JRs Pups-N-Stuff Cat/Small Animal Application

List the full name and date of birth for ALL people living in the house*

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.

In our household we have:
Number of adults (18 or older):   Number of adults*
Number of children (under 18):   Number of children
Number of dogs:   Number of dogs
Number of cats:   Number of cats

Address*

Street Address

Apartment / Condo Unit Number

CityState

Zip Code

Primary Phone*

Format: (000) 000-0000.

Secondary Phone

Format: (000) 000-0000.

Applicant's email address*

Confirmation Email

Co-Applicant's E-mail

Confirmation Emailexample@example.com

HouseApartmentCondominium

RentOwn

YesNo

Landlord's Name

First NameLast Name

Landlord's Phone Number

Format: (000) 000-0000.

Landlord's email address

example@example.com

I understand that I am required to comply with complex or community ordiances, including licensing. If the city listed in your address is not the municipality whose ordinances you follow, please note the name of the municipality below:

YesNo

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

YesNo

Please list ALL household pets, alive or deceased, that you have had in the past 10 years. Please note, a JR's volunteer will reach out to your vet to verify your pet(s) are up-to-date on vaccinations.

Who is (was) your veterinarian for the above animals? If your pets see different vets, please list all vets used.

If you no longer own any of the pets listed above, please share what happened to the animal(s) and when. *

YesNo

Please tell us what prompted you to rehome your dog or cat. When did this happen? What, if anything, would you do differently?

What conditions would cause you to re-home (return to rescue) a future pet? *

NoYes, dogsYes, catsYes, both cats and dogs

If yes, what is done to manage the allergies

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

What do you consider an appropriate reason for euthanasia of a pet? *

YesNo

It may take your new pet several weeks to adjust to its new home, especially if other pets or children are involved. What steps are you willing to take to help your pet adjust?*

Comments or additional information you would like to provide to assist us in identifying the correct cat/small animal for you. Or, if you would like to clarify anything for us. A JR's application is not for a specific cat or small animal. If you are completing this application for a specific cat or small animal, please understand that it is possible that the animal will be adopted prior to your approval to adopt from JR's.

Signature: 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 JR's Pups-N-Stuff Inc. *