Puppy Application – Rescue Dogs Rock NYC

This is Our Application for Pup Under 6 Months

Thank you for saving a life and adopting a rescue! We would love to match you with a great rescue dog. When you complete the application below, we will set up a time to talk with you, check your references requested on the form, vet and landlord and if all is satisfactory, we will schedule a home visit.

*** Please do NOT use a mobile device to submit your application. Once submitted, be sure you see a confirmation that your application has been received.

Puppy adoption fees

Adoption fees (no exceptions):

* Puppies up to 12 months vary from $575 – $750

* 1 year through 4 years $500

* 4 years through 7 years – $450

* 7 years and above – $300

* Speciality Cases (determined on a case-by-case basis) – $1000

To adopt from RDR:

You must reside in Northern VA, Northern DE, MD, Washington DC, PA, NY, NJ, CT, RI, MA, NH, ME, VT.
All current pets in the home must be spayed or neutered and up to date on required vaccines.
You must be at least 25 years old.

We start the application approval process as quickly as possible, as long as you have provided all the information requested. Given the volume of applications we receive, it may be a few days before you hear from us. We appreciate your patience.

*** If you do not hear from us within 5 days, please assume you are not a match for dogs available through RDR NYC at this time ***

Each question below must be answered. Use N/A for questions that don’t apply.

Rescue Dogs Rock Inc Adoption Application For Puppies

Which dog(s) are you interested in? (provide dog’s name, description or 4-digit rescue ID #) Please list all here; do not submit additional applications for different dogs*

Please list all here; do not submit additional applications for different dogs.
Please list your preferences, including breed, size, age, gender and characteristics*
If your first-choice dog is not available, do you wish to continue with the approval process so you can adopt another dog?*
- Yes
- No
Do you require a hypoallergenic/low-shedding dog and if so, why?*
Are you able and willing to take part in a Virtual Home Visit, using Facetime, Skype or similar technology, to complete your application approval process*
- Yes
- No
How did you hear about our Rescue Dogs Rock NYC?*
Personal Information
Use NA for questions that don't apply.
First Name*
Last Name*
Full Address*
Street Address Address Line 2 City State ZIP Code
Email Address*
Your Cell Phone Number*
Alternate Phone*
Your Employer:*
Your Position:*
Employment of others in the Household*
What is your age?*
Please list all people currently in your household (name, relationship to you, age).*
Who will be responsible for the care of your new dog?*
Please provide TWO personal references we may contact (Neighbor, friend, co-worker). No immediate family members please.
Use NA for questions that don't apply.
Name*
First Last
Relationship to you:*
Phone*
Email*
Name*
First Last
Relationship to you:*
Phone*
Email*
YOUR HOME (Use NA for questions that don't apply)
We request this information so we can verify the pet policy for your home, where applicable.

Use NA for questions that don't apply.
Do you live in a:*
- Single Family House
- Townhouse
- Apartment
- Mobile Home
- Other
If you chose other type of residence above, please explain.
Do you rent or own your home?*
- Rent
- Own
If you own your home and it is not listed in your name, please provide the name, relationship, phone number and/or email of the owner.*
If you own a home that is subject to community regulations (e.g. HOA, Apartment, Condominium, Co-op), please provide board/property management contact details*
If you rent, please provide your landlord’s name, phone number, email address.*
How long have you lived here?*
Are you planning to move within the next 6 months?*
Do you have a yard?*
If yes, what type of fence do you have?*
Veterinarian Information and Current/Past Pets (USE NA FOR QUESTIONS THAT DON'T APPLY)
[If you don’t currently have pets or this is your first pet, please list the vet you will use.]

Use NA for questions that don't apply.
If you have pets currently and/or pets who died within the past 12 months, please confirm that you have given your vet permission to release information from the pets' records to Rescues.*
- I confirm
Your Vet's Name/Practice Name*
Your Vet's Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Your Vet's Phone Number*
If you use more than one vet, please provide secondary vet's contact details and the reason you use this vet*
Please list all pets who CURRENTLY live in your home (Include NAME, BREED, AGE, GENDER, SPAYED/NEUTERED, HOW LONG OWNED, INDOOR OR OUTDOOR, CATS DECLAWED)*
Please list pets you have owned in the past. (Include NAME, TYPE/BREED, AGE, HOW LONG OWNED, WHAT HAPPENED TO PET)*
Please list any pets who have died within the past 12 months.*
Have you ever taken one of your pets to a shelter or given an animal away? Please explain when and circumstances.*
YOUR NEW DOG
Use NA for questions that don't apply.
How do you plan to exercise your dog, and how often?*
How many hours each day will you be out of the home? When do you leave, when do you return?*
What is your plan for the dog for relief walks/socialization for the hours you are away?*
Where will your dog be kept when you are not home?*
Where will your dog be kept when you are home?*
Where will your dog sleep?*
Who will care for your dog when you travel (business or vacation)?*
Who will care for your dog for its lifetime if you become incapacitated and are unable to do so?*
What do you think are the most important responsibilities in owning a dog?*
What types of training methods do you plan to use with your new dog?*
If your new dog has difficulty adjusting to your home or if a behavioral problem arises after the adjustment period, what steps will you take to resolve these issues?*
How will you separate your new dog from your resident pet(s) during the introductory period or for illness?*
What training methods will you use to housetrain your puppy?*
TERMS & CONDITIONS OF ADOPTION
By submitting this form, you are agreeing to Rescue Dogs Rock NYC’s terms and conditions of adoption.

PLEASE REVIEW THEM CAREFULLY AND CONFIRM YOUR ACCEPTANCE BY PUTTING A CHECK-MARK IN THE BOX NEXT TO EACH CLAUSE.
I confirm that I have carefully reviewed this application form, understand all the questions and have completed the form honestly. Rescue Dogs Rock NYC has my permission to contact all references listed on my application.*
- Agree
I confirm that all animals currently in my home are spayed or neutered and up to date on required vaccines.*
- Agree
I understand that omission of information, misinformation and/or failure to answer all questions and sign the application can result in this application being declined. Also, if an omission or untruth is discovered after an adoption takes place, I understand and accept that Rescue Dogs Rock NYC has the right to annul the adoption and reclaim the dog.*
- Agree
If my application passes this review, I agree to a home visit (either virtual or in-person, or both at the rescue’s discretion) on a mutually agreed date by a volunteer for Rescue Dogs Rock NYC or another reputable rescue of RDR’s choosing, before an adoption decision is made.*
- Agree
I understand the adoption decision depends on many factors, including but not limited to the compatibility of the family and home to the individual animal, and other applications received for the dog. I understand it is the organization’s prerogative to decide which home is the most appropriate and that their decision is final. Unless otherwise indicated by Rescue Dogs Rock NYC, I may be considered for another dog.*
- Agree
If I am chosen to adopt a Rescue Dogs Rock NYC dog, I understand that:
I agree to pay the relevant published adoption fee.*
- Agree
I may be required to drive a reasonable distance (at least an hour, maybe more) to pick up my dog and that it may be necessary for me to do so within 48 hours.*
- Agree
I agree to review and sign an adoption contract that is wholly in my new dog’s best interests.*
- Agree
I am making a commitment to care for my dog for its lifetime, which could be 12-15 years or more.*
- Agree
I commit to coordinate with RDR’s spay-neuter team to have my pup altered and microchipped by 6 months old, if for some reason (age or medical) this has not yet been done at the time of adoption. If alter is not completed by the time the pup is 6 months old, and there is no medical exemption, I understand that RDR reserves the right to nullify the adoption and remove the pet from me.*
- Agree
My dog MUST be kept indoors and will not be chained/penned outside.*
- Agree
I will be required to follow the decompression guidelines to help my dog adjust to my home and family that Rescue Dogs Rock NYC has provided me and which have been discussed with me during the adoption process.*
- Agree
I will immediately notify RDR if the dog is lost, and I will make every reasonable effort to recover the dog.*
- Agree
I may be required to work with a trainer of my choosing or one that Rescue Dogs Rock NYC recommends – at my own expense - if my dog has difficulty adjusting to its new environment.*
- Agree
I will provide proper medical/veterinary care, including yearly wellness checks, required vaccinations and monthly heartworm preventative meds, as well as veterinary care for unusual symptoms.*
- Agree
If for any reason I am unable to keep my dog, I will contact Rescue Dogs Rock NYC and undergo - at minimum - a 14-day waiting period in which representatives from Rescue Dogs Rock NYC will work with me to resolve any issues with the dog.*
- Agree
I will not give or sell the dog to any other person, rescue group, humane association, shelter or similar organization.*
- Agree
A representative from the organization may visit the dog to ensure that it is well taken care of; if they find that the dog has been neglected or abused in any way or for any reason, Rescue Dogs Rock NYC reserves the right to remove the dog from the premises, at which time ownership rights automatically transfer back to Rescue Dogs Rock NYC.RDR*
- Agree
I agree that the pup I adopt will not be used in any illegal activities, and if the dog is a bully breed, it will not be found at any time in a municipality where Pit Bull presence is illegal.*
- Agree
RDRNYC does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations.*
- Read and Acknowledged
Signature*
Today's Date*
MM slash DD slash YYYY

This is Our Application for Pup Under 6 Months

Rescue Dogs Rock Inc Adoption Application For Puppies

Personal Information

Please provide TWO personal references we may contact (Neighbor, friend, co-worker). No immediate family members please.

YOUR HOME (Use NA for questions that don't apply)

Veterinarian Information and Current/Past Pets (USE NA FOR QUESTIONS THAT DON'T APPLY)

YOUR NEW DOG

TERMS & CONDITIONS OF ADOPTION

Foster Homes Needed

Rescue Dogs Rock NYC

Who We Are

Credit Card Donation

Venmo Donation