First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Cell Phone*
Which animal are you interested in Choose an animal: Bear Binx Carol Carolina Chispa Gilbert Gracie Indy Kido Linus Logan Luna Milo Mitchi Nacar Nucita Onyx Panda Pandora Paola Paradise Prada Ryan Sparrow Tiana Toby Velvet Violet
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 IDR 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 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 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*
