Rehoming Application

Thank you for you considering East Coast Adoptions to help you rehome your dog

Please fill out this brief application with some basic information regarding your dog.

Once you've completed the application, you will need to pay your rehoming fee. That option will be available upon completion of this application.

Once the application has been submitted and the fee paid, someone from our organization (depending on your geographic region) will contact you to complete the process.

Your information is protected and we don't sell or rent it to anybody.

Ready? Let's go!

Was this dog originally adopted from East Coast Adoptions?*

Yes
No

Name*

First Last

Email*

Enter Email Confirm Email

Address*

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

Phone*

Contact Preferences*

Do you want potential adopters to contact you via phone or email?

Phone
Email
No Preference

Dogs Name*

What is your dogs name?

Why do you need to rehome your dog?*

Please tell us why you need to rehome your dog at this time.

Please tell us a little bit about your dog

Primary Breed

Please select from the options below.

Mixed Breed?

Yes
No

Secondary Breed

Please select from the options below.

Spay/Neuter*

Is your dog spayed/neutered (fixed)?

Yes
No

Dogs Age*

Numbers only please

Vaccinations*

Are your dogs vaccinations up to date?

Yes
No

General Information*

Please select the the items that apply for your dog

Other Info*

Tell us anything else you would want potential adopters to know about your dog.

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

I understand that I am submitting an application to rehome my dog and that East Coast Adoptions will list my dog on different sites to try to find a suitable adopter for my dog. I understand that I am not guaranteed nor does East Coast Adoption Agency promise to find a suitable adopter within any specific time frame.

I Agree that I may be declined for any reason and that before my application is accepted I must pay the specified rehoming fee.

Further, I understand that I am ultimately responsible for selecting the correct person to adopt my dog and that East Coast Adoptions role is limited to listing my dog on various websites, screening potential adopters for suitability by reviewing potential adopter applications (and checking references for you) and sending to me the information on suitable adopters.

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 the rehoming process. If successful you will be taken to our success page where you will be able to pay your rehoming fee.

Rehome Your Dog

Please tell us a little bit about your dog