PLEASE READ THROUGH BEFORE SUBMITTING AN APPLICATION TO ADOPT

Thank you for considering the adoption of a rescue animal! Before you decide to adopt a pet, please consider the time, effort and funds (estimated at $1000 or more annually for food, supplies, vaccination, and veterinary care) necessary to properly maintain an animal. Responsible pet ownership requires a commitment to provide care and companionship for the life of the animal. The decision to adopt a pet is an important one. In order to insure that you and your pet will be happy for years to come, we need to take time to discuss your and the animal’s individual needs and personality traits. Please take a few moments to carefully read and complete this application. The adoption fees are as follows:

  • Puppies (under 12 months): $450
  • Dogs (1 – 5 years): $400
  • Dogs (5+ years): $350
  • Cats: $150 each

Adopters are responsible for $20 annual microchip registration fee with Home Again Company.

NOTICE REGARDING ADOPTION APPLICATION FEE

Please note as of May 2018 we have implemented a $10 non-refundable administrative application processing fee. The application fee is to ensure that the potential applicants are serious about the adoption process and adopting a dog. 100% of this fee will go toward our rescued dogs in need.

  • Complete adoption application (please make sure all questions are answered or your form will not submit).
  • Click “send.”
  • Upon successful submission, you will be redirected to a page to process the application fee. If your form sends but you are not redirected, please click here.

NON-Refundable administrative application processing fee must be paid for us to review your application. Your application donation is tax-deductible.

ADDITIONAL APPLICATION GUIDELINES

  • All applicants must be over the age of 21.
  • You MUST fill out every field that is required to prevent validation errors.
  • We only approve adoptions in the states of New York, New Jersey, Pennsylvania, and Connecticut.
  • If you have prior arrangements that may prevent you from adopting a dog now, please do not submit an application until you are ready. We are not able to hold dogs for an extended period of time.

Applicant's Name (required)

Co-Applicant's Name Please Note: Co-Applicant cannot be the same as "Applicant" (required - please enter N/A if there is no co-applicant)

Your Email (required)

Full Address (required)

City (required)

State (required)

Zip (required)

Primary Phone (required)

Alternate Number (required - Please enter N/A if there is no alternate number)

Date of Birth (required)
Please Note: You MUST be 21 years of age to apply for an adoption. Your application will NOT be considered if you are younger.

1) Name of the pet that you are interested in (required):

2) I currently live in a Private HouseCondo ApartmentCo-Op ApartmentOther. (required)

If Other, please specify (required - please enter N/A if not other):

3) I currently OwnRentLease the resident where I live. (required)

4) How long have you lived at your current residence? (required)

IF YOU CURRENTLY RENT YOUR RESIDENCE, OR OWN A CONDO OR CO-OP APARTMENT, PLEASE PROVIDE YOUR LANDLORD’S OR MANAGEMENT COMPANY’S CONTACT INFORMATION SO THAT WE MAY VERIFY YOUR RESIDENCE’S CURRENT PET POLICY: (If you checked "Own" in the previous question, please type in NA in the fields below)
Landlord’s Name (required)

Landlord’s Phone Number (required, type N/A if Own)

5) How many adults live in your home? (required)
How many children? (required)
Ages of each family member (required):

6) Are you authorized in your household to make decisions concerning pet ownership? (required)
YesNo

7) Does anyone in your household have allergies? (required)
YesNo

8) Who will be primarily responsible for the care of this pet? (required)

9) Is this pet a gift? (required)
YesNo

If yes, for whom? (required - if no, please type N/A)

10) Which of the following best describes your reasons for wanting this pet? (Check all that apply) (required)
CompanionGuard DogHuntingBreedingObedience TrainingSearch & RescueAgilityJoggingWalking BuddyCouch Warmer

11) How many hours will your pet be alone each day? (required)

12) Where will your pet be kept when no one is home? (required)

13) Where will your pet be kept at night? (required)

14) Do you have a fenced-in yard? (required)
YesNo
If so, how high is your fence? (required - if no, please type N/A)
Type of Fence (required - if no, please type N/A)

15) Do you have other pets?: (required)
YesNo
What type? (required)

If you currently have pets, are they up to date on their vaccinations? (required)
YesNoN/A
Are they currently licensed? (required)
YesNoN/A

16) Do you have a regular Veterinarian? (required)
YesNoN/A

16a.) If further required by Rescue City, will you execute a release form allowing Rescue City to contact your current veterinarian for verification purposes? ***PLEASE UNDERSTAND, FAILURE TO EXECUTE THE RELEASE MAY RESULT IN DENIAL OF ADOPTION*** (required)
YesNoN/A

Vet's Name: (required)

Vet's Phone: (No Dashes) (required)

17) Under what circumstances would you not keep your pet? (required)

18) Please list all of the pets you have had in the last 10 years including current pets, and those you no longer own. If you have not had any pets in the last 10 years, please type "N/A" for EVERY field of the Pet #1 section. You may leave the rest blank.

PET #1 Species:*

Breed:*

Age:*

Sex:*
MM/NeuteredFF/Neutered

Owned how long?*

What happened to him or her?*


PET #2 Species:

Breed:

Age:

Sex:
MM/NeuteredFF/Neutered

Owned how long?

What happened to him or her?


PET #3 Species:

Breed:

Age:

Sex:
MM/NeuteredFF/Neutered

Owned how long?

What happened to him or her?


PET #4 Species:

Breed:

Age:

Sex:
MM/NeuteredFF/Neutered

Owned how long?

What happened to him or her?


PET #5 Species:

Breed:

Age:

Sex:
MM/NeuteredFF/Neutered

Owned how long?

What happened to him or her?


19) I like pets that are: (required)
SmallLargeAny Size

20) Please describe the temperament and activity level you are looking for in a pet. Check all that apply: (required)
High EnergyOutdoorsy PetLap PetMellowAffectionateQuietGuard Dog

21) I prefer a pet that… (Check all that apply) (required)
Loves children and strangersCan tolerate children and strangersLoves all other animalsCan tolerate all other animalsDon’t care if he/she gets along well with other animals

22) When it comes to my treatment of pets, I tend to be more: (required)
Strict, demanding (the dog must sit for a cookie)Moderate, (encourage good behavior, ignoring bad)Lenient, a little wishy-washy, easily coerced by the pets (the dog looks cute, so he/she gets the cookie even without performing the sit)

23) Someone in my home is nervous or unsure of dogs/cats… (required)
Very (e.g. bitten as a child)ModeratelySome (no experience with dogs/cats)N/A

24) The noise/activity level in my home is usually: (required)
HighMediumLow

25) I would prefer brushing or grooming my pet: (required)
RarelyOccasionallyDailyWeeklyMonthly

26) I would prefer a dog that: (required)
Would enjoy walking with me on leashWould enjoy going to the dog parkWould run, jog, or hike with meWill exercise him/herself in our yardRequires only enough exercise to do his/her businessN/A

27) My ideal pet would: (required)

28) Bad pet habits that I just cannot tolerate are: (required)

29) Please provide the names, emails and phone numbers of two personal references we may contact.
(Neighbor, friend or co-worker) (required)

Full Name Email Phone Number

30) Legal Background: Please answer truthfully and note - an affirmative answer to any of these questions will NOT automatically preclude you from adopting an animal.

30a.) Has either applicant or co-applicant ever been served an eviction notice or been asked to vacate a property, whether through foreclosure proceedings or otherwise? If yes, when and why? (required)

30b.) Has either applicant or co-applicant ever been charged with or convicted of a violent crime against people or animals, including, but not limited to: battery, assault, murder, manslaughter, child abuse or neglect, spousal abuse or animal cruelty? If yes, when and what crime? (required)

31) Fiscal Background: Employment History (if applicant is unemployed, provide Co-Applicant's information) (all fields required)

31a.) Applicant's Employer:

31b.) Applicant's Title:

31c.) How long have you worked at this company?

31d.) If necessary, will you provide Rescue City with the name and contact information of your current supervisor for employment verification purposes? ***PLEASE UNDERSTAND, FAILURE TO DO SO MAY RESULT IN DENIAL OF ADOPTION***
YesNoN/A

32a.) Do you understand the expenses you will incur while owning a pet for the entirety of its life?
YesNo

32b.) Are you prepared to cover any and all medical treatment or training sessions necessary for it's entire life?
YesNo

32c.) Does either applicant or co-applicant have any outstanding financial commitments that could potentially hinder his/her ability to pay for adequate dog care? If yes, please explain.

33) Why are you looking to adopt a pet? (required)

34) How long have you been looking for a pet? (required)

35) How did you hear about Rescue City? (required)

36) Please provide any other relevant information you would like us to know: (required)

Applicant's Affidavit

I UNDERSTAND THAT THE DECISION OF WHETHER OR NOT TO ALLOW ME TO ADOPT A RESCUE CITY ANIMAL LIES SOLELY WITH RESCUE CITY AND I SHALL HAVE NO FURTHER RECOURSE IF I AM DENIED ADOPTION.

I UNDERSTAND THAT FALSIFICATION OF ANY INFORMATION CONTAINED HEREIN WILL RESULT IN MY BEING DENIED ADOPTION OF AN ANIMAL, OR IF AN ANIMAL HAS ALREADY BEEN ADOPTED TO ME, THE RETURN OF THAT ANIMAL TO RESCUE CITY, AT MY SOLE EXPENSE.

I UNDERSTAND THAT THE INFORMATION PROVIDED BY ME IN THIS APPLICATION WILL BE INCORPORATED INTO ANY ADOPTION CONTRACT I ENTER INTO WITH RESCUE CITY AND BY VIRTUE OF THE SAME, ANY FALSE INFORMATION SHALL BE TREATED AS A BREACH OF CONTRACT AND MAY SUBJECT ME TO LITIGATION.

I UNDERSTAND AND CONSENT THAT RESCUE CITY MAY MAKE ONE (1) VISIT TO MY HOME PRIOR TO MY ADOPTION OF ANY ANIMAL. FURTHERMORE, AFTER THE ADOPTION IS CONSUMMATED, I UNDERSTAND THAT RESCUE CITY MAY MAKE UP TO THREE (3) FOLLOW UP VISITS TO MY HOME TO CHECK ON THE WELL-BEING OF THE ANIMAL AND I CONSENT TO THE SAME.

I UNDERSTAND THAT I WILL NOT BE ABLE TO ADOPT ANY ANIMAL UNTIL A DONATION TO RESCUE CITY IS MADE AND AN ADOPTION CONTRACT IS SIGNED BY ME AND RESCUE CITY. FURTHERMORE, I UNDERSTAND THAT THE DONATION AMOUNT IS BASED ON THE SCHEDULE BELOW. THIS DONATION WILL BE TAX-DEDUCTIBLE AND IS NON-REFUNDABLE.


Adoption Donation Schedule:
Puppies (under 12 months): $450
Dogs (age 1-5 years): $400
Dogs (age 5 years +): $350


I UNDERSTOOD EVERY QUESTION ON THIS APPLICATION AND DECLARE UNDER PERJURY OF LAW THAT THE INFORMATION PROVIDED BY ME HEREIN IS TRUE AND ACCURATE.

Checking the box below signifies that you have read and agree to the above "Applicant's Affidavit" (required)
I Agree

By typing my name, I am providing an electronic signature certifying that all the above information is correct (required)

Please note: If you receive a message box in RED after hitting send, your message DID NOT SEND. You must go back and fix any errors in the form and then click send again. When your message has been sent, you will receive a green success box.


NOTICE REGARDING ADOPTION APPLICATION FEE

Please note as of May 2018 we have implemented a $10 non-refundable administrative application processing fee. The application fee is to ensure that the potential applicants are serious about the adoption process and adopting a dog. 100% of this fee will go toward our rescued dogs in need.

  • Complete adoption application (please make sure all questions are answered or your form will not submit).
  • Click “send.”
  • Upon successful submission, you will be redirected to a page to process the application fee. If your form sends but you are not redirected, please click here.

Once your application has successfully gone through you will receive a confirmation email.


Contact Us Today

On behalf of the entire Rescue City Team, THANK YOU for your help and interest in supporting our pets in need!