Application to Copy or Print
DO NOT try to complete this online. This is to copy & paste into Word or an email to complete and send directly to email@example.com.
PET ADOPTION APPLICATION
Joyful Rescues, 1319 Turock Rd., Cuba, NY 14727
Phone: (716) 372-3661
E-mail: firstname.lastname@example.org Website: www.joyfulrescues.org
Please provide detailed & in-depth answers to ALL questions to increase your chances of being approved for adoption. We do reserve the right to reject any application for any reason.
Please do not submit this application unless you are truly serious about adopting a pet from Joyful Rescues. If you are 'shopping' your application will be kept on file for a year. If you are interested in a specific pet(s), please be sure you are ready to bring your new pet home. We will only hold or "reserve" pets until the weekend following approval.
TO COMPLETE THIS APPLICATION, YOU MUST BE 21 YEARS OF AGE OR OLDER FOR CAT ADOPTION & AT LEAST 25 YEARS OF AGE FOR DOG ADOPTION
Pet(s) Interested in or Shopping: ______________________________________________
Your name: ______________________________________________
City: _____________________________ State: _______ Zip: ___________
Home phone: ( )_______________ Cell phone: ( ) __________________
REFERENCES: PLEASE GIVE ALL NAMES AND PHONE NUMBERS
Applications without complete information may not be considered. Please be sure to include ALL Veterinarians used in the last 10 years.
Neighbor: __________________________________Phone: ( )_______________________
Current Veterinarian: ______________________________ Phone: ( )_________________
Past Veterinarian (if applicable): _______________________ Phone: ( )_________________
Reference #1: ________________________________ Phone: ( )____________________
Reference #2: ________________________________ Phone: ( )_____________________
If either vet knows you by a different name, or if pets are under any different names, please give name(s) on vet’s
account. If account is not in your name (maiden or otherwise) please explain circumstances.
Account Name: ____________________________________________________________
If not your name, why? ________________________________________________________
Do you own your home or rent? ____________
Circle/Underline one: (country home) (city home) (suburbs) (apartment) (townhouse) (trailer park)
If “rent” or are not the homeowner where you are living (including mobile home lot): Landlord’s/Home owner's name is REQUIRED:__________________________________
Landlord's/Home Owner's Phone: ( )_________________
Do you have a fenced-in yard? ______
If yes, describe fencing (chain link, wooden, height, sq. feet, etc.,)__________________________
Do you have acreage? ______ If yes, approximate size _________________________________
Where will your new pet "live"? * Indoors, * Outdoors, *Both (circle or highlight one). Please provide thorough details of these 'living' arrangements. ________________________________________
How do you plan to keep your pet confined to your property when outside? (fence, run, tie-out, etc...) ________________________________________________________________________
Do you plan to move anytime in the near future?______
If yes, when and where: __________________________________________
Please list anyone living in your home, their relationship to you and their age (including yourself)
NAME / RELATIONSHIP / AGE
Briefly explain any allergies anyone living in your household has to animals ________________
If you adopted a pet from Joyful Rescues before, please give names (when with us if possible) and approximately when adopted ______________________________________________________
What pets do you currently have, or are living in your home or on your property - even if do not belong to you? (Include pet names, species, ages, breeds…) or NONE
Why are you looking for a new pet & what characteristics are you looking for? _______________
Why are you interested in this particular pet? ________________________________________
Have you previously had pets? ______ Please give names, species of each within last 10 years.
If so, what happened to the pets you no longer have? Please give ALL details
Have you ever had to give up a pet? ______ If yes, please detail why.______________________
Where will this pet be kept during the day or evening while you are away from home?
How long will your new pet be alone each day, with no human companionship, on average?
Where will your new pet sleep?___________________________________________________
Why do you feel you are ready for a new pet & why would you make a great home for this pet?
What do you think it will cost per year to care for this pet? _____________
Please list anticipated expenses:_________________________________________________
How often do you think your pet will need to see a veterinarian? (Please detail for what)
What amount of time to you consider reasonable for your new pet to adjust to life in your home?
If your pet has or develops behavior issues (urinating, chewing, scratching, digging, excessive barking, etc...), how will you handle?
If something life changing should happen to you (other than death or needing to move into a nursing home/assisted living facility) making the pet an obstacle or inconvenience to you (i.e.-move, divorce, kids leave home, lose job, illness, having children, etc…) what would you do? Please elaborate on individual circumstances you feel may affect your ability to care for your pet.
What circumstances might cause you to return your pet to us? ___________________________
If you have no children living at home, are there children who visit regularly ? _________ Ages__________________
The average life expectancy of a dog is 10-17 years (depending on size/breed), and a cat 15-20 years. Are you prepared to care for this pet for its entire life? _______
How did you hear about us? Please circle/underline/highlight…
*Adopted from us before *A friend who adopted from us *Orchard Park PetSmart *Vet Office *Webster PetSmart * Greece PetSmart * West Seneca Pet Supplies Plus *A JR volunteer *Facebook *Show/Event ___________________ *Petfinder.com *Web search *Olean Times Herald * Buffalo News *Other ________________
By signing below:
* You understand that if this adoption doesn’t work out, you MUST return the pet to Joyful Rescues and there will be no refunds given.
* You are ready to adopt now & understand that Joyful Rescues will not hold a pet beyond the 1 week after your approval.
* Your signature also indicates that you fully understand the previous questions and you have answered them honestly.
* You understand that Joyful Rescues reserves the right to refuse any applicant, for any reason.
* Applications are NOT “first-come-first-served”. Adoptions are based on the best home for each pet and the best pet for your household.
* Applications without 3 valid references (including phone numbers) may be rejected. A vet reference is required if you have pets, or have had any in the last 10 years.
ANYONE COMPLETING THIS APPLICATION AS A POTENTIAL ADOPTER MUST BE 21 YEARS OF AGE OR OLDER FOR A CAT & 25 OR OLDER FOR A DOG.
If you do not hear from us within 3 BUSINESS days (M-F) of sending your application, please email us at email@example.com to be sure we received it.
Please contact your veterinarian office and give permission for us to obtain information. Thank you.
We reserve the right to refuse any application for any reason.