Emmie's Animal Rescue
Feline Adoption Application

In order to be seriously considered as an adopter you must:
• Be 21 years of age or older.
• Have all the adults in your household present at the time of pick-up.
• Have current identification showing your age and present address.
• Be willing and able to provide loving attention, medical care and life-time stability for a cat.
• Pay our adoption donation.
• Understand that Emmie's Animal Rescue reserves the right to deny any adoption application.
• Please answer all questions. Applications with blank questions will not be accepted. If the question does not apply to you please put N/A
• Please remember that we receive many applications every day, often for the same cat. Please be as specific as possible when answering these questions so that we can accurately understand what kind of home you will provide to our homeless pet.

If you have trouble completing our adoption application, you may copy/paste it into an e-mail and send it to us at rescuelady@earescue.com or fax it to us at 503-905-7376. Please notify us via e-mail if you have issues so that we may get them corrected immediately! Thank you!

- - ADOPTION INFORMATION - -
NAME OF PET(S) YOU'RE APPLYING TO ADOPT:
HOW LONG HAVE YOU BEEN LOOKING FOR A PET? Over six months
Between one and five months
A few weeks
Just started looking
Didn't plan on getting a pet 'til I saw this cute face!
WHY HAVE YOU CHOSEN THIS TIME IN YOUR LIFE TO GET A NEW PET?
WHY HAVE YOU CHOSEN THIS PET IN PARTICULAR?
- - PERSONAL INFORMATION - -
Please Note: If you are approved to adopt, this information will be used to register your new pet's microchip so provide as much contact info as available and ensure that it is completely correct!
FIRST NAME:
LAST NAME:
EMAIL ADDRESS: Valid e-mail address MUST be provided if you would like for us to be able to reach you regarding the adoption of this pet!
DRIVER'S LICENSE NUMBER:
DATE OF BIRTH:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
COMPLETE MAILING ADDRESS (IF DIFFERENT):
HOME PHONE:
WORK PHONE:
CELL PHONE:
IN THE EVENT THAT YOU CANNOT BE REACHED AT THE NUMBERS ABOVE, PLEASE PROVIDE THE FULL NAME AND TELEPHONE NUMBER(S) OF A NEARBY FRIEND OR FAMILY MEMBER WHO DOES NOT LIVE WITH YOU:
TYPE OF HOUSING YOU LIVE IN: Own House
Own Mobile Home
Own Condo/Townhouse
Rent House
Rent Condo/Townhouse
Rent Apartment
Live With Parents/Guardians
IF YOU RENT YOUR LIVING SPACE OR LIVE WITH YOUR PARENTS, PLEASE PROVIDE YOUR PARENT'S OR LANDLORD'S NAME AND TELEPHONE NUMBER: (Please note that if you selected an option in which you own your living space, you may be required to show proof)
ARE PETS ALLOWED? IS A PET DEPOSIT REQUIRED? HAVE YOU PAID IT?
HOW LONG HAVE YOU LIVED AT YOUR PRESENT ADDRESS:
ARE YOU PLANNING TO MOVE IN THE NEXT 12 MONTHS?
HAVE YOU EVER HAD TO MOVE WITH PETS?
IF YOU MOVE, WHAT WILL YOU DO WITH YOUR PETS?
HOW MANY ADULTS RESIDE IN YOUR HOUSEHOLD?
WHAT IS THEIR RELATION TO YOU?
ARE THERE CHILDREN LIVING IN THE HOME? IF SO, WHAT ARE THEIR AGES?
WHO WILL BE THE PRIMARY CARETAKER OF THE PET?
IS THERE ANYONE IN THE HOUSEHOLD WHO DOES NOT WANT THIS PET?
- - PET CARE INFORMATION - -
PLEASE PROVIDE YOUR REGULAR VETERINARIAN'S NAME, OFFICE NAME, AND TELEPHONE NUMBER:
PLEASE LIST ALL CURRENTLY OWNED PETS, INCLUDING SMALL CAGED AND BARNYARD ANIMALS. INCLUDE THEIR SPECIES, BREED, AGE, GENDER, AND HOW LONG YOU'VE HAD EACH ONE. TELL US A BIT ABOUT EACH PET IN YOUR HOME.
DO YOU USE ANY FLEA PREVENTATIVE FOR YOUR CURRENT PETS? IF SO, WHICH BRAND AND HOW OFTEN?
DO YOU USE ANY HEARTWORM PREVENTATIVE FOR YOUR CURRENT PETS? IF SO, WHICH BRAND AND HOW OFTEN?
HAVE YOUR PETS BEEN SEEN BY YOUR REGULAR VETERINARIAN IN THE PAST 12 MONTHS? ARE THEY UP TO DATE ON VACCINES?
ARE ANY OF YOUR PETS INDOOR-ONLY ANIMALS OR ARE ANY OF YOUR PETS NOT ALLOWED INDOORS?
WHICH OF YOUR PETS ARE SPAYED/NEUTERED?
WHAT BRAND OF FOOD DO YOU FEED YOUR CURRENT PETS? WHAT BRAND DO YOU PLAN TO FEED TO YOUR ADOPTED PET?
WOULD YOU BE WILLING TO SWITCH YOUR PETS TO A HIGHER QUALITY FOOD IF ONE WAS RECOMMENDED?
PLEASE LIST ALL ANIMALS, OTHER THAN THOSE LISTED ABOVE, THAT YOU HAVE OWNED IN THE LAST FIVE YEARS AND HOW LONG YOU OWNED EACH ONE.
WERE ANY OF THOSE PETS INDOOR-ONLY ANIMALS? WHERE ANY OF THEM NOT ALLOWED INDOORS?
WHICH OF THOSE PETS WERE SPAYED/NEUTERED?
HAVE YOU EVER ALLOWED ANY OF OF YOUR PETS TO HAVE OFFSPRING? IF SO, WHAT HAPPENED TO THE OFFSPRING?
WHAT HAPPENED TO THE PETS THAT ARE NO LONGER WITH YOU?
HAVE YOU EVER HAD TO EUTHANIZE A PET? IF SO, TELL US ABOUT THE CIRCUMSTANCES.
WHAT TYPE OF HOME ARE YOU GOING TO PROVIDE TO THIS PET?
WHERE WILL THE CAT STAY WHILE YOU ARE HOME?
WHERE WILL THE CAT STAY WHEN NO ONE IS HOME (EX. WHILE RUNNING ERRANDS)?
WHERE WILL THE CAT SLEEP AT NIGHT?
WHAT ARE YOUR THOUGHTS ON DECLAWING? HAVE YOU EVER HAD A CAT DECLAWED BEFORE? ARE ANY OF YOUR CURRENT PETS DECLAWED?
HOW MANY HOURS PER DAY WILL THE CAT BE UNATTENDED?
HOW MUCH TIME WILL YOU (AND OTHERS IN THE HOUSEHOLD) HAVE TO SPEND WITH THE CAT?
WHEN YOU ARE AWAY ON VACATION OR BUSINESS, WHO WILL CARE FOR THE CAT?
- - COMMITMENT - -
WHAT WOULD YOU DO TO PREVENT YOUR CAT FROM GETTING LOST?
IF YOUR PET WERE LOST, WHAT WOULD YOU DO TO FIND IT?
HOW LONG DO YOU PLAN ON KEEPING THIS CAT?
UNDER WHAT CIRCUMSTANCES WOULD YOU GIVE UP THIS PET? Divorce/Separation
Landlord Troubles
Scratching Furniture
Moving
Having a Baby
Biting/Scratching (Provoked)
Biting/Scratching (Unprovoked)
Other
None
IF YOU SELECTED OTHER, PLEASE EXPLAIN:
IF YOUR PRESENT RELATIONSHIP WERE TO CHANGE, WITH WHOM WOULD THE PET(S) REMAIN?
IF YOU WERE TO PASS AWAY OR BECOME UNABLE TO PROPERLY CARE FOR YOUR PETS, HAVE YOU MADE ARRANGEMENTS FOR THEM? IF YES, WHAT ARE THEY?
IS ANYONE IN YOUR HOUSEHOLD ALLERGIC TO ANIMALS? IF SO, HOW WILL YOU HANDLE THIS?
PLEASE REMEMBER THAT HOW YOU ANSWERED THE ABOVE QUESTIONS IS THE ONLY GLIMPSE WE ARE GIVEN TO SEE WHAT KIND OF HOME YOU WILL PROVIDE TO ONE OF OUR RESCUED FURCHILDREN. IF YOU FEEL THERE IS MORE INFORMATION YOU WOULD LIKE TO INCLUDE SO THAT WE MAY GET TO KNOW YOU AND YOUR LIFESTYLE BETTER, PLEASE DO SO HERE:
I CERTIFY THAT I AM OVER THE AGE OF 21, AND THE ABOVE INFORMATION IS CORRECT TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT ANY RESCUE CAT MUST BE SPAYED OR NEUTERED. I UNDERSTAND THAT EAR MAY VISIT MY HOUSE TO ASSESS THE STATUS OF THE ADOPTED PET(S). I Agree
I Disagree

free forms

PLEASE BE SURE THAT AFTER YOU CLICK SUBMIT YOU LEAVE THE NEXT PAGE OPEN UNTIL THE STATUS BAR AT THE TOP SHOWS THAT THE APPLICATION HAS BEEN FULLY SUBMITTED! THANK YOU!

Thank you for taking the time to submit this application. We are always reviewing applications and will let you know if you've been selected as the lucky new home for this pet!!




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All Rights Reserved