Adoption Agreement

East Coast Adoption Application

Step 1 of 5

Thank you for your interest in adopting one of our dogs!
Please check our homepage to see if the dog you are interested in is still on there. Some websites our dogs are posted on don't delete them as quick as we do.
Also, PLEASE NOTE: It's possible that the dog you are interested in may have a pending adoption. Feel free to list multiple dogs names you'd be interested in, just in case.
To start the process, we’ll need you to fill out this multi-part application. It may seem like we are asking for a lot of information and we do. But only to ensure all of our dogs end up in the best forever home possible.

When you are approved for adoption and you come to pick up your dog, we require that an adoption waiver be filled out for every dog. If you'd like to preview the waiver, click here. This will open a new window or tab to preview the waiver, You can simply close it to return to this application.
Your information is protected and we don't sell or rent it to anybody.
East Coast Adoption Agency adoption fees are $350 ($360 for credit card payments online) (except courtesy posts... those normally run $50 to $100 and are clearly marked as such). When you get your new pet spayed or neutered and provide us with proof, we will refund $35 of that cost back to you. This fee may vary based on the care provided to the dog prior to adoption (I.E. spay/neuter/medical care/etc.) Our fees are based on these costs, averaged out over the amount of dogs we save each year. All fees received go directly back to being able to take in and adopt even more dogs.
Ready? Let's go!
I Found You On:
Before we get started, Can you tell us how you found our site? We'd really appreciate it.
Name*
First Last
Email*
Enter Email Confirm Email
Address*
Street Address Address Line 2 City State ZIP Code
PLEASE NOTE: At this time East Coast Adoption Agency is unable to offer the 30 days of complimentary pet insurance due to The State of New York regulations. This policy will continue for State of New York residents until further notice.
I have read the above State of New York disclaimer notice regarding 30 days of complimentary pet insurance and I agree to the terms, as stated.*
I have read the above State of New York disclaimer notice regarding 30 days of complimentary pet insurance and I agree to the terms, as stated.
- Yes, I agree
Phone*
Reason For Adoption*
Please tell us why you want to adopt a dog at this time.
Rent/Own*
Do you rent or own your residence? We ask because renters must have their landlords permission to have a dog. At the end of this application process, if you've indicated that you rent, we'll have a form you can use to get your landlords permission if needed. Or, you can click HERE to download it now.
- Own
- Rent
Landlord Name*
First Last
Landlord's Phone*
If you rent or lease your home we will need you to download and have signed, our Landlord Consent Form. This is a requirement. You may download right now, right HERE.
Your Age (please note you must be 18 or older)*
Employed*
Are you currently employed?
- Yes
- No
- Retired
Employer*
Please tell us where you are employed.
Dogs Name*
Please tell us the name of the dog(s) you are applying for. You may apply for more than one as sometimes your first option may be adopted already. If you don't have a preference, please put NA in the box.
Dogs Location*
Please select from the drop-down list below the location and name of the foster for the dog you are interested in. If you selected NA in the field above, please select NA here as well. IMPORTANT - PLEASE NOTE: Selecting the wrong foster below will delay the review of your application (so you the dog you are looking for may already be gone).

Save and Continue Later

Almost Finished!

We know we have a long application but that's only to insure all of our precious dogs go to good homes and... You're almost done! We just need you to answer a couple more yes/no questions that will finish up your application.

You MUST be able to answer yes to the following questions for your application to be considered.
Local Laws*
Are you familiar with your local animal control laws?

Yes

No
Family*
Have ALL family members and/or other people that live in your home, agreed to the adoption of a dog?

Yes - All family members agree

No

Save and Continue Later

Health/Refund Info*
I understand that these are rescued dogs that come from (sometimes) neglectful situations.

I understand that although we (East Coast Adoption Agency) try our best to take precautions in ensuring they are healthy, there is no health guarantee and that there are no refunds.

I understand that I have the option of signing up for the free health insurance we provide. I understand that It is recommended that I get my own as well, just in case!

I Agree
Pick Up*
I understand and agree that I have to drive to pick up him/her myself if approved?

I Agree

I Do Not Agree

Save and Continue Later

By typing my full name below, I certify that the the information I have provided is true and correct.

I understand that by my submitting this application I am not guaranteed nor does East Coast Adoption Agency promise to provide me with the dog of my choice.

I Agree that I may be declined for any reason and that adoption approval is at the sole discretion of the foster AFTER I have had the opportunity to meet the dog.

Further, I understand that under no circumstances does East Coast Adoption Agency provide refunds.
SIGNATURE*
I certify that all information submitted on this form is true and correct and that providing mis-information may be grounds for denial of adoption.
First Last
PLEASE NOTE: Pressing the submit button will begin your adoption process. If successful you will be taken to our success page where you can return to our main website. If you do not receive a response from us via email after submitting your application, be sure to check your SPAM folder.
http://eastcoastadoptions.com/agreement-waiver/?ep_token={Easy Passthrough Token}

Save and Continue Later