Pet Rescue Adoption Application Form
Applicant Details
Your name
*
First Name
Last Name
Name of the pet you're interested in adopting
*
Age of adopter AND anyone living in the house? (If children in house - please list ages!)
*
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number (Mobile)
*
-
Area Code
Phone Number
Phone Number (Work)
-
Area Code
Phone Number
Phone Number (Home)
-
Area Code
Phone Number
E-mail
*
example@example.com
Number of hours (average) pet(s) spends alone
*
What hours do you work & what do you do for work?
*
Are you military affiliated?
Yes
No
What is your living situation?
*
House - own
House - rent
Apartment
Condo
Mobile Home
Military housing on base
If you do not own your home, what is your landlord's POLICY on pets?
Are you planning on moving within the next 6 months?
*
Yes
No
If yes, what are your plans for your pets?
Current Pet's Details
Please fill out this section if you CURRENTLY own any pets!
Name, breed, age, AND gender of Current Pets:
Is your pet male or female?
Male
Female
Unknown
If you own a pet - are they spayed / neutered?
*
Yes
No
N/A (please select this if you do not currently own a pet)
Are your pets spayed or neutered?
*
If you own a pet - are they up-to-date on annual vaccines?
*
Yes
No
N/A
*
Is your pet used to other pets?
Yes
No
Unknown
Veterinarian Information
Please fill out this section if you have a current Vet that you use, OR that you plan to use. Please specify if you are already established with the vet or not.
Do you have an established veterinarian?
*
Yes
No
Not yet, but the provided info will be who I plan to establish with
Veterinarian’s name
*
If you don't currently have a vet, WHO will you be using?
Clinic Name
*
If you don't currently have a vet, WHO will you be using?
Clinic's Telephone
-
Area Code
Phone Number
Additional Adoption Questions
Are you planning on declawing your cat?
*
Yes
No
Are any members of your household allergic to animals?
Yes
No
Have you ever left behind or given away a pet?
*
Yes
No
Are you prepared to commit to a pet for 15-20 years (average life span)?
*
Yes
No
If for any reason the placement of the cat doesn't work out, do you agree to return to the rescue and not abandon or give away?
*
Yes
No
If there's anything else you think we should know, please note here.
I certify that the above is true and that any false information may result in nullifying the adoption agreement and resulting is no return of any fees paid.
*
Please type your first and last name to represent as signature.
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