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CANINE MATCHMAKER APPLICATION
First Name
Last Name
Phone
Today's Date
Email
Enter your Address
Date of Birth
Zip Code
Have you adopted from GSARC before?
Yes
No
Have you owned a dog before?
Yes
No
Do you rent or own your home?
Rent
Own
Other
Do you routinely bring your pets to the veterinarian yearly?
Yes
No
Not Applicable
If you rent, are there any pet restrictions on your lease or association by-laws? (We will need to see a copy of the lease prior to final approval)
Do you have a veterinarian that you currently use or plan to use? (Please provide name and phone number of veterinarian) If your pet has been to multiple veterinarians, provide all names.
Please list all of the human members of your household. (Name & Age)
Are you interested in a specific canine in our care? (If you are, who is it?)
Have you owned any dogs or cats in the last five (5) years that no longer live in your residence?
Yes - Passed Away
Yes - Surrendered to Animal Shelter
Yes - Gave to Family
No
If you have owned previous pets in the last five (5) years that no longer live in your residence, please provide name and info here.
How do you plan to exercise your new dog?
Fenced Yard
Dog Park
Walking Trails / Running
Hiking
Other
What type of animals do you currently have within your household?
Dog
Cat
Small and Furry
Birds
Other
Where will your new dog stay if you adopt?
Loose in house
Cage / Kennel
Outside
Other
Will you crate train your new dog after adoption?
Yes
No
Don'tBelieve in Crate Training
Not Sure
Please list all pets that live within the household and include the following information: (Name, Age, Species, Vaccine Status, Spay/Neuter)
Please Describe your perfect companion
Please list a minimum of 4 references. first and last names, phone number and how you know them. (References can NOT be family members and can not live at the same address)
As part of our review process, we may require a home visit prior to final approval. If this visit is necessary, do you agree to allow our staff to conduct this visit?
I agree
I disagree
Due to the high volume of applications that we receive daily, you will only be contacted following the initial review of your application to schedule an interview. By checking the box below, you understand that GSARC has sole discretion regarding the approval of applications and that the review process can take between 2 and 14 days depending on the current volume of pending applications.
I understand
As of January 1, 2023, The Garden State Animal Rescue Center has implemented an application donation of $10 to help with the increasing cost of care for our furry friends. The donation is non-refundable and must be received prior to review of application.
I understand
By submitting this application, you confirm that all information provided herein is truthful and accurate. (If any infomation is determined to be false during the course of our review, your application may be rejected at the sole discretion of the GSARC.)
I understand
Submit Application
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