an adoption and retirement home for dogs and cats
~ 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
352-680-1707 Fax 352-680-1807
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):
City State and Zip:
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
Daytime Phone #
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
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)
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)
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
Applicant’s and Co-Applicant’s
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.
an adoption and retirement home for cats and dogs
P.O. Box 685
Candler, Florida 32111-0685
(a registered 501(c) 3 Non-Profit Organization)