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Thank you for your intrest in adopting a pet from Hollywood Dog Rescue! Please understand that it is not our intention to make the adoption process cumbersome, but to insure that the animals in our care et the best possible home, and that you get the best possible dog for your lifestyle. It is the goal of our adoption program to find a permanent, loving and responsible homes, and make a match that will last a lifetime!
City, State, Zip
Type Of Residence
Do you have consent of all adults living in your household?
Please list the names & ages of everyone in the household
Which dogs are you interested in, AND why are you looking to adopt?
Who is your veterinarian? (Name & Phone #)
May we contact you Vet?
What will happen to this pet if you have to move unexpectedly?
Please list all current pets in your household.
How do you plan to exercise your dog? AND for how much time daily?
Where will your dog be when left alone?
Loose In House
Crated In House
Do you have a pool?
If YES is it fenced in?
List TWO personal references Not related to you.( Name & #)
By signing below I hereby submit that the information provided by me is true. Any false info may result in my losing the previlage of adopting a pet. I understand that the SPCA has the right to deny my request to adopt an animal, and this application must be completed and approved before an animal adoption may be concidered.
Please type your FULL name for electronic signature
Here is the PDF version of our dog application. If you would like to print it and manually fill out.
New York State Registered Shelter/Rescue #RR068
(PDF — 103 KB)