Dog Adoption Application
Date
Name
Dog’s name/A#
Address
Email
Home phone no.
Cell no.
Work no.
1. When you have finished the application, please reattach the application as a word document,
or, our preference, copy/paste into the body of the email and send to
dogs@zanisfurryfriends.org.
2. Please read the adoption agreement. You must sign this in order to adopt a dog(s).
3. All potential adopters must agree to a home visit. This is to ensure that our wards are being
adopted into safe homes.
4. Adopting a dog is a meeting of the heart as well as of the mind. It is a lifetime commitment to
an animal that will be your loving companion and your best friend. We want to make this
decision as easy as possible for you, so if you are not sure you can take such a permanent
step, please consider fostering one of our dogs before you adopt to help alleviate the pressure
you may feel. Email us at info@zanisfurryfriends.org and ask how you can become a
foster parent to one of our beautiful dogs.
5. We ask each adopter for a donation upon completion of the above in order to defray the cost
of veterinary and foster care.
Completing an application does not guarantee an adoption. If you would like to foster, please
contact dogs@zanisfurryfriends.org.
We, of course, keep all applications confidential and never sell any names.
Step 1: Information on the dog you would like to adopt
A.
Are you interested in a specific dog? If so, which one? What do you like most about
him/her? If no, please move on to question B.
B.
If you aren’t applying for a specific dog, please let us know what kind of dog you are
looking for. Please provide as much information as possible, ie. breed, gender, age,
temperament, fur length, size, etc. Are there any characteristics you are not looking for?
C.
What do you like most about having a dog? And least?
D.
Who will be the primary caregiver of the dog?
Step 2: Personal information
A.
Are you over 21?
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Dog Adoption Application
B.
Is your home telephone listed under your own name?
If no, whose name is it under and what is their relation to you?
C.
Are you adopting a dog for your home, business, or for someone else?
D.
Please list all persons living with you, their ages, and their relationship to you. If any
household member does not want to adopt a dog, please explain.
a.
b.
c.
d.
e.
E.
Is anyone in your household allergic to dogs? If so, how do you plan to resolve this?
F.
Briefly describe your residence (ie, 1 bedroom apt, townhouse, etc)
G.
How long have you lived at this residence?
H.
Do you own, rent or sublet?
I.
Who will take care of your dogs while you are away?
J.
What is your place of employment? (please include address & phone)
K.
How long have you worked there?
Step 3: Pet care
A.
Do you currently have other companion animals living in your
household?
If yes, please list species, age, breed, sex of each animal. Are they spayed/neutered?
Name
Dog/Cat
Age
Breed
M/F
Altered?
Up To Date with
Vaccinations?
Cat:
Familiar
w/dogs?
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Dog Adoption Application
B.
Have you ever had a dog before? If deceased, please give circumstances and date(s) of
death. If you have had multiple pets, please feel free to give information on only the most recent.
C.
Have you ever taken a pet to a shelter? If yes, please explain why and when.
D.
Can you financially afford to care for your new pet?
E.
Do you agree to take your dog for yearly veterinary checkups?
F.
Who is your local veterinarian? (If you do not have one, we are happy to provide
recommendations.)
Phone no.:
Name:
G.
What kind of food do you expect to feed your dog? (We are happy to provide
recommendations if needed, otherwise speak with your vet.)
H.
Have you ever had a dog previously? (Please provide a brief history. If deceased, please
state name and date of death)
I.
Does your building allow dogs?
J.
Do you have a backyard?
If yes, is it enclosed?
If a fenced yard, how high is the fence?
If you have no fence, how will your dog relieve/exercise her/himself?
K.
What is your household activity level? Please explain.
L.
How many hours per day will your dog be alone?
M.
Where will your dog be kept during the day?
And at night?
N.
Who will walk your dog and how often?
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Dog Adoption Application
O.
Who else will be spending time with your dog?
P.
What sort of training do you plan on providing?
Q.
If we could help with your training, would you be interested?
R.
Would you object to a visit to your home before and after the adoption is completed?
S.
Who will care for your dog while you are traveling?
T.
If you became ill, disabled or died, who will care for this dog? Please provide name,
address and phone no.
Step 4: References and certification
A.
Name
B.
Please supply two references who are not family members. We will contact both of
them.
Phone number
Relationship to applicant
Please write your name below if you agree with the following statement:
I certify that the above information is true and accurate to the best of my knowledge, and I
understand that my completion of this form in no way obligates ZFF to adopt a dog to me. I
further understand that in order to complete the adoption process, ZFF will conduct a home visit.
Name:
WE ASK THAT YOU PLEASE REVIEW THE ADOPTION CONTRACT ATTACHED BELOW.
YOU WILL BE ASKED TO SIGN THIS AT THE TIME OF ADOPTION.
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For ZFF use only
A#:_____________________________
Name:___________________________
Dog Adoption Contract
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Before you can actually take one of these sweet furry friends home to their new family it is very important that we
ascertain that they will be as loved and cared for as they deserve, for the rest of their natural lives. This Adoption
Agreement must be signed and accepted by Zani’s Furry Friends (ZFF). Please understand that if you fail to
comply with any of the terms specified herein, ZFF has the right to reclaim the dog and to pursue any legal
channels to do so. We just want to make sure each of our loving companion animals are taken care of and
nurtured for the rest of her/his days.
Please complete this agreement, print, sign and give to me, ZFF, for this to become a successful adoption.
I, ..........................................................................................................................................................,
reside at (address w/ zip code) ..........................................…...............................................................,
agree to adopt.............................................................................................breed.................................................
color..............................age.................sex..............., as my companion pet at no charge, and ZFF accepts my offer
to adopt the dog.
In consideration for adopting the dog, I agree to the following conditions:
1. To accept and consider the dog as a household companion, not as an outside pet, and to provide him/her with
humane care and treatment, including proper food, water, shelter and exercise, and to give him/her a
reasonable amount of time to adjust to new surroundings.
2. To provide proper medical/veterinary care, including yearly checkups, vaccinations and heartworm
prevention medicine, as well as veterinary care for unusual, symptoms such as loss of appetite, coughing,
vomiting, diarrhea, blood in urine/stool, allergies, skin conditions and lethargy.
a. To register the dog with, and obtain a dog license from the municipality where I live or as required by
law.
b. To safeguard the dog from loss or mishap. This means not allowing the dog to run unsupervised.
c. To immediately notify ZFF at 212 628 6903, Petfinders (800) 666-5678, Pet Watch, (212) 744-6775,
Petline (800) 564-5704, and the local New York City Center for Animal Care and Control (212) 7884000, my local vet and shelters, if the dog is lost, and to make every reasonable effort to recover the dog.
d. NOT to give or sell the dog to another person, relative, rescue group, humane association, shelter or
pound, or any medical or experimental laboratory or similar organization.
e. NOT to change or alter the dog's appearance in any way, shape or form (e.g., cropping, docking,
declawing).
f. To immediately notify ZFF in the event of death and prior to disposal of the dog's body.
g. To allow ZFF to make periodic visits to my home during the first 90 days following the signing of this
and, if considered necessary, to further periodic visits thereafter.
h. To immediately notify ZFF of any change of address or telephone number within the first year following
the signing of this contract, and of any change in circumstances which may prevent me from keeping the
dog or to comply with any of the terms of this contract.
3. I understand that the dog has been checked, spayed/neutered and vaccinated by a licensed veterinarian, and
that her/his state of health is accurately represented to ZFF's best knowledge. However, if within ten days
after I adopt the dog, it is examined by the licensed veterinarian at Animal Health Center and if it is
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Dog Adoption Contract
determined that the health of the animal is not satisfactory, I may return the dog only to ZFF and will not
request a refund of my donation. I understand that ZFF will only cover medical costs from the Animal Health
Center, located at 1676 First Avenue in Manhattan. I further understand that I need approval from Gisella
McSweeny or Valerie Mehallow before bringing this dog in to the Animal Health Center. I waive any
medical claims against ZFF or any representative, for any medical costs I incur from any other veterinarian or
animal hospital regardless of reason.
4. I further understand that no representations are made as to the temperamental or mental disposition of the dog.
Accordingly, I hereby adopt the dog at my own risk.
5. I have read and fully understand the terms and conditions of this agreement, and agree that it is not
arbitrary and that the provisions herein are common in pet adoption contracts. I further understand
that if I fail to comply with any of the terms specified herein, ZFF has the right to reclaim the dog and
to pursue any legal channels to do so.
"In consideration of ZFF allowing me to adopt the dog, I promise and agree to be solely responsible for any
damages to people or property caused by the dog(s). I further promise and agree to indemnify and release ZFF of
any and all liability arising from any known, unknown, or any unanticipated damages to people or property
caused by the dog(s). I am fully aware of, understand, and agree to all the terms and conditions of this RELEASE
AND INDEMNIFICATION PROVISION, and that it is BINDING AND ENFORCEABLE BY LAW."
Adopter
Signature
Date
Print Name
Tel No
Email
ZFF Representative
Tax-Deductible Donation Amount.
(We accept check, cash or Paypal)
Accepted by:
Print Name
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