DD PET ADOPTION APPLICATION

E-mail us at [email protected] TO REQUEST AN APPLICATION.

A $50 NON-REFUNDABLE APPLICATION FEE PER ADULT IN THE HOUSEHOLD IS REQUIRED TO ADOPT UP TO 4 PETS, AND IS GOOD FOR A 3 MONTH PERIOD AFTER APPROVAL.

APPLICATION FORM FOR PET ADOPTION
MAIL APPLICATION AND $50 APPLICATION FEE MONEY ORDER TO :
DD PET ADOPTION - 136 CARLETON AVE #692 ISLIP TERRACE, NY 11752

OR SUBMIT PAYMENT ONLINE AT WWW.DDPETADOPTION.COM AND SUBMIT SCANNED COPY TO [email protected]



FIRST NAME____________________________________________________
LAST NAME_____________________________________________________
ADDRESS_______________________________________________________
PHONE NUMBER_________________________________________________
E-MAIL_________________________________________________________
PLEASE PROVIDE THE ADDRESS IN WHICH WILL BE THE RESIDENCE OF THE PET _______________________________________________________________ _______________________________________________________________ _______________________________________________________________
ARE YOU 18 YEARS OF AGE YES / NO
DO YOU HAVE PERMISSION FROM A PARENT IF NOT 18 YEARS OF AGE
YES / NO
DO YOU HAVE PETS ALREADY YES / NO
IF YES, WHAT KIND____________________________________________
DO YOU THINK THEY WILL GET ALONG WITH A NEW CAT OR KITTEN YES / NO
EXPLAIN WHY OR WHY NOT _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________
_______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________
HAVE YOU EVER OWNED A PET BEFORE YES / NO
IF YES, WHAT SPECIES_____________________________________________
WHAT CHARACTERISTICS ARE YOU LOOKING FOR IN A PET *PLEASE EXPLAIN________________________________________________________ _______________________________________________________________
WHAT TYPE OF LIFESTYLE DO YOU LIVE THAT WOULD HELP US SUITE YOU WITH A GOOD FIT FOR A PET (CIRCLE ALL THAT APPLY)
WORK A LOT / HOME A LOT / LIVE ALONE / HAVE CHILDREN / ELDERLY / DISABLED / NEED COMPANION / HAVE DEPRESSION-ANXIETY / LOVE ANIMALS /NEED EMOTIONAL SUPPORT ANIMAL
ARE YOU CONSIDERING MORE THAN ONE PET YES / NO
ARE YOU CONSIDERING ADOPTING A SPECIAL NEEDS PET YES / NO
DO YOU NEED INFORMATION ON HOW TO PROPERLY CARE FOR YOUR PET
YES / NO
DO YOU: RENT / OWN
DO YOU HAVE PERMISSION FROM YOUR LANDLORD IF YOU RENT YES / NO
DO YOU AGREE TO GET THE NECESSARY SHOTS YES / NO
DO YOU AGREE TO GET THE NECESSARY SPAYED OR NEUTER YES / NO
DO YOU AGREE TO PAY THE VET BILLS FROM HERE ON OUT YES / NO
HAVE YOU EVER BEEN CONVICTED FOR ANIMAL CRUELTY YES / NO
HAVE YOU EVER BEEN CONVICTED OF A VIOLENT CRIME TO A PERSON
YES / NO
DO YOU HAVE A VET ALREADY YES / NO
DO YOU GIVE US PERMISSION TO CONSULT WITH YOUR VET YES / NO
IF YES, PLEASE PROVIDE THE REQUESTED INFO BELOW:
VET NAME______________________________________________________
ADDRESS_______________________________________________________
VET PHONE NUMBER_____________________________________________
VET FAX NUMBER _______________________________________________
VET E-MAIL_____________________________________________________

DO YOU AGREE TO RECEIVE E-MAILS, PHONE CALLS, AND LETTERS FROM US TO CHECK ON THE TRANSITION OF THE PET TO ITS NEW HOME YES / NO
DO YOU AGREE TO SEND US A VIDEO OF YOUR NEW PET EVERY MONTH FOR THE FIRST 6 MONTHS YES / NO
DO YOU AGREE THAT WE CAN TAKE THE PET BACK WITH NO HESITATION IF WE FEEL THE PET IS BEING NEGLECTED, HARMED, OR ABUSED WITHOUT LEGAL PROCEDURE OR REIMBURSEMENT OF VET EXPENSES, EXPENSES DERIVED OUT OF CARING FOR THE PET, AND ANY ADDITIONAL BELONGINGS YOU MAY HAVE SUPPLIED TO THE PET DURING ITS RESIDENCE WITH YOU YES / NO
WE WILL ALLOW UP TO 1 YEAR TO GIVE THE PET BACK WITH NO HESITATION IF THE PET IS NOT A GOOD FIT FOR YOU OR YOUR HOME, IF YOU CANNOT CARE FOR THE PET, OR IF YOU ARE MOVING TO A RESIDENCE THAT DOES NOT ALLOW PETS. HOWEVER, YOU MUST NOT CAUSE ANY INJURY TO THE PET, DELIVER IT IN A STATE IN WHICH WOULD SUGGEST NEGLECT, HARM, OR ABUSE TOWARD THE ANIMAL OR WE MUST CONTACT THE PROPER AUTHORITIES. DO YOU AGREE YES / NO
PLEASE CHECK YOUR STATE LAWS REQUIRING HOW YOU MUST CARE FOR YOUR PET. WE ARE NOT RESPONSIBLE FOR ANY HARM ARISING TO THE PET AFTER YOU TAKE POSSESSION OF THE PET. WE WILL PROVIDE YOU ALL MEDICAL RECORDS WE HAVE ON THE PET, AND HAVE DISCLOSED ANY INJURIES OR ILLNESSES KNOWN TO US AT TIME OF DELIVERY. IF THE ANIMAL DEVELOPS A SICKNESS, OR IS INJURED AFTER YOU TAKE POSSESSION OF THE ANIMAL, YOU ARE SOLELY RESPONSIBLE FOR ITS CARE, AND THAT ALONE IS NOT A SUFFICIENT REASON TO HOLD US LIABLE FOR ANY REASON. YOU AGREE TO HOLD US HARMLESS FOR ANY DAMAGES ARISING OUT OF THE DELIVERY OF THE PET, TRANSMISSION OF INFORMATION, AND TRANSFER OF OWNERSHIP OF THE PET TO YOU. YES / NO
IT USUALLY TAKES 2-4 WEEKS TO GET A DECISION ON IF YOU ARE ACCEPTED OR NOT FOR ADOPTION. IN EXTREME CIRCUMSTANCES IT COULD TAKE 3 MONTHS TO GET APPROVED. DO YOU UNDERSTAND YES / NO
CHECK THIS BOX THAT YOU HAVE PROVIDED A COPY OF YOUR DRIVERS LICENSE, STATE ID, OR PASSPORT AND COPIED IT TO THE BACK OF THIS APPLICATION OR SUBMITTED
IT VIA E-MAIL
CHECK THIS BOX THAT YOU HAVE SUBMITTED YOUR APPLICATION FEE VIA DDPETADOPTION.COM OR MAILED TO: PO BOX 692 ISLIP TERRACE, NY 11752

TEMPORARY NAME OF THE PET(S) YOU ARE INTERESTED IN: PRINT YOUR FULL NAME ___________________________________________
________________________________________________ SIGN YOUR FULL NAME _____________________________________________
DATE_________________________________________

OFFICE USE PLEASE DO NOT WRITE HERE
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
DID THEY SUBMIT A VALID ID YES / NO
DID THE APPLICATION ANSWERS MEET THE GUIDELINES FOR ADOPTION YES / NO
DID THEY NEED TO PROVIDE A NOTE FROM LANDLORD YES / NO
IF NEEDED, DID THEY SUBMIT A NOTE FROM LANDLORD YES / NO
DID THEY PAY FOR THE APPLICATION FEE YES / NO
DID THE PAYMENT CLEAR YES / NO
DID THEY PASS THE BACKGROUND CHECK YES / NO
NAME OF PERSON REVIEWING THIS APPLICATION AND DOCUMENTS REQUIRED ____________________________________________
SIGNATURE OF THE PERSON REVIEWING THIS APPLICATION______________________________________________________________
DATE THE APPLICATION WAS REVIEWED_____________________________________