JRs Pups-N-Stuff Cat/Small Animal Application

1

* This field is required.

2

List the full name and date of birth for ALL people living in the houseInclude applicant, co-applicant(spouse, boyfriend/girlfriend) roommates, parents, children, siblings

3

JRs will check available public records for all adults in the household. Please provide any additional information you would like us to consider regarding any charges or outstanding financial judgments.If you are unsure, in Wisconsin you can go to https://wcca.wicourts.gov/ to view your own public records

4

Address* This field is required.This address will be used on adoption contracts as well as to send rabies certificates post adoption. Please be sure that it is correct and complete. If you live in an apartment or condominium building please be sure that your unit number is included.

Street Address

Apartment / Condo Unit Number

City

State

Zip Code

Country

5

Primary Phone* This field is required.

6

Secondary Phone

7

Applicant's email address* This field is required.This email address will be the primary point of contact moving forward. Please be sure that you have access to any professional email addresses during non-business hours to facilitate the adoption process.

8

Co-Applicant's E-mailSome adoption documentation may be sent utilizing e-signature protocols. In these instances a unique email address will be required for both the applicant and the Co-Applicant.

example@example.com

Confirm Email

10

Have you adopted from JR's before?* This field is required.

Yes

No

11

If yes, what was the animal's JR's name?

12

What type of pet are you looking for (check all that apply)* This field is required.

Male

Female

Adult

Kitten

Other small animal (rabbit, guinea pig etc)

13

Are you looking for a specific breed?* This field is required.

Yes

No

14

What breed are you looking for?

15

Have you researched this type of animal/breed to determine whether or not it is appropriate for your home/living environment

Yes

No

17

This pet will be WITHOUT human companionship for about hrs per day * hours per day, days per week * days per week.

20

Where do you live?* This field is required.

House

Apartment

Condominium

21

Do you rent or own?* This field is required.

Rent

Own

22

Does your landlord allow pets?

Yes

No

23

Is a deposit required?

Yes

No

24

What is the amount of the deposit required?

25

Is there a monthly rent increase?

Yes

No

26

What is the amount of the increase?

27

Landlord's Name

First Name

Last Name

28

Landlord's Phone Number

29

Landlord's email address

example@example.com

30

If you have a copy of your lease, you can upload it here which may eliminate the need for JRs to wait for a call back from your landlord

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

31

What are your condominium association's restrictions for pets regarding breed, size, limits etc.?

32

If the city listed in your address is not the municipality whose ordinances you follow, please note the name of the municipality below:

33

Are you familiar with the local ordinances regarding cat/small animal ownership in your community?* This field is required.

Yes

No

34

Do you understand that by adopting, you are required to comply with all local ordinances, including licensing?* This field is required.

Yes

No

35

In our household we have:
number of adults * adults (18 or older)
number of children * children (under 18)
The age(s) of the children: Age of children

36

Is anyone in your family allergic to animals?

No

Yes, dogs

Yes, Cats

Yes, both cats & dogs

37

If yes, what is done to manage the allergies

38

Have you EVER returned, surrendered or given away a dog or cat to a friend, family member or other person, shelter, organization, or rescue group for ANY reason?* This field is required.JRs considers the omission of previously returned or rehomed pets to be a blatant attempt at misdirection. While rehoming a dog does not automatically disqualify you from adoption, intentionally leaving a rehomed pet off of the application will.

Yes

No

39

Please tell us what prompted you to have to rehome your dog or cat.

40

When did this happen?

41

Please tell us what, if anything, you would do differently in this scenario today?

42

What will you do with your pets if you move in the future?* This field is required.

43

How much do you anticipate spending yearly to feed, vaccinate, license and provide routine medical care for your pet?* This field is required.

44

Do you have a limit on what you would spend for a medical emergency?* This field is required.

Yes

No

45

What is that limit?

46

Are you familiar with the closest Veterinary Emergency Clinic in your area?* This field is required.

Yes

No

47

What do you consider an appropriate reason for euthanasia of a pet? * This field is required.

48

Adding a pet to your family is a lifetime commitment. Are you prepared to make a commitment for the entire life of your pet? * This field is required.

Yes

No

49

Do you realize a cat may live 20 years?* This field is required.

Yes

No

50

It may take your new pet several weeks to adjust to its new home, especially if other pets or children are involved. This transition time may include some undesirable behaviors that will require extra time/attention. Are you prepared to allow this much time? * This field is required.

Yes

No

51

Adding a new pet will require transition time for any existing pets. This could take your pet (s) several weeks to adjust to his/her new companion. Are you prepared to allow this much time? * This field is required.

Yes

No

52

What steps are you willing to take to help your pet adjust to his/her new home? * This field is required.

53

What conditions would cause you to re-home (return to rescue) your pet? * This field is required.

54

What type/brand of food do you plan to feed your new pet?* This field is required.

55

Are you familiar with pet supplies stores in your area?* This field is required.

Yes

No

56

Have you, or any members of your household, had a pet in the past 10 years?* This field is required.

Yes

No

57

Are all pets in the home spayed/neutered, up to date on vaccines (Distemper/FVRCP & Rabies) as well as heart worm preventatives and annual wellness exams?JRs does require that minimally all animals (including indoor cats)be spayed/neutered, have an annual exam, rabies and distemper shots as well as annual wellness exams including HW test. Titter testing can be done in lieu of annual vaccines. If your pet is not up to date, please complete the application after you have taken them in to see the vet.

Yes

No

58

Please list ALL household pets, alive or deceased, that you have had in the past 10 years.If you no longer own the pet, please be specific as to what happened to the animal. If you have an unneutered dog/cat, please explain why you have not altered the animal.

59

Who is (was) your veterinarian for the above animals? If your pets see different vets, please list all vets you are using/used.Applications will NOT be processed without this information. You MUST contact your vet and let them know that they can release information to our representative. Failure to do this will result in significant delays in processing your application.

60

Comments or additional information you would like to provide to assist us in identifying the correct cat/small animal for you.Comments or additional information you would like to provide to assist us in identifying the correct cat/small animal for you.

61

What is your desired time frame for adopting?* This field is required.

As soon as possible

1-3 months

3-9 months

9-12 months

When a great match is found

62

How did you hear about us?

Friend/Family referral

Petco Adoption Event

Online pet search engine (Petfinder,Petango Etc)

Facebook

63

Signature* This field is required.By signing below, I certify that the information I have given is true and I recognize that any misrepresentation of the facts may result in my losing the privilege of adopting a pet. I authorize investigation of all statements on this application. Verification of vetting, landlord and available public records will be checked for accuracy of information. I understand that this application is property of the JR’s.