Rescue Ridge Cat Adoption Application
rescueridgeshelter@gmail.com                                                                                       
(732)-546-8805
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Name of the Cat you would like to adopt *
Your Full Name (First & Last) *
Your Date of birth
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Cell phone number *
E-mail address *
Home Address (including CITY and STATE) *
How long have you lived at this address? *
Do you own or rent your home? *
Please list the names and ages of everyone residing in your home *
How many hours a day will your new pet be left alone? *
Does anyone in your family have allergies to any animals? *
If anyone in the family has an allergy to animals, what animals are they allergic to?
Have you owned pets in the past? *
If you have any dogs Currently living in your home, please provide the dog(s) name, sex (M/F) whether the dog is spayed or neutered, and the date the last vaccination was given.
If you have any cats Currently living in your home, please provide the cat(s) name, sex (M/F) whether the cat is spayed or neutered, and the date the last vaccination was given.
Please tell us about any other animals you have owned in the past, and what happened to them. 
Who is/was your Veterinarian? (Please provide Name, address, and phone number).  *
How long have you been using this Veterinarian? *
Should you become unable to care for your pet, who will assume his/her care? (Please provide a name, address and phone number). *
Have you ever surrendered an animal to a shelter or animal control facility? *
If you have ever surrendered an animal to a shelter or animal control facility, please explain the circumstances.
Please provide us with the name, cell phone number and relationship of your 1st Character Reference

Example: John Smith, 123-456-7891, neighbor
 *
Please provide us with the name, cell phone number and relationship of your 2nd Character Reference

Example: John Smith, 123-456-7891, neighbor
 *
Where will this cat be kept? *
If this cat will be allowed outdoors, please explain under what circumstances it will be allowed outdoors.
What is the primary reason you would like to adopt this cat? *
Do you plan to declaw this cat? *
When no one is home, where will this cat be kept? *
If you move, will you take this cat with you? *
The information contained within this application is to the best of your ability accurate and correct. I understand and agree that falsification of any of the information is grounds to disqualify my adoption application. Rescue Ridge makes no guarantees as to the health of the animal and makes no claims as to its behavior or temperament. Rescue Ridge reserves the right to deny any application to anyone for any reason. I certify that I am over 21 years of age. I authorize the release of Veterinarian Information related to current and past pets to Rescue Ridge.

By signing (typing) my name below, I certify that the information I have provided on this form is accurate and correct.

I HAVE READ THE APPLICATION AND AGREE TO THE ABOVE CONDITIONS:
 *
Today's Date *
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