First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Cell Phone*
Which animal are you interested in Choose an animal: Apollo Bear Camacho Carlos Clara Cleo Cooper Cristina Deisel Emi Estrella Jake (must be adopted with Samuel and Samuel) Javier Joaquin Julia Julio Jupiter Leniel/Otto Lily Lizzye London Lucas Luna Mitchi Onil Oreo Percy Petunia Rose Samuel (must be adopted with Jake and Jake) Saturn Shakira Simba Simba Sofia Sunny Titania Venus Whitney Zadiel / ZZ Hopps Zero
Are you an active, retired, or disabled military veteran? (Select all that apply) (We are a veteran run rescue!!!)
What is your Facebook profile name?
What is your current age?*
What type of home do you live in?* Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing Other
Do you own or rent your home?* Choose one: Rent Own
If you rent, have you received the approval of your landlord to have an animal? Choose one: Yes No
If you rent, please enter your landlord's name and phone number.
How many people reside in your household? (Adults and children, please list ages)*
Is everyone in the home on board with the decision to adopt a pet?*
What traits are you looking for in a pet
Do you have a gender preference?
have you owned a cat or kitten before? If yes, explain.
If your cat displays behaviour problems (such as poor litter box habits, inappropriate scratching etc.) how would you go about correcting the behaviour?*
Does anyone living in the home have known allergies to animals?*
Do you have any other animals in the home or visiting frequently?*
Where will the animal spend the day?*
Will the animal be kept inside or outside* Choose one: Inside Only Outside Only Inside and Outside
Are you planning to declaw your new cat/kitten? (declawing is the permanent surgical procedure to remove claws) Choose one: Yes No
Are your current/past cats declawed?
Are all the animals in your home current on: (check all that apply)
Who will have financial responsibility for this animal?*
Who in the household will care for the pet?*
Do you agree to provide licensed veterinary care for your animal?*
Do you agree that you will return this animal to IDRAN if at any point you are no longer able to keep him/her?*
Do you understand that once spay/neuter is completed, verification needs to be sent to Island Dog Rescue Adoption Network in a timely manner? (usually no more than 6 months after adoption)*
Do you agree to have this animal spayed or neutered? In some instances, spay/neuter is already complete; in other cases, Island Dog Rescue can assist with spay/neuter arrangements.*
Is there anything else you would like to tell us to help us match the right pet for you?
Are you prepared for the 10-20 year commitment of owning a pet?*
All of the information I have given is true and complete. This animal will reside in my home as my pet. I will provide it with quality dog/cat food, plenty of fresh water, indoor shelter, affection, annual physical exams, and vaccinations under the supervision of a licensed veterinarian.*
I certify that the information entered on this applicant is true. Enter your name and date*
