Rescue Ridge Adoption Application
Name of the pet you want to adopt
Dog or cat
Your Name
*
First & Last Name
Address
Street Address
Street Address Line 2
City
State
Zip Code
Your E-mail
*
Home Number
-
Area Code
Phone Number
Cell Number
*
-
Area Code
Phone Number
Drivers License Number
Do you have any pets living in the house?
Cats
Dogs
Other small animals (ferrets, guinea pigs, etc)
spay and neutered
Have you had animals in the past?
Cats
Dogs
Other small animals (ferrets, guinea pigs, etc)
Were they spayed / neutered?
Yes
No
Please describe animals you have now. Age, breed, sex. If you have no animals now please describe animals you have had in the past along with the name of the animals.
How long did you or do you have animals and what happened to them?
Who was/is your veterinarian?
Vet name, address & phone number
How long have you lived at your current address?
Do you:
Own
Rent
If applicable, does your lease allow animals? If yes please include landlord's contact info.
Yes
No
Please list the names and ages of ALL the people that live in your home. Please list people that usually stay for an extended amount of time. Along with their animals.
Does anyone in your household have allergies?
No
Yes
Where will the pet be kept during the day and night?
Is anyone home during the day?
Yes
No
Do you have a yard?
Yard, fenced with a vertical fence
Yard, fenced with invisible fencing
Yard, no fence
No yard (apartment/condo/townhome)
If applicable, how high is your fence?
Maximum amount of hours pet will be left alone? Where will the pet be kept when alone?
Are you financially prepared to give this animal routine and emergency medical care?
Yes
No
Reference #1
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Relationship
Reference #2
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Relationship
Reference #2
First Name
Last Name
E-mail
Relationship
Do you have any additional comments, questions or concerns? Anything else you would like us to know.
In the event you become ill, who will care for the animal? Please consider this question and speak to the people who you think will care for your pet.
I HAVE READ THE APPLICATION AND I AGREE TO THE ABOVE CONDITIONS
Yes
Your full name
First Name
Last Name
Date
*
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*
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