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