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of Katrina disaster
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About
Rescueapet

Adoption Form
  Please visit first our Adoption Page by clicking  here pick out the pet you will like to adopt. Then come back to this page and enter the temporary, "Pets Name," in our form below. In order to insure that your puppy/kitten will be put on hold for you. Their will be a  (3 day hold). Pets not picked up by one 4th day of the adoption form submission will be put back for adoption. Donations is,  "optional." Donations given will be used for the expensive of our website maintenance  as well as for the care of a rescued pet.

Once your form has been submitted, you will receive an email informing you that we have received your adoption form within 24 hrs

**PLEASE NOTE** YOU MUST FILL OUT THE FORM COMPLETELY IN ORDER FOR OUR ADOPTION FORM ALLOW A SUBMISSION TO US. FORM LEFT BLANK WILL GIVE YOU A ERROR MESSAGE. DO NOT LEAVE ANY BLANKS WHERE A REQUIRED FIELD INFO IS NEEDED. 

If you any questions, please feel free to contact us: adopt@rescueapet.org


Name of Adopter:
First name
      Last Name
Address:

Telephone:
  How many Dogs/Cats will you like to adopt?


Which pet touched your heart?  :*o)
     

Enter pets (one) name:









Return to Main Page
Please Help Support Rescue a Pet. A small donation fee is required for an adoption in order to keep our website going and help foster moms with pets in their care.






City:
Apt:
Zip Code:
State:
Email:

Enter pets (Two) name:

Enter pets (Three) name:
PLEASE NOTE:
All our Rescued Pets are with a foster care providers and are only sheltered & cared  for a temporary length of time in there home.  Rescue a pet provides pets with a second chance to be adopted.  Pets that run out of time with their foster parents are taken to the Animal Shelter. Our pets only have a short amount of  stay and it can vary from a week to a month stay with a foster care provider.  Please don't delay on filling out our adoption form before it ends up to be to late!
IMPORTANT NOTICE:
if you do not hear a response within a 48 hours.
PLEASE contact us directly. adopt@rescueapet.org or 336-466-0964
.
 


1. Would you like to receive the Rescue Animal newsletter, Rescue News?


 
2.  How did you hear the Rescue a pet?




3. Have you ever contacted this Rescue before?


              
4. Is this dog/cat for you and your family?




5. Does anyone in your house have allergies to pets?



6. What is your motivation for getting a pet at this time?





7.  What other pets do you have?  Please describe, listing the ages and whether or not they are spayed/neutered.







 
8. What veterinarian/clinic do you use?  Please include veterinarian/clinic name along with city and/or phone number.








9. Do you live in a house, apartment, townhouse, mobile home?  Please describe...








10. Do you own or rent your residence?



11. Do you have a fenced-in yard (i.e. chain link, electric, kennel area, how high)?






12. How will your dog/cat be exercised?








13. How many hours during the average work day will the dog/cat be left alone?



14. Where will the dog/cat be housed?






15. Would you be willing to participate in dog obedience lessons? (Cats) do not apply.
 




16. Do you collar and tag your pets?



17. Would you still be able to care for this dog/cat if your home
or family situation changed (divorce, relocation)?



18. Are you prepared for a 10-15 year commitment to a dog?



19. Please chose all options that applies:








20. Any Additional Comments:
ONLY CLICK ONCE!
Just (one)
(Two) is a pair
I love animals! Give me (Three).
YesNo
YesNo
For MyselfFor Family
OwnRent
InsideOutsideBoth
YesNoDo not apply
YesNo
YesNo
Retired 
Stay at home parent  
Employed Part/Full time
Child/Adolescent
YesNo
YesNo