Ramsey Rescue House Adoption Application
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Today's Date: *
MM
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DD
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Name of the pet that you wish to adopt: *
Your Full Name: *
Are you over 21? *
Street Address: *
How long have you lived at your current residence? *
Phone number: *
Email address: *
Employer: *
Occupation: *
Are you planning on moving in the next 6 months? *
If you move, what will you do with your pet? *
Do you: *
What type of structure do you live in? *
If you rent, please list your landlord's name and phone number:
Are there any restrictions on the type or number of pet(s) that you are allowed to have? *
If you have pet restrictions at your home, please explain them here:
How many adults are in your household? *
How many children are in your household, and what are their ages? *
Do any members of your family have allergies to animals? *
If you answered yes above, please explain.
If an allergy develops to your new animal, what will you do? *
Describe any animals that you currently have at home. Please include the breed, age, if they are spayed/neutered, where they are kept (indoors vs outdoors), and how long you have owned them. *
Do you have any animals that previously lived with you in the past 5 years that no longer live with you? *
If you had have animals in the past 5 years that no longer live with you, please explain why.
Veterinarian Information (please include name and phone number): *
Where will your new pet be kept? *
Required
If you are adopting a cat, do you plan on declawing it? *
Please provide the name and phone number of 2 references that you do not live with: *
How did you hear about our rescue? *
Required
What is your preferred method of contact? *
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