Adoption Application


Rescuzilla Animal Rescue ~ Rescuzilla@gmail.com or 212.369.1352
*Registered with Animal Care & Control/Mayor’s Alliance*

*Required

DOG APPLICATION

    Part I: GENERAL INFORMATION













  • Part II: PERSONAL INFORMATION

  •  Yes No

  •  Yes No

  • Home
    Someone Else


  • Yes
    No

  •  Yes No



  •  Condo Apartment House

  • Yes
    No

  •  Yes No

  •  Yes No

  •  Yes No




  • Part III: PET CARE

  •  Yes No




  • Yes
    No

  •  Yes, and I am prepared to pay for regular care that could exceed $500 Yes, but I can't imagine it will cost that much No, please tell me what annual care is required

  •  Yes No




  •  Yes No, I'm looking for a pet that fits my current lifestyle



  •  Yes No
  • Consult a vet
    Consult a trainer
    Attempt to work on the problem yourself
    Surrender the dog/cat to a shelter or find a new home for it
    Other

  •  Moving New baby Divorce/Break-up Doesn't get along with other pets Escapes from yard/house Developed behavioral issues Shedding Destructive Allergies House training challenges Medical problems Barking Not enough time NONE OF THE ABOVE



  • Part IV: REFERENCES AND CERTIFICATION


  • *Please initial here that all information on this application is true:



Thank you for filling out this application and choosing adoption. While this application does not guarantee you the dog you are applying for, we will use it to match you up with the dog best suited for you.

*Required

CAT APPLICATION

    Part I: GENERAL INFORMATION













  • Part II: PERSONAL INFORMATION

  •  Yes No

  •  Yes No

  • Home
    Someone Else


  • Yes
    No

  •  Yes No



  •  Condo Apartment House

  • Yes
    No

  •  Yes No

  •  Yes No





  • Part III: PET CARE

  •  Yes No




  • Yes
    No

  •  Yes No

  •  Yes No



  • Consult a vet
    Consult a trainer
    Attempt to work on the problem yourself
    Surrender the dog/cat to a shelter or find a new home for it
    Other

  •  Moving New baby Divorce/Break-up Doesn't get along with other pets Escapes from yard/house Developed behavioral issues Shedding Destructive Allergies House training challenges Medical problems Not enough time NONE OF THE ABOVE



  • Part IV: REFERENCES AND CERTIFICATION


  • *Please initial here that all information on this application is true:



Thank you for filling out this application and choosing adoption. While this application does not guarantee you the dog you are applying for, we will use it to match you up with the dog best suited for you.