Upstate Pups Adoption Application

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Thank you for your interest in adopting one of our rescue dogs. By providing a home, you not only play a vital role in giving our dogs a second chance at life, but you have the opportunity to bring an amazing new companion into your life. Please complete the following application to help us match you with the perfect dog. Your kindness and support make all the difference! If you have any questions, please email us at UpstatePupsNY@gmail.com.

All adoptable pups are microchipped, spayed or neutered, and up to date on all vaccinations. Each pup will also come with a start-up kit including collar, harness, leash, toy, blanket, food bowl, calming treats, and discounts from our supporters. Our adoption fees through December 2025 are as follows: Puppies (up to1 year) $375, Dogs $325, Seniors / Special Needs (7+) $175. Please note that filling out an application does not guarantee placement. We focus on finding the right fit for all.

Please indicate any specific pups you are interested in:

Personal Information

Full Name *

Street Address

City, State, Zip

Phone Number (cell preferred) *

Email Address *

Emergency Contact Name

Emergency Contact Phone Number (cell preferred)

Household Information

Do you rent or own your home?
*

Rent

Own

Other:

If you rent, does your lease allow pets?

Yes

Unsure

Clear selection

Landlord's Name and Contact Information (if applicable)

Type of Residence
*

House

Apartment

Condo

Townhouse

Other:

How long have you lived at your current address?
*

Do you have a fenced yard?
*

Yes

List all people living in your home (names, ages, relationship to you) or write N/A.
*

Are all household members in agreement about adopting a dog?
*

Yes

Pet Information

Please tell us about any pets you already have in your home.

Do you currently have any pets?
*

Yes

List all current pets (species, breed, age, spayed/neutered, current on vaccinations) or write N/A.
*

Have you had pets in the past?
*

Yes

What happened to your previous pets?
*

Why do you want to adopt this dog?
*

Care and Commitment

How many hours per day will the adopted dog be left alone?
*

Where will the adopted dog be kept when alone?
*

Where will the adopted dog sleep?
*

Are you able to handle a dog with special needs (medical, behavioral, etc.)?
*

Yes

Maybe

What type of dog are you willing to adopt? Select all that apply.
*

Puppies

Seniors

Small Size

Medium Size

Large Size

Any Breed

Specific Breeds

High Energy

Medical Issues

Behavioral Issues

Requires Training

Other:

Required

Any preferences or restrictions?

How did you hear about our rescue?

Is there anything else you would like us to know?

Please check each box indicating that you agree to the following terms and conditions of our programs: *

I consent to a home visit before being approved for adoption.

I promise to provide my adopted dog with the most loving care and will not use corporal punishment as a way to train the foster.

I understand that filling out the information provided does not guarantee approval to adopt. Approval is at the sole discursion of the organization and it's team.

I attest that all information provided is factual.

I agree to surrender my dog back to Upstate Pups if I can no longer care for them for any reason.

Required

You read and agree to the Hold Harmless Waiver. Click Here
*

Yes

Submit

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