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.

Contact Information

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* 1. Contact Information

What is the best time of day to contact you?

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

Pet(s) Name(s)

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* 3. Pet(s) Name(s)

Age(s)

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* 4. Age(s)

Type of Animal(s)

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* 5. Type of Animal(s)

Breed(s)

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* 6. Breed(s)

Is your pet spayed or neutered?

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* 7. Is your pet spayed or neutered?

How many animals are you interested in surrendering in total?

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

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

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

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).

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* 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).

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

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

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