pets spayed and or neutered?

Are these pets current on all vaccinations and on heartworm preventative? *

Veterinary Care

Please tell us a bit about your veterinarian.

Veterinarian Name *

First

Last

Veterinarian Phone *

Veterinarian Address *

Address Line 1

Address Line 2

City

State

Zip Code

About your property

Do you have a fenced yard? *

If you do have a fence, how tall is it?

Do you have a pool? *

If you do have a pool, is it fenced off? *

Employment and Routine

Are you currently Employed? *

If YES - Who is your employer? *

Employer Address

Address Line 1

Address Line 2

City

State

Zip Code

Do you travel frequently? *

If you answered "yes" above please tell us how often.

Is there anyone home during the day? *

Who watches your pets while you're away? *

Where will the dog stay during the day? *

How many hours (approximately) would the dog be alone? *

Pet Experience

How many years have you been involved with dogs? *

Have you ever been bitten or attacked by a dog? *

If you answered yes above - please explain.

Are you comfortable approaching dogs that you don't know? *

If answered no above - please explain

Are you willing to assume the risks involved with animals who are sometimes frightened when in unfamiliar surroundings and may become aggressive?

If answered no above - please explain

Almost Done!

We just need a few references and we'll start processing your application right away!

Please list three making one personal and at least one work or business related

Personal Reference - Name *

First

Last

Personal Reference - Phone *

Personal Reference - Relationship *

Business / Work Reference - Name *

First

Last

Business/Work Reference - Phone *

Business / Work - Relationship *

Reference Three - Name *

First

Last

Reference Three - Phone

Reference Three - Relationship

How did you hear about us? *

Message

was last modified: February 6th, 2018

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Call Us Today - 516-308-6221

Adoption Application

Veterinary Care

About your property

Employment and Routine

Pet Experience

Almost Done!

Our Mission

Adopt

SOCIAL MEDIA

Loading the content...

Call Us Today - 516-308-6221

Adoption Application

Veterinary Care

About your property

Employment and Routine

Pet Experience

Almost Done!

Our Mission

Adopt

SOCIAL MEDIA

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