Adoption Application

THIS APPLICATION IS FOR ALL NYBC RESCUE DOGS. We do NOT reserve dogs.

NON-REFUNDABLE APPLICATION FEE MUST BE PAID FOR US TO REVIEW YOUR APPLICATION. Your application donation is tax- deductible.

THIS FEE MUST BE PAID IN ORDER FOR YOUR APPLICATION TO BE REVIEWED, and it will be deducted from your adoption fee when you finalize the adoption.

Our goal is to place our rescues in permanent loving homes, as in most cases their former owners have already abandoned them at least once before. As we strive to place the appropriate dog in the appropriate home, this application helps us to learn more about you, your home and your level of experience, if any, with dogs.

Please fill out ALL questions. If any question does not apply, type N/A in the answer field. Make sure that any yes/no bubble choice is filled in as well. THE FORM WILL NOT LET YOU SUBMIT THE APPLICATION IF YOU DO NOT ANSWER EVERY QUESTION. If you are unable to click the submit button at the bottom of the app, please scroll up and find the question(s) that were not answered, complete the answer, and try clicking "Submit" again. When you complete this application successfully, you will be taken to the next page to pay the $25 (non-refundable) application fee. THIS FEE MUST BE PAID IN ORDER FOR YOUR APPLICATION TO BE REVIEWED, and it will be deducted as a credit from your adoption fee when you adopt.

You MUST give permission to your veterinary office to release records to New York Bully Crew immediately for us to process your application.

Product Name
Application Fee
$0.00
How did you hear about us?*
Name*
Instagram & Facebook Names*
Email*
- Check here to receive email updates
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone*
Cell Phone*
You will be contacted via a text message to coordinate appointments.
Best time to call*
Date of Birth*
Date Format: MM slash DD slash YYYY
If fostering, are you interested in fostering now or in the future?
- Now
- Future
Are you interested in:*
What dog are you interested in and why?
Vet Name - You MUST give the Vet permission to disclose your records to us ASAP in order for us to process your application*
Vet Phone*
You MUST enter a VALID current vet phone number. If you do not have a current vet, you MUST contact a local vet and let them know you will be a new client and give PERMISSION for us to speak with them in order for your application to be processed. If this is not done, your application will be VOID. No exceptions.
Vet records are under the name of*
If you are planning to use a different vet than above, please provide name and number of your new vet*
Have you ever taken a pet to a shelter or given an animal away?*
- Yes
- No
If you answered yes to the question above please explain*
Please list any cats, dogs, etc. who currently live in your household. Include name, type/breed, age, sex, altered or not altered, how long owned, kept where, cats declawed?*
Please complete this regarding any other pet you have owned in the past. Include name, type/breed, age, how longed owned, what happened to pet?*
Please include everyone who lives at this residence. Please include name, age and relationship to you*
Does anyone in your household have asthma or any known allergies to cats or dogs?*
- Yes
- No
Is everyone in your household aware of and agreeable to your interest in adopting and/or fostering?*
- Yes
- No
Employment information - please list the place of employment, address and phone number for you and your spouse (if applicable) - this is simply for our records.*
Who will be responsible for the care of this dog?*
Are there regular visitors to your home (human or animal) with which your new dog must get along? If yes, whom?*
Residence Type*
Do you have*
- Terrace
- Yard
- No outside facilities
If you rent, please provide your landlord name, address and contact phone.*
How long have you lived at your current address?*
If multi-floor residence, what floor do you live on?*
Do you*
Do you have a completely fenced yard or fenced-in area in your yard?*
- Yes
- No
Height & type of fencing?*
How large is the fenced in area?*
If you have a pool, is it fenced in?*
- Yes
- No
- No pool
Does your fence/yard have a locked gate?*
- Yes
- No
- No yard
Can strangers gain access to your yard?*
- Yes
- No
- No yard
If you have no fence, how do you plan on your new dog relive and exercise itself?*
What outdoor activities would include your dog?*
Are you moving in the near future? If so explain*
What is the name of your local shelter?*
Where will your new dog sleep?*
Will the dog be allowed on the couch? If not, how will you get the dog off the couch if she/he does jump up there?
Do you plan to rough house (play rough) with the dog? Please explain.*
- Yes
- No
Are you familiar with positive methods (no hitting) of dog training?*
- Yes
- No
Do you want an animal trainer recommendation?*
- Yes
- No
Do all adults work full time?*
Where will the dog be kept during the day?*
Where will the new dog be kept when it is alone?*
How many hours a day will your new dog be alone?*
How many hours a day will you spend time with your new dog?*
Who will care for your pets while you are away on vacation?*
Personal Reference #1 that we may contact*
Personal Reference #1 Phone*
Personal Reference #2 that we may contact*
Personal Reference #2 Phone*
I agree to the following: There is a non-refundable $25 fee to run my application*
- Yes, I agree
- No, I do not agree
Our fees for adopting are: $325 for an adult over 1 year, $350 for a puppy between 6 months and 1 year of age, $450 for a puppy under 6 months of age, and $350 for a bonded pair. Adoption fees for dogs outside of the tri-state NYC area may vary due to travel fees and additional costs.***
- Yes, I agree
- No, I do not agree
I acknowledge that there could be a surrender fee incurred and I must pay if said puppy needed to be returned as an adult. Or if an adult dog is returned after 6 month period.*
- Yes, I agree
- No, I do not agree
A Home Inspection must be done before an applicant can be approved to adopt/ foster (Home checks are non invasive and are simply done to ensure the applicant was truthful on the application and to ensure the safety of the home where the dog will be staying.)*
- Yes, I agree
- No, I do not agree
Upon adopting, a contract that states all rules and guidelines for owner commitment must be signed and initialed completely to finalize the adoption.*
- Yes, I agree
- No, I do not agree
Enter Code, If Applicable.
Signature
Electronic Signature is considering binding when adhering to the terms above.
Electronic Signature*
Date signed*
Date Format: MM slash DD slash YYYY
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.

Adoption Application

Signature