Rainbow Ranch

~ an adoption and retirement home for dogs and cats ~

Florida Non-Profit Corporation #N04000011339

with regional offices in the United States

PO Box 685

Candler, FL 32111-0685

rainbow_ranch@earthlink.net

352-680-1707 Fax 352-680-1807

 

Adoption Application

 

THE PURPOSE OF OUR NATIONAL ADOPTION PROGRAM IS TO FIND RESPONSIBLE, LIFELONG HOMES FOR ANIMALS SUITABLE AS FAMILY PETS.  IF YOU ARE INTERESTED IN ADOPTING AN ANIMAL, PLEASE COMPLETE THIS APPLICATION. APPLICANTS MUST BE OVER THE AGE OF 18 TO SIGN THIS ADOPTION APPLICATION.

Name of Animal (you wish to adopt):  

Your Name:

Street Address: Apt #

City State and Zip:

County:  

Work Phone: Home Phone:

Which best describes your home: (please circle one)

     House Townhouse      Condo      Apartment   Mobile Home

Is your yard fenced? Yes        No What type? Height?

Do you live with parents:       Yes           No

Do You: (please circle one)    Own  Rent

If you rent, do you have your landlord's written permission to adopt this animal?   Yes           No

If yes, landlord's name, address & phone:    

 

List two local references (not family members):

   (1)  Name

         Address

         Daytime  Phone #      

(2) Name

         Address

         Daytime  Phone #     

Why do you want to adopt this animal? (please circle all that apply)

   Companion    To Breed   Child's Pet Watch Dog Other:

How many children in family? Ages:

Who will be responsible for pet?     

 

Have you ever adopted a pet from us? If so, what pet:

Do you understand this animal MUST be spayed or neutered, if not already?                 

Will the pet be  INDOORS   or    OUTDOORS? (Please circle one)

Are you planning to declaw this cat or crop this dog’s ears?         

Do you own pets now? Are they vaccinated?

Do you use a Heartworm Disease Preventive? Yes           No

Please list below all pets you currently have, or have had in the past three years (continue on back if more space is needed):

      Type         Sex          Age      Spayed/Neutered? Where is the pet now?

 

Name & phone number of your veterinarian:            

Have you ever brought animals to us? (please circle one)    Yes           No

Pets require wholesome food, fresh water, vet care, proper shelter, medications, vaccinations, licenses, and grooming aids. Do you know it normally costs $350 - $675 to care for a cat and $385 - $1,100 to care for a dog the first year you own the adopted pet? (please circle one)              Yes           No

Are you financially prepared to provide this care and commitment? (please circle one)       Yes           No

Are other family members aware that you are considering adopting a pet? (please circle one)        Yes           No

Are you willing to provide the animal with a lifelong home? (please circle one)           Yes           No

If at anytime you are unable to keep this pet, do you understand that you must return it to the Rainbow Ranch Pet Retirement Home, Inc.’s shelter? (please circle one)      Yes           No

Do you understand that the Rainbow Ranch Pet Retirement Home, Inc. makes no representations or guarantees about any animal's temperament and that any comment that an animal is good with children or other animals, or is housebroken, is based upon information provided by the previous owner and is believed to be true. Rainbow Ranch Pet Retirement Home, Inc. is not liable for any future injury or damage which may be caused by this animal. (Please initial)

THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE

Date                          

Applicant’s and Co-Applicant’s Signature(s)

Remarks:

Thank you for your interest in a homeless companion!

Rainbow Ranch is an all volunteer no-kill (except when euthanasia is the kind decision when an animal is suffering) non-profit shelter and rescue effort of Rainbow Ranch Pet Retirement Home, Inc. which is registered with the State of Florida as corporation # N04000011339.

The text and design of this application are under Copyright 2005 Rainbow Ranch Pet Retirement Home, Inc.