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Katie's Critters Small Animal Rescue, Inc. Adoption Application
Date:________________________________ Name:____________________________________________________________________________________________________________________ Address:_________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________ NO PO BOXES PLEASE, The Animals can't live in a PO BOX! City, State, Zip:___________________________________________________________________________________________________________ Home Phone:___________________________ Cell phone:___________________________________ Email addess:_____________________________________________________________________________________________________________ Are you over 18?: _______________________ Do you work? _______________ Who will be financially responsible for this pet? _______________________ What type of animal are you looking for? ___________________________________________________________________________________________________________________________
What age?___________________ Male or Female_________________ What is your reason for wanting this type of animal?______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Who will be the primary caregiver of the animal? (Feeding,Cleaning, Exercise,Sociaization, Medical Attention, Love) ___________________________________________________________________________________________________________________________ It is unrealistic to expect a child of any age to assume complete responsibility for an animal. Ultimately, the adult(s) of the household that are responsible for the complete care of the animal(s) in the home. Are you prepared to take responsibility of this/these animal(s) should your child/children become dissinterested? Please check and Initial. _________Yes __________Intl. _______________No _____________Intl. Do you own your own home or rent?____________________________ If you rent do you have permission from your landlord to have this pet?_______ (we must contact your landlord for his/her approval) Landlords Name and phone number: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Are there children in the home?________________________ If so, ages?______________________________________ Animal Care and Housing :What size cage will be used?_________________________________________________________________________________________________ Where will the cage be kept? ________________________________________________________________________________________________ Will fruit or vegetables be fed?_______________________________________________________________________________________________ What type of fruits and vegetables? __________________________________________________________________________________________ How often will they be fed? __________________________________________________________________________________________________ What type of hay will be fed?_________________________________________________________________________________________________ What type of food will be fed? ________________________________________________________________________________________________ What type of bedding will be used?___________________________________________________________________________________________ How often will the cage be cleaned?___________________________________________________________________________________________ Who will handle the pet?____________________________________________________________________________________________________ Who will keep the animal(s) nails and teeth trimmed, if needed? ________________________________________________________________________________ How often? ________________________________________________________________________________________________________________ Will the pet get exercise?____________________________________________________________________________________________________ Are you aware that some animals don’t do well in very hot weather or the cold?_____________________________________________________ How will the animals climate be maintained?_______________________________________________________________________________ What is the life expectancy of this type of animal? ____________________________ Will the pet that you choose fit your lifestyle?_________________________________________________________________________________ What are your views on breeding?____________________________________________________________________________________________ ___________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________ Do you understand that these ANIMALS ARE NOT TO BE BRED?___________________________________________________________ Please initial _______Yes _________Intl. ________No ________ Intl. Who will care for the pet when you go on vacation?_____________________________________________________________________________ Will you be committed to this pet for its entire life?_____________________________________________________________________________ Do you have other pets? ___________ What kind? _____________________________________________________________________________ ___________________________________________________________________________________________________________________________ Have you previously had other pets?_________________________ If so what happened to them?_______________________________________________________________ Have you ever had to give a pet up?_________________________________________________________ If so, why?________________________________________________________________________________ __________________________________________________________________________________________ Are you or anyone in your household allergic to any type of animal?__________________________ If so, what type are they allergic to? __________________________________________________________ Are you or anyone in your household allergic to hay, grass, or golden rod? ______________________ Allergies of any type? _____________________________________________________________________ Name, address, and telephone number of veterinarian: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Names, Addresses and Phone Numbers of at least 2 References Please: Name_____________________________________________________________________________________________________________________ Address___________________________________________________________________________________________________________________ Phone_____________________________________________________________________________________________________________________ Name:_____________________________________________________________________________________________________________________ Address:_________________________________________________________________________________________________________________ Phone________________________________________________________________________________________________________________ We may conduct a home visit., would you object ?___________________ I understand that Katie's Critters Small Animal Rescue, Inc. reserves the right to refuse adoption to anyone if they feel it is in the best interest of the animal and or the applicant. I certify that the above information is true and complete, and is subject to verification by Katie's Critters Small Animal Rescue, Inc.. I furhter undrestand that Katie's Critters Small Animal Rescue Inc. may follow up by phone or in person , on any adoption to ensure compliance with the adoption contract. If for ANY reason you are NOT in compliance with this aggreement, or you can no longer provide proper care for the animal(s), they are to be surrendered back to Katie's Critters Small Animal Rescue ,Inc., or face fines and legal action.________________Initail Please. Please give careful consideration to the adoption of this /thses animal(s). Animals are not toys, or short term commitments. Make sure that yur lifestyle allows the time, emotional commitment and financial resposibility this/these Animal(s) will need over their life span. SIGN: _____________________________________ DATE:__________________________________ Katie's Critters Small Animal Rescue, Inc. requires an adoption fee for all animals adopted from our rescue. The fee helps defray the costs for rescuing, rehabilitating, and placing rescued animals in need. Without this fee we would not be able to continue helping other small animals. The required adoption fee is $25.00 per Guinea Pig, $75.00 per Ferret, $35.00 per Rabbit, $85.00 per Chinchilla. Rats,Mice, Hamsters, and Gerbils are $10.00 KATIE'S CRITTERS SMALL ANIMAL RESCUE, Inc.'s ANIMALS ARE NOT TO BE BRED AT ALL! They have all gone through too much already, and any more breeding is detramental to their health! Thank you for understanding and cooperation. Also, thank you for considering adopting a rescue from Katie's Critters Small Animal Rescue, Inc. rather than supporting breeders at a local pet store! |
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