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Adoption Application
*NOTE* If you are not approved for the pet you are applying for, we will achieve your application and contact you if we find a pet that match with you :)
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* Indicates required question
Pet of Interest
Your answer
Pet species
*
Cat/Kitten
Guinea Pig
Dog/Puppy
Rabbit/Bunny
Other:
Required
Why do you want to adopt
*
Breeding
Guard Dog
Dog Fighting
Service Animal/Emotional support animal
Companion
Hunting
Required
Is there a specific gender you are wanting to adopt
*
Male
No, Not Specific
Female
Do you have an age preference
*
Yes
No
If so, Please explain how old
Your answer
Describe how you are wanting your pet to be
*
Example: Active through our the day, Melow... ETC
Your answer
Adopter Information
Have you ever been charged for animal cruelty/neglect/endangerment/abandonment...ETC
*
Yes
Pending Charges
No
Other:
Are you adopting for yourself or someone else
*
Someone else
Myself
What is your source of income
*
Your answer
Full name
*
Your answer
Age
*
Choose
Under 17 Years old
18 Years old
19 Years old
20 Years old
21 Years old
22 Years old
23 Years old
24 Years old
25 Years old
26 Years old
27 Years old
28 Years old
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82 Years old
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84 Years old
85 Years old
86 Years old
87 Years old
88 Years old
89 Years old
90 Years old
92 Years old
93 Years old
94 Years old
95 Years old
Street Address
*
Your answer
Street Address (Line 2)
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Phone number
*
Your answer
Email
*
Your answer
Name & Age of other adult(s) in household
Your answer
Relationship to you
Spouse
Partner
Roommate
Mother
Father
Other:
Clear selection
Have anyone in the household ever been guilty/charged with animal cruelty/abuse/neglect/abandonment
*
Yes
No
Household occupation
*
Number of children living in home (part or full-time)*
Number of adults living in home*
Choose
I live alone
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
15+
Names and ages of children, If Applicable
Your answer
Your Home
Type of dwelling
*
Apartment
House
Condo
Other:
own or rent
*
Own
Rent
Other:
Do you have a copy of your lease?
*
Yes
No
Does your landlord have a policy of animals, If so please explain
*
Your answer
If you have a yard
*
Fenced
Unfenced
if so, How high is your fence?
*
Your answer
Does your home have a pool
*
Yes
No
if you have a pool, Is it fenced?
*
Yes
No
if not a homeowner, Do you have the landlord permission to have a pet
*
Yes
No
I’m the owner
Landlord’s Name
*
Your answer
Phone Number
*
Your answer
List Your Current/Previous Pets
*
*INCLUDE* Pet Name, Breed/Type, Age, Sex, Spay/Neuter
* PUT N/A IF YOU NEVER DONT AND NEVER HAD A PET*
Your answer
Vet Reference
*Put N/A if you don’t have a current or previous vet*
Vet name
*
Your answer
Vet phone number
*
Your answer
Your New Pet
Who would be responsible for the care of your pet?
*
Your answer
What is your primary reason for adopting a pet
*
Companion
Guard Dog
Fighting
Hunting
Other:
Where would the pet sleep
*
Outside
Inside
How many hours per day would the pet be left alone
*
Choose
0 hours
1 Hour
2 Hours
3 hours
4 hours
5 hours
6 hours
7 hours
8 Hours
9 hours
10 hours
11 hours
12 hours
13 hours
14 hours
15 hours
16 hours
17 hours
18 hours
19 hours
20 hours
21 hours
22 hours
23 Hours
24 Hours
Where would the pet be left when he/she is alone
*
Outside
Inside
If the pet will be outside at all, What outside space is available for the pet
*
Yard
Run
Patio
Balcony
Unfenced Yard
Other:
When you travel, Who will care for the pet while you are gone
*
Your answer
Under what circumstance would you not keep the pet
*
Divorce
Illness in family
Moving
New baby
Chewing
Housetraining problems
Barking
Digging
Allergies
Grew to big
Shedding too much
Pet became ill
Kids ignore the pet
Pets didn’t get along
Not obedient enough
Food/Toy/Cage aggression
Breakup
Would not give up for any of the above
Would your pet ever be caged
*
Yes
Sometimes
No
How many hours per day will the pet be caged
*
Choose
Pet wont be caged
1 hours
2 hours
3 hours
4 hours
5 hours
6 hours
7 hours
8 hours
9 hours
10 hours
11 hours
12 hours
13 hours
14 hours
15 hours
16 hours
17 hours
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19 hours
20 hours
21 hours
22 hours
if the pet becomes ill or injured, are you financially prepared to provide medical care
*
Yes
No
For any reason the animal must be surrendered, it must be returned to NewFriendsRescue.
*
Agree
Disagree
The pet may live 15+ Years, What would you do if you can no longer take care of the pet
*
Your answer
Contact us
Email: NewFriendsRescue@Gmail.com
+1 (917) 572-1893 (Jessica)
+1 (347) 984-9228
(Jeremiah)
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