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Adopt a Dog

Dog Pre-Adoption Form

"*" indicates required fields

Name*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*

Email*

How many people live in your home?*

What are the ages of everyone living in your home?*

How long have you lived at this address?*

Are you planning to move in the next 2 years?*

List the name and age of the person that will be primarily responsible for the care of the dog.*

What kind of dog are you looking to adopt?

If there is a particular dog you are interested in adopting, please enter the name of this dog below.

Interested in:

Breed

Age

Puppy

Adult

Senior

Size

Small (up to 20 lbs)

Medium (20-45 lbs)

Large (45-75 lbs)

X-Large (75 lbs and up)

Sex

Male

Female

Why do you want a dog?

As a companion for me / my family

For my children

As a companion for another pet

As a gift

Other

Please specify other.

On average, how long will the dog be left home during the day?*

1-3 Hours

4-7 Hours

8-11 Hours

12-15 Hours

I prefer a dog who:*

Will enjoy walking on a leash with me.

Will run/jog/hike with me.

Requires only enough exercise to do his/her business.

Will enjoy walking on and off a leash.

Will exercise him/herself in my yard.

Will enjoy going to dog parks.

Where will the dog live?*

What outdoor space, if any, is available for the dog?

Type of fence

Height of fence

The expense of owning a dog can vary greatly depending upon its individual needs and your lifestyle. Costs include regular and emergency veterinary care, medications, food, training, flea control, grooming and boarding. To help us recommend the right dog for you, please indicate how much you can comfortably afford to spend each year:*

If you were no longer able to care for the dog, what plans would be made?*

Current Pets

Please describe the pet(s) currently living in your home. Include their name, species/breed and how long you have owned them.*

Details

What is the name and location of the animal hospital that cares for your pets?*

Details

Previously Owned Pets

Describe the pet(s) you have owned within the past ten years. Include their name, species/breed, how long you owned them and what happened to them.*

Details

What is the name and location of the animal hospital that cared for your previous pets?*

Details

Environment

Are there children regularly visiting your home?

Yes

No

When it comes to keeping a clean and tidy home, you are:

When it comes to relating to dogs, do you tend to be more:

Strict, a real leader type of dog owner

Lenient, a soft, easy going dog owner

The noise/activity level in your home is usually:

Do you live in a:*

Specify Other

Do you own or rent?*

Own

Rent (Copy of Lease or Landlord Letter Required)

Attach a copy of your lease agreement here

Max. file size: 100 MB.

Additional Information

How did you find out about the Humane Society of Westchester?

Veterinarian name

Newspaper name

Internet site

Other

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If you’re looking for a new four-legged friend, you’ve come to the right place!

With a variety of dogs and cats available for adoption of all ages, breeds, sizes and colors, you just might find your perfect match!

PLEASE CLICK HERE to see our dogs!

Please note, our Petfinder list is temporarily unavailable.

Contact Us

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Address(Required)

Street Address City State ZIP Code

Email

Phone

What is your inquiry about?

Message

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70 Portman Rd
New Rochelle, NY 10801
Phone: 914.632.2925

Adoption Hours -
BY APPOINTMENT ONLY: 10am-4pm

©2026 Humane Society of Westchester at New Rochelle | Not-For-Profit Organization | Established In 1911