DOG ADOPTION APPLICATION 

Please read this entire application thoroughly and fill it out completely. You must be at least 21+ years old to fill out this application. All information will be kept confidential (including your age). We adopt to Southern NY, Northern NJ and Southern CT only. Please do not submit an application if you live outside this area. Incomplete and out-of-area applications will be discarded.

Contact Information
First Name
Last Name
Street Address
City
State
Zip Code
Home Phone Number
Cell Phone Number
E-Mail Address

 
Please read carefully and agree to the following terms and conditions before filling out our adoption application:
I realize that the vet care for a pet can cost over $1000 per year and I am willing to accept this responsibility.
I live within a 90 mile radius of Larchmont, NY
I agree to pay the adoption/donation that starts at $300 and $60 spay/neuter fee for the puppy/dog I adopt
I am over 23 years of age
I realize if my application is missing any information my application will not be processed
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