First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Cell Phone*

Which animal are you interested in
Choose an animal: Alfonso Alfredo Amara Amira Apollo Atlas Augustin Baby Yoda Bear Benito Benji Camacho Canela Carlos Cataleya Ceiba Charlotte Churro/Parker Clara Crauly Cristina Estrella Georgiana Ginna Joaquin Julio Jupiter Linx Mitchi Rose Sammy Saturn Shakira Simba Sofia Stella Titania Venus Venus 2 Whitney Zadiel / ZZ Hopps

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 Adoption Network 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*