Adoption Application

Adoption Application

Your Best Friend is Waiting For You...
WE ARE LOCATED IN STATEN ISLAND, NEW YORK. TRANSPORT IS AVAILABLE. PLEASE INQUIRE.
Name:*

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email:*
example@example.com
Your Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
Do you rent or own?:*

RentOwnOther
If "Other", please explain:
If you rent, please provide us with your landlords name and phone number:
Does everybody in this household agree with the adoption?:*

YesNoNot sure
Do you currently have any other pets that will reside in the same location? If yes, how many pets and what kind. If you are scheduling a meet & greet you MUST bring the pet(s) with you.*
If you have other pets, proof of vaccination and up to date on shots required
Please provide the name, address & phone number of the vet you use for your current pet:
If you do not have pets, please provide 2 personal references located at the end of this document.
Do you have children living in the home? If yes, how many and how old? If you are scheduling a meet & greet you MUST bring the children with you:*
Do you have a yard? Does it have a fence?:*

Yes YardNo YardYes FenceNo Fence
Who will be the primary caretaker?:*
Will the dog be left alone? Please explain:*
Have you ever surrendered a dog to a pound or shelter before? If yes, please explain:*
What type of pet or breed are you interested in?*
Do you understand there is an adoption fee? (Our adoption fee includes required vaccines, shots, spay or neuter and grooming)*

YesNo
Are you willing to have a mandatory volunteer inspect your home? (FaceTime acceptable for long distances)*

YesNo
Personal Reference #1

You do not need personal references if you have already provided your vet information.
Name:

First NameLast Name
Relationship
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Personal Reference #2

You do not need personal references if you have already provided your vet information.
Name

First NameLast Name
Relationship
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Signature*
Our animals are cared for by Bay Street Animal Hospital.

Thank you for your interest in adoption and helping these amazing pets find their furever home. Someone will contact you shortly.
Should be Empty:

Adoption Application

WE ARE LOCATED IN STATEN ISLAND, NEW YORK. TRANSPORT IS AVAILABLE. PLEASE INQUIRE.

Personal Reference #1

Personal Reference #2