First Name*

Last Name*

Email*

MICROCHIP:

PET'S NAME:

FOSTER:

DESCRIPTION:

PAYMENT

NAME:*

ADDRESS:*

CITY:*

STATE:

ZIP:*

CELL PHONE:

EMAIL:

AGE*

OCCUPATION:*

DRIVER'S LICENSE*

IF EMPLOYED, I WORK:

EMPLOYER:

EMPLOYER PHONE:

EMPLOYER ADDRESS:

LENGTH OF EMPLOYMENT:

Do you agree to a home visit?

Are you on Facebook?

Do you live in a:

Do you:

If you rent, landlord's name and phone number:

Please describe any pet restrictions (Size, breed, number)*

Number of adults in the home:*

Ages and gender of children in home or visiting often:*

Have you ever rehomed a cat or dog to a shelter? (Explain)*

If you do not currently have a pet, have you owned pets in the past?

If yes, what happened to your prior pets?

Reasons why you are looking to adopt a pet?*

Please describe the pets currently living in household. Number of cats and their ages:

Are your cats declawed?

Number of Dogs, ages and breed:*

Have cats been tested for FeLV/FIV?

Are all pets on flea prevention?

Are all pets spayed or neutered?

Are pets indoors or outdoors?

Other pets in household (ferrets, birds etc. ) :*

Does anyone in the household have allergies or asthma?*

PLEASE PROVIDE YOUR VETERINARIAN'S NAME AND PHONE NUMBER:

Will this pet be kept indoors, outdoors or both indoors/outdoors?*

Where will this pet spend it's time during the day?*

Where will this pet spend its time during the evening?*

Do you have a pet door?

How many hours a day will your pet be at home alone?*

HOW OFTEN DO YOU TRAVEL?*

WHERE WILL YOUR PET STAY WHEN YOU TRAVEL?*

Would you have your cat declawed?

Can you afford the cost to care for this pet for its lifetime? (15+years)

How will you introduce the new pet into your home?*

What would you do if your cat stopped using the litter box?*

What would you do if your cat began scratching furniture or jumping on counters?*

PLEASE PROVIDE THREE REFERENCES INCLUDING THEIR NAME, RELATIONSHIP TO YOU AND THEIR PHONE NUMBER.*

Do you agree to give RU4Me Pet Rescue permission to verify the information provided on this application and understand that any false information will disqualify your application to adopt and you will be required to immediately surrender the pet to the rescue as well as understand that you must be 21 years old to adopt from RU4Me Pet Rescue?