Joyful Rescues
Application to Copy
DO NOT try to complete this online. This is to copy & paste into Word or an email or print to complete.
PET ADOPTION APPLICATION
Joyful Rescues, 1319 Turock Rd., Cuba, NY 14727
Phone: (716) 372-3661 Fax: (716) 372-7857
E-mail: joyfulrescues@hughes.net Website: www.joyfulrescues.org
Please complete in full.
If you do not understand any of the questions, we would be happy to help. Thank you.
You must be at least 21 years of age to complete this application.
Date: ____________________
Pet(s) Interested in or Shopping: ______________________________________________
Your name: ______________________________________________
Address: ________________________________________________________________
City: _____________________________ State: _______ Zip: ___________
Home phone: ( )_______________ Cell phone: ( ) __________________
E-mail: ____________________________________________
REFERENCES: PLEASE GIVE ALL NAMES AND PHONE NUMBERS
Applications without complete information may not be considered.
Neighbor: __________________________________Phone: ( )_______________________
Current Veterinarian: ______________________________ Phone: ( )_________________
Past Veterinarian (if applicable): _______________________ Phone: ( )_________________
Reference #1: ________________________________ Phone: ( )____________________
Reference #2: ________________________________ Phone: ( )_____________________
If either vet knows you by a different name, or if pets are under any different names, please give name(s) on vet’s
account. If account is not in your name (maiden or otherwise) please explain circumstances.
Account Name: ____________________________________________________________
If not your name, why? ________________________________________________________
Do you own your home or rent? ____________
Circle/Underline one: (country home) (city home) (suburbs) (apartment) (townhouse) (trailer park)
If “rent” (including mobile home lot): Landlord’s name:__________________________________
Landlord's Phone: ( )_________________
Do you have a fenced-in yard? ______
If yes, describe fencing (chain link, wooden, height, sq. feet, etc.,)__________________________
Do you have acreage? ______ If yes, approximate size _________________________________
Do you plan to move anytime in the near future?______
If yes, when and where: __________________________________________
Please list anyone living in your home, their relationship to you and their age
___________________________________________________________________
___________________________________________________________________
What pets do you currently have? (Include pet names, species, ages, breeds…) or NONE
__________________________________________________________________________
__________________________________________________________________________
Why are you looking for a new pet & what characteristics are you looking for? _______________
__________________________________________________________________________
Why are you interested in this particular pet? ________________________________________
Have you previously had pets? ______ If so, what happened to the pets you no longer have?
Please detail ________________________________________________________________
___________________________________________________________________________
Have you ever had to give up a pet? ______ If yes, please detail why.______________________
___________________________________________________________________________
Where will this pet be kept during the day or evening while you are away from home?
___________________________________________________________________________
How long will your pet be alone each day, on average? _________________________________
Where will your pet sleep?_______________________________________________________
Why do you feel you are ready for a new pet & why would you make a great home for this pet?
___________________________________________________________________________
___________________________________________________________________________
What do you think it will cost per year to care for this pet? _____________
Please list anticipated expenses:_________________________________________________
How often do you think your pet will need to see a veterinarian? (Please detail for what)
___________________________________________________________________________
What amount of time to you consider reasonable for your new pet to adjust to life in your home?
________________________________________________
If your pet has or develops behavior issues (urinating, chewing, scratching, digging, excessive barking, etc...), how will you handle this?
_________________________________________________________________________
_________________________________________________________________________
If something life changing should happen to you making the pet an obstacle or inconvenience to you (i.e.-move, divorce, kids leave home, lose job, illness, etc…) what would you do? Please elaborate on individual circumstances you feel may affect your ability to care for your pet.
____________________________________________________________________________
____________________________________________________________________________
The average life expectancy of a dog is 10-15 years, and a cat 15-20 years. Are you prepared to care for this pet its entire life? _______
How did you hear about us? Please circle/underline…
*Adopted from us before *A friend who adopted from us *Orchard Park PetSmart *Vet Office *Webster PetSmart *Show/Event ___________________ *A volunteer *Petfinder.com *Web search *Facebook *Olean Times Herald *Democrat & Chronicle
*Other ________________
By signing below, you understand that if this adoption doesn’t work out, you MUST return the pet to Joyful Rescues and there will be no refunds given. Your signature also indicates that you fully understand the previous questions and you have answered them honestly. We reserve the right to refuse any applicant, for any reason. Applications are NOT “first-come-first-served”. Adoptions are based on the best home for each pet and the best pet for your household. Applications without 3 valid references (including phone numbers may be rejected. A vet reference is required if you have pets, or have had any in the last 10 years. ANYONE COMPLETING THIS APPLICATION AS A POTENTIAL ADOPTER FOR ANY PET FROM JOYFUL RESCUES MUST BE 21 YEARS OF AGE OR OLDER!
X ___________________________________________________________
Joyful Rescues, 1319 Turock Rd., Cuba, NY 14727
Phone: (716) 372-3661 Fax: (716) 372-7857
E-mail: joyfulrescues@hughes.net Website: www.joyfulrescues.org
Please complete in full.
If you do not understand any of the questions, we would be happy to help. Thank you.
You must be at least 21 years of age to complete this application.
Date: ____________________
Pet(s) Interested in or Shopping: ______________________________________________
Your name: ______________________________________________
Address: ________________________________________________________________
City: _____________________________ State: _______ Zip: ___________
Home phone: ( )_______________ Cell phone: ( ) __________________
E-mail: ____________________________________________
REFERENCES: PLEASE GIVE ALL NAMES AND PHONE NUMBERS
Applications without complete information may not be considered.
Neighbor: __________________________________Phone: ( )_______________________
Current Veterinarian: ______________________________ Phone: ( )_________________
Past Veterinarian (if applicable): _______________________ Phone: ( )_________________
Reference #1: ________________________________ Phone: ( )____________________
Reference #2: ________________________________ Phone: ( )_____________________
If either vet knows you by a different name, or if pets are under any different names, please give name(s) on vet’s
account. If account is not in your name (maiden or otherwise) please explain circumstances.
Account Name: ____________________________________________________________
If not your name, why? ________________________________________________________
Do you own your home or rent? ____________
Circle/Underline one: (country home) (city home) (suburbs) (apartment) (townhouse) (trailer park)
If “rent” (including mobile home lot): Landlord’s name:__________________________________
Landlord's Phone: ( )_________________
Do you have a fenced-in yard? ______
If yes, describe fencing (chain link, wooden, height, sq. feet, etc.,)__________________________
Do you have acreage? ______ If yes, approximate size _________________________________
Do you plan to move anytime in the near future?______
If yes, when and where: __________________________________________
Please list anyone living in your home, their relationship to you and their age
___________________________________________________________________
___________________________________________________________________
What pets do you currently have? (Include pet names, species, ages, breeds…) or NONE
__________________________________________________________________________
__________________________________________________________________________
Why are you looking for a new pet & what characteristics are you looking for? _______________
__________________________________________________________________________
Why are you interested in this particular pet? ________________________________________
Have you previously had pets? ______ If so, what happened to the pets you no longer have?
Please detail ________________________________________________________________
___________________________________________________________________________
Have you ever had to give up a pet? ______ If yes, please detail why.______________________
___________________________________________________________________________
Where will this pet be kept during the day or evening while you are away from home?
___________________________________________________________________________
How long will your pet be alone each day, on average? _________________________________
Where will your pet sleep?_______________________________________________________
Why do you feel you are ready for a new pet & why would you make a great home for this pet?
___________________________________________________________________________
___________________________________________________________________________
What do you think it will cost per year to care for this pet? _____________
Please list anticipated expenses:_________________________________________________
How often do you think your pet will need to see a veterinarian? (Please detail for what)
___________________________________________________________________________
What amount of time to you consider reasonable for your new pet to adjust to life in your home?
________________________________________________
If your pet has or develops behavior issues (urinating, chewing, scratching, digging, excessive barking, etc...), how will you handle this?
_________________________________________________________________________
_________________________________________________________________________
If something life changing should happen to you making the pet an obstacle or inconvenience to you (i.e.-move, divorce, kids leave home, lose job, illness, etc…) what would you do? Please elaborate on individual circumstances you feel may affect your ability to care for your pet.
____________________________________________________________________________
____________________________________________________________________________
The average life expectancy of a dog is 10-15 years, and a cat 15-20 years. Are you prepared to care for this pet its entire life? _______
How did you hear about us? Please circle/underline…
*Adopted from us before *A friend who adopted from us *Orchard Park PetSmart *Vet Office *Webster PetSmart *Show/Event ___________________ *A volunteer *Petfinder.com *Web search *Facebook *Olean Times Herald *Democrat & Chronicle
*Other ________________
By signing below, you understand that if this adoption doesn’t work out, you MUST return the pet to Joyful Rescues and there will be no refunds given. Your signature also indicates that you fully understand the previous questions and you have answered them honestly. We reserve the right to refuse any applicant, for any reason. Applications are NOT “first-come-first-served”. Adoptions are based on the best home for each pet and the best pet for your household. Applications without 3 valid references (including phone numbers may be rejected. A vet reference is required if you have pets, or have had any in the last 10 years. ANYONE COMPLETING THIS APPLICATION AS A POTENTIAL ADOPTER FOR ANY PET FROM JOYFUL RESCUES MUST BE 21 YEARS OF AGE OR OLDER!
X ___________________________________________________________
If you do not hear from us within 24 hours of sending your application, please email us at joyfulrescues@hughes.net to be sure we received it.
Please contact your veterinarian office and give permission for us to obtain information. Thank you.
We reserve the right to refuse any application for any reason.
Please contact your veterinarian office and give permission for us to obtain information. Thank you.
We reserve the right to refuse any application for any reason.