Adoption Application

Thank you for your interest in adopting a dog!

We are currently rebuilding our applications to ensure submissions from all platforms.  While we are going through this process, we encourage all applicants to use this temporary form to submit their application for our wonderful dogs!  https://asczrescue.wufoo.com/forms/adoption-application/

Please email the coordinator when you submit and if you have any questions.  We thank you very much for your patience!

Personal Information

* Required Field









Is there another person responsible for the dog’s care? If so, please list.





Household Information

Current Residence













If rent, please complete the following:










Yard Details






If yes, please provide details of the fencing type






References

Applicant must provide two references: a veterinary reference and a personal reference, or, two personal references. A veterinary reference is required if the applicant currently owns or has owned a dog or cat within the past 10 years. If the applicant does not have a vet reference, please provide two personal (non-family member) references.

Veterinary Reference





Personal Reference (non-family member)





Personal Reference 2 (non-family member)






Information about Dogs and Pets

Please provide the name of the dog and the ID that you are interested in. If you are not interested in a specific dog, we are happy to speak with you about all ASCZ rescue dogs in an effort to find your companion.








House-breakingLeash skillsCrate-trainingSpecial Needs Experience?Leash ReactivityTimid BehaviorBlindDeafHospice








Final Details

Do you have any desirable traits for your future dog? (check all that apply)


puppy 3 to 5 months5 months to 1 year1 to 4 years5 to 8 years8 years +


5 - 35 lbs35 - 55 lbs55 to 85 lbs85 lbs+


MaleFemale


YesNo


LowMediumHighAny





Free-roamingCrateGarageOutsideOther



Free-roamingCrateGarageOutsideOther




Terms

I understand the adoption fee for dogs 5 months and older is $400.

I understand the adoption fee for dogs under 5 months is $500.

I understand that my application will be reviewed as quickly as possible. An adoption coordinator will contact me with more information via email or phone within 72 hours.

MA Residents: Adopters who reside in the state of Massachusetts will be required to pay the quarantine fee of $100 for their adopted dog. MA requires that each dog be quarantined for 48 hours prior to going to an adopter's home. This fee is in addition to the adoption fee and is paid directly to the boarding facility that is approved by the state.