Applicant Name
*
First Name
Last Name
Age
*
Address
*
Please provide the physical address where the pet would reside.
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
*
Phone
*
Are you looking to adopt a Dog or Cat?
*
Dog
Cat
Where did you see the pet you are looking to adopt?
*
PetSmart Brandon
PetSmart Lakeland
Facebook
Instagram
Petfinder.com
AdoptAPet.com
Event
Other
Name of Pet You Wish to Adopt
*
Type of Pet You Are Interested In
*
Please use this space to outline if you are looking for a certain breed, size, age, male/female, activity level, etc. Please also outline if the pet needs to be good with dogs, cats, farm animals, children, etc.
Own or Rent?
*
Own
Rent
If Renting, please provide the Name and Number for Landlord
Will you be a first time pet owner?
*
Yes
No
Please list all animals you currently have in the home.
*
Please indicate name, breed and age.
Please list all animals you have owned in the past 10 years if not listed above.
Please indicate name, breed and age. If deceased, please indicate when the animal passed away. If rehomed, please indicate the circumstances.
DOG - Do you have a fenced in backyard?
Yes
No
DOG - If yes, please describe your fence.
DOG - Do you agree to keep the dog on monthly flea and heart worm medication?
Yes
No
DOG - Please describe the flea and heartworm prevention you have used for your current or previous pets.
DOG - Will the dog be left outside for long periods of time?
DOG - Daily Schedule
Please tell us what your work or daily schedule is. What will your dog's daily schedule be?
CAT - Your opinion on de-clawing.
CAT - Will the cat be allowed outside?
Yes
No
CAT - If your answer is yes, please elaborate.
Will the cat be an indoor/outdoor cat? Will the cat be allowed on the screened lanai only?
Are you or is anyone in your household on the Animal Abuse Registry?
*
Yes
No
Please list the names and ages of all members of your household.
*
I understand that Raining Cats and Dogs Shelter and Sanctuary is 100% volunteer based and it may take several days or longer for their volunteers to process my adoption application.
I understand.
I agree to fully release and hold harmless the organization, Board of Directors, agents, or employees, from any personal injury, property damages, claims, damages of any sort, expenses beyond adoption fee, causes of action, court costs, and attorney's fees relating to or indirectly resulting from my adoption of any animal from Raining Cats and Dogs Shelter and Sanctuary, Inc..
I have read and understand the terms herein and agree to assume the risks of adopting an animal from Raining Cats and Dogs Shelter and Sanctuary, Inc..
*
ELECTRONIC SIGNATURE AGREEMEMT
By selecting the "I Accept" button, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.
I Accept
THANK YOU FOR SUBMITTING YOUR ADOPTION APPLICATION.
PLEASE NOTE THAT WE WILL RESPOND BY EMAIL AS SOON AS WE CAN.
We are 100% volunteer based and many of our volunteers have full time jobs, so please be patient with us.