Application to Adopt | Dos Rios Cat Rescue

Name*

FirstLast

Email*

Phone*

Driver's License Number & State*

Address*

Street AddressCityStateZIP Code

Do you own or rent your home?*

Landlord Name*

FirstLast

Landlord Phone*

Are there children in the home?*

What are their ages?*

Are there other adults in the home?*

Are they in agreement with this adoptoin?*

Have you ever adopted a pet before?*

Have you ever released an animal to a shelter?*

Please explain the situation that led to you doing so:

Does anyone in the home have any pet allergies?*

Please explain:*

Are you employed?*

Employer Name*

Employer Phone*

What is your source of income for pet care?*

Please provide two NON-FAMILY personal references:*

Name and phone number for each

In the event the pet is not a good fit or you become unable to care for them, will you return to Dos Rios Resque?*

Name of your veterinarian:*

Vet contact number:*

List any vet associated with the animals below:

List ALL animals in your care and/or home within the last 5 years.

Owner?	Name	Age	Animal/Breed	Spayed/Neutered?	In your home?	Have they passed?	Indoor/outdoor/both?	Up to date on vaccinations?	Same vet?

Please reply with Yes or No for relevant columns. You may click the + at the end of the row to add additional pets.

Additional Comments

Characteristics of Adoptee*

Name, age, and personality. Please note that kittens under 1yr are not placed in homes as only pets.