MAD Rescue of WNY Adoption Application

  • Make a Difference Rescue Adoption Application

    Making a Difference for the Homeless Dogs of Puerto Rico

  • PLEASE READ:

  • If you are not ready to adopt right away do NOT apply until you are ready. We do NOT hold dogs as our priority is to get our dogs out of the shelter and into homes. Are you and all members of your family ready to adopt now?
  •  -
  • Phone Type*
  • Are you planning to move in the near future?*
  • When will you be ready to adopt this dog?*
  • Are you in contact with any other rescues or shelters about a specific dog?*
  • Are you going to meet another dog?*
  • Is anyone in your home allergic to dogs?*
  • Does anyone in your home fear dogs?*
  • Are you familiar with dog regulations in your area?*

  • If you answered no to the question above, please contact your town/county/condo assoc and ask them what the regulations are.

  • I/We live in a*
  • Do you rent or own this property?*

  • If you rent, you must show us a written letter from your landlord or a copy of the section of your lease stating that you are allowed to have dogs and showing any limitations. 

    If you live in a condo or townhome, you must show us written proof that you are allowed to have a dog there and show any restrictions.

  • Do you have a yard?*
  • If fenced, fence height is:
  • Do you work outside the home?*
  • Have you discussed this adoption with all members of your household?*
  • Based on the description in the dog's bio, do you feel pretty confident that you will be likely to adopt this dog upon meeting it?*
  • What activity level do you prefer?

  • Please check all that apply. I want to adopt this dog...*
  • Please check all that apply. My adopted dog will...

  • Adopting a rescued dog may come with various unknown behavioral issues. We NEVER guarantee that a dog is housebroken and ALL adopters must be prepared for and committed to some degree of housebreaking. Are you 100% committed to:*
  • Please think honestly about what you are absolutely NOT willing to deal with during the lifetime of your new dog.
  • Do you plan to get pet health insurance?*
  • Grooming (please check all that apply)*
  • How do you feel about having pets spayed/neutered?
  • Are you familiar with heartworm and heartworm prevention?

  • After you submit this form, it will take you back to the Make a Difference Rescue home page. Feel free to email us with any questions: madrescueofwny@aol.com

  • Should be Empty: