Dog Adoption Application

Thank you for considering Adoption! Please make sure you’ve read our FAQ page before applying for adoption/fostering.

  • Terms & Conditions
  • Personal Information
  • Pet Information
  • Confirmation

Terms and Conditions

Please read carefully and agree to the following terms and conditions by checking each item before completing the adoption application.

I am age 23 or older

I am ready to adopt within 7 to 10 days. If not, please apply when ready.

I live within a 90 mile radius of Harrison, NY. Please check on Google Maps if you are unsure.

I realize that the vet care for my adopted pet can cost over $1000 per year and I am willing to accept this responsibility.

I agree to pay between $350 and $450 adoption/donation fee for the puppy/dog I adopt.

I am aware that this application will take about 15-20 minutes to fill out and requires information including personal references, vet references (if applicable) and work information. I will have this information available prior to moving on with the application.

I realize if my application is missing any information my application will not be processed.

Residence Information

Select Dwelling Type (*Note: You must provide landlord or HOA contact information below to verify that pets are allowed.)

House (own)

House (rent)

Apartment

Townhouse

Condo

Landlord Name (or HOA contact)

Landlord (or HOA) Phone #

How long have you lived at your current residence?

Do you plan on moving within the next year?

Yes

No

List all people living in your home (list yourself first):

Age

Relationship to you

Please list work or school information below for the person above

Add/Remove Row

Is anyone in the home allergic to the following?

Dog Dander

Cat Dander

Unknown

No Allergies

Is anyone in your home afraid of dogs (including housekeepers)? If so, please explain.

Yes

No

We pride ourselves with our ability to match people with pets. In order to match you with the best possible pet we need to know if there are any illnesses, disabilities or other special needs with you or any members of your household including physical (canes, walkers, wheelchairs, etc) and social/emotional (ADD/ADHD, Autism, Alzheimers, etc) needs? If so, please explain.

Yes

No

Does everyone in your home agree on adopting a dog?

Yes

No

When will you be able to bring home your new dog?

Personal References (not relatives)

Full Name

Home Phone

Alternative Phone

Relationship

Full Name

Home Phone

Alternative Phone

Relationship

New Dog Information

Preferred Gender

Male

Female

No Preference

Preferred Adult Size

Small (35 lbs & under)

Medium (35-55 lbs)

Large (55 lbs & over)

No Preference

Have you ever adopted a dog or cat from Pet Rescue before? If so, what was the dog’s or cat’s name and when did you adopt?

Yes

No

Please describe why you want to adopt a dog.

Please describe what qualities you are looking for in a dog.

Are you interested in a dog you have recently seen, that is not yet listed on the website? Please indicate the name below.

Yes

No

Have you ever owned a dog before as an adult?

Yes

No

Did it ever have puppies?

Yes

No

If you've owned a dog and he/she is no longer with you, please explain why and be specific.

Current Pet Records

If you currently own or have owned an animal, please provide your veterinarian's name and phone number as a reference. Please provide additional vet information if you have vetted your animal elsewhere in the last 2 years.

Vetrenarian Name

Office Name

Phone Number


Vetrenarian Name

Office Name

Phone Number

Please list all animals currently living in your home.

Pet Type

Name

Age

Breed

Altered?

Add/Remove Row

Have you taken a dog to a shelter? If you have, please explain.

Yes

No

Please describe your home and yard (ie single family house, 1/2 acres, dead end, etc.)

How do you plan on exercising your new dog?

How do you plan to have your new dog relieve itself?

Do you have a fully enclosed fenced-in area on your property? If so, how tall is your fence?

Yes

No

How many hours each day will your new dog be alone?

Who will be the main caretaker during the day?

Who will care for your dog during prolonged absences?

Specifically, where will your new dog be kept when it is alone?

Specifically, where will your new dog sleep?

What sort of training will you provide your new dog?

Application Confirmation

The donation to adopt a dog is $350 - $450. Included in dog adoptions: age appropriate vaccinations, altering and heartworm testing (if old enough), deworming, leash and collar with Pet Rescue name tag. If a puppy is not of age, you will be required to have him/her altered by 6 months and New York State requires us to take an additional refundable $50 spay/neuter deposit. After receiving written vet confirmation from you, we will happily refund the $50 deposit.

Once you submit an application, you will hear from us via email within 24 hours. The review process usually takes 3-7 days to complete, depending on how quickly your references come in and how quickly you respond to our emails. Our primary means of communication is e-mail; please check it frequently. If the dog you apply for is adopted before your application process is complete, you are free to choose another dog on our site or be placed on our preapproved adopters list. By clicking on the submit button below, you verify that all information listed above is true and the terms of adoption are acceptable to you.