Please fill out each question carefully.  If the information provided is not complete and accurate, we will not be able to process your application.  Please note that you may not be contacted if you do not meet our adoption requirements, including having a fully fenced in yard and residing within 30 miles of Albany, NY.  It is very important that you clearly define the type of dog that you are looking for, including name, personality, size, traits, etc.  Please read the adoption requirements page for this includes important information regarding our adoption process, requirements, and additional information including the adoption fee. 

*** Please note that if your application is submitted successfully, you will receive a confirmation email.  If you do not receive the confirmation email, we did not receive your application.***

Thank you.

* Required fields
Name *
E-mail Address *
Address: *
City: *
State: *
Zip: *
Phone Number: *
Date of Birth: *
Work Number: *
Employer: *
Name / relationship of adults in house: *
Name / Age / Relation of children in the home *
Do you currently own any other dogs? *	Yes No
Please list name, dog breed, age, and if spayed / neutered
Do you have any other pets besides dogs? *	Yes No
If so, please list type, age, spay / neuter
Please list any dogs you previously owned, breed, sex, if they were spayed/neutered, and what happened to them. If they are deceased, please list cause and date. *
Home: *	OwnRent
Type of Home *	HouseCondoApartmentOther - please specify
Other - please specify
Landlord's Contact Information, include name, address, and phone number
Do you have a fenced in yard (not kennel) ? *	Yes No
If you have a fence, what type of fence do you have?	n/a - no fence4 foot chain link4 foot wood fence6 foot stockade fence
If you do not have a fenced in yard, please describe how you plan on exercising the dogs, allowing it to go to the bathroom, etc. Do you plan on using a runner, tie out or kennel? *
Where will the dog primarily live? *	InsideOutside
Where will the dog sleep at night? *
Please describe where will the dog be kept when you are not at home (crate inside, outside in dog house, etc.)? (please provide a complete description) *
What made you decide upon a puppy? *
Will you attend obedience class within 4 weeks of adoption? *	Yes No
Will you contact us if you have any questions or problems? *	Yes No
Will you return the puppy to us if you are no longer able to care for him / her? *	Yes No
Are you looking for a male or female puppy? *	Male Female Either
Please add any additional comments / clarifications for the questions and answers from above.
Please name the puppy or dog you are interested in:
Please describe the type of puppy you are looking for, include breed, personality, specific training such as agility, etc. *
Veterinarian Information - please include name, clinic name, address, phone number and the name on the account. Please note the last time that you utilized this clinic. *
What other adoption groups have you applied to? *
Please list three personal references, include relation to you, number of years known, name, phone number, etc. Please note that these people cannot be related to you. *
Please list any additional information you may wish to include. Thank you.
	By clicking this button and submitting an application, I acknowledge that all information contained in this form is true and correct to the best of my knowledge. I further acknowledge that I have read and meet the adoption requirements, including having a fenced in yard and residing within 30 miles of Albany, NY. I understand that any misrepresentation of fact will result in the removal of my adoption application. *
I have read and agree to the Privacy Policy *

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Thank you for taking the time to fill out our application.  Please note that submitting an application does not mean you will be able to adopt a dog from us.  We reserve the right to deny any application.