Rescuing Animals In Need's Online Adoption Application

Date: -- mm/dd/yy

I wish to adopt: If you don't want a specific animal use cat, kitten, dog, or puppy

Type of animal: Cat Dog

Foster's name (leave blank if you don't know):

Please provide the following contact information:

Emergency contact name and phone:

rent or own?

If renting, Landlord name and phone:

How many adults in household?

How many children?

Has everyone agreed to take responsibility for this animal? --- Yes No

Is anyone allergic? If yes, how will you handle this (include answer in comments section) Yes --- No

Is this an impulse adoption? -- Yes No

Is this adoption a gift? Yes -- No

Please list number and types of current pets:

Are your cats declawed? -- Yes No

Are all pets spayed/neutered? -- Yes No

Have you had this type of pet before? -- Yes No

If yes, what happened or do you still have them?

If you have cats, where do they live? -- Inside Outside Both

Where will this pet live? -- Inside Outside Both

If adopting a cat/kitten, will it be declawed? -- Yes No Maybe

Would you like information on declawing? -- Yes No

How long do you intend to keep this animal?

If you move will you take this animal? -- Yes No Maybe, if apartment allows pets

Most shelter animals have unknown medical backgrounds. Once you take possession of this animal are you prepared to take it to a licensed veterinarian for regular check-ups and any other necessary medical treatment at your expense?
-- Yes No

Who is/will be your veterinarian?

Are you prepared for the costs of a pet, including food, litter, yearly check-ups, grooming, etc?
-- Yes No

Are you aware that this animal requires a lifetime commitment and may live 20+ years?
-- Yes No

R.A.I.N.'s adoption policy states that if the adoption doesn't work out for some reason you agree to return the animal to us. Will you comply?
-- Yes No

R.A.I.N.'s funds are very tight due to medical and other costs. Therefore, we have a "no refund" policy. Is this acceptable?
-- Yes No

Do you agree to participate in follow-up calls or visits from R.A.I.N. volunteers?
-- Yes No

Comments:

I hereby confirm that the information supplied here is truthful. I understand that Rescuing Animals In Need, Inc. (RAIN) may refuse adoption for any reason or may confiscate an animal at any time, if the information given here is deemed incorrect or if the animal is not being cared for properly. I further understand that if I cannot keep this animal for any reason, I will contact Rescuing Animals In Need and make arrangements to return the animal, so that RAIN places the animal in another suitable home. Please fill in your name:

(RAIN use only) Approved /Denied (and reason)