Red Dog Farm Cat Rescue Adoption Application

Red Dog Farm Cat Rescue
Adoption Application

Animal Information - you may enter more than 1 animal's name

Name

Breed

Color

Applicant's Information

First Name		Last Name		Age
Address		City
State		Zip
Home Number	- -	Cell Number	- -
Work Number	- -	Email

Veterinarian Information

Clinic Name

Phone Number

- -

Do you have children?	Yes No
If yes, what ages are they?
Have they been exposed to pets?	Yes No
If yes, explain?
Do you have pets now?	Yes No
If yes, list type of pet, Name(s), Age.
Are your pets vaccinated?	Yes No
If yes, by whom?
Where do your pets live?	Indoors Outdoor
Please explain.
Have you had pet's die?	Yes No
If yes, cause of death?
Are your pets spayed or neutered?	Yes No
If not, why?

Why do you want to adopt?
Are you looking for a certain breed,color,sex,age?
Where will the pet stay?	Indoors Outdoors
Do you intend to declaw this cat/kitten?	Yes No
Do you own or rent your home?	Rent Own (If you rent, proof of pet allowance is required)
Your type of residence?	House Apartment Townhouse Condo

I hereby confirm that all statements made above by me are true to the best of my knowledge. I further understand that any false statements made by me can and will result in the termination of the mutual pet adoption contract and the return of the adopted animal to Red Dog Farm Cat Rescue. I agree I do not agree