Thank you for contacting Animal Care Centers of NYC. If you are having difficulty keeping your animal, please fill out the following questionnaire. An Admissions Counselor will contact you within 2 to 3 business days to discuss the best options for you and your pet.

* 1. Contact Information

* 2. What is the best time of day to contact you?

* 3. Pet(s) Name(s)

* 4. Age(s)

* 5. Type of Animal(s)

* 6. Breed(s)

* 7. Is your pet spayed or neutered?

* 8. How many animals are you interested in surrendering in total?

* 9. What challenges are you having with your pet(s)?

* 10. Why are you interested in surrendering you animal(s)? Please be as detailed as possible so our Admissions Counselors can provide you with the best option(s) for you and your pet(s).

* 11. If provided with a solution to the challenges you mentioned above, would you be interested in keeping your pet?