• Brick City Rescue, Inc. Adoption Application

    Brick City Rescue, Inc. Adoption Application

  • This questionnaire is designed to help Brick City Rescue, Inc. and yourself determine if a specific dog is the right one for you and your household. All adopting parties are required to complete this form prior to adoption. Please answer EVERY question. If a question does not apply to you, type N/A in the answer field. Your application will not be submitted until every question has been answered. Brick City Rescue, Inc. reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions!

    You MUST give permission to your veterinary office to release records to Brick City Rescue so that your application can be processed! 

  • Applicant Information

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  • Household Information


  • Current/Previous Pet Information

  • New Pet Information

  • Electronic Signature

  • I hereby declare that the above statement is true to the best of my knowledge

  • I understand that I assume full responsibility for the welfare of this pet from the date of adoption. If for any reason I will have to give up this pet and/or have any conflicts, I will contact Brick City Rescue, Inc immediately to have them resolve any issues.

    Brick City Rescue requests a $400 adoption fee for an adopted dog over 1 year. Under a year we request a $475 adoption fee.

    Mail checks to:

     

    Brick City Rescue, Inc.

    PO Box 2431

    Passaic NJ 07055

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