CRY FOR HELP RESCUE

If you don't rescue, don't breed ... Until there are none, ADOPT ONE!

Cry For Help Rescue

Online Adoption Form (scroll down this page to begin filling in the blanks)

Please complete the form below and submit for review using the "submit" button at the end of the questionnaire. Please note: our online application doesn't allow for saving or printing. Please review the online application prior to beginning so you have all the required information ready. We will contact you soon. (SCROLL DOWN THE PAGE TO BEGIN FILLING IN THE BLANKS. EVERY QUESTION MUST HAVE AN ANSWER OR THE FORM WILL NOT SUBMIT.)

Thank you for your interest in adopting from Cry For Help Rescue. We'll be in touch soon.

IMPORTANT NOTE: All questions/answers must have a character in them or the form will not submit. Even if it's just a period, dash, etc. Be sure to enter something for every question if you want to be sure that the form will go through properly.

Name of cat you wish to adopt?
Applicant Full Name:
Best number to reach you at:
Email Address
Can we stay in touch with you via email?
- Yes, please keep me informed.
- Not interested
Home address:
City, State & Zip Code
I currently: (Check all that apply)
- Rent
- Own
If you rent, do you have your landlords approval to have this specific pet? (Type/Breed/Weight)
- Yes
- No
- Haven't asked
- I own, yes.
If you rent, what is your landlords name & phone number? (If you own answer NA)
Number of adults in household (including yourself):
Have all individuals living in household agreed to this adoption?
- Yes, they agree to it.
- No, they do not agree to it.
- I haven't asked yet.
Number of children in household:
Have the children have pets before?
- Yes
- No
- Do not have children
Is anyone in the house allergic to pets?
- Yes
- No
If yes, who?
What will you do if you later find out a member of the household is allergic to pets?
Why would you like to adopt an animal from us?
Purpose of your new pet?
- Companion for self
- Companion for child
- Companion for another pet
- Watch cat
- Companion for another household member
- A surprise gift
Current employer:
Position:
How long have you worked there?
Work phone:
Employer address:
Employer city, state & zip:
Please provide a personal reference other than a family member. Name, phone and/or email.
Have you had pets in the past, or do you currently?
- Yes
- No
Current pets: Names, ages, breed, genders, altered, WHERE ARE THEY NOW?
Pet 2
Pet 3
Are current pets fixed?
- Yes
- No
If no, why?
Have you ever given a pet away or relinquished it to a shelter?
- Yes
- No
If yes, what were the circumstances?
Vet's name and phone number:
When was the last time your current pet was at the vet, what for?
How long have you been looking for a pet?
Where have you looked for a pet? Check all that apply.
- Local shelter
- Breed specific rescue
- Pet Finder
- Cry for Help Adoption Event
- Cry for Help website
- Facebook
- Other social media
- A dog breeder
- Pet store
- Other
What kind of cat food will you feed your new pet?
How often will you feed your new pet?
How much time are you prepared to give your new pet to adjust to your home?
- 1 day
- 3 days
- 1 week
- A few weeks
- A month
- As long as it takes
What are some reasons you may decide a pet is not a good fit for your home?
Are you able to afford emergency vet bills $200-400, or more?
- Yes
- No
How much are you prepared to spend on your pet in one year?
Are you committed to providing a home to your pet for it's entire life? Could be 15+ years?
- Yes
- No
If you have to move, what will you do with your pet?
Who will be the pets primary care giver?
Where will the cat be kept during the day?
Where will the cat be kept during the night?
Will you allow your cat to be outside?
I would like to meet my new pet on the date and at the location below:
I already met my new pet and would like to proceed with my one week trial
- Yes
- No
I understand I have a one week trial with my new pet before my adoption fee is accepted. I can return my pet during this time for any reason.
- Yes
- No
I would like my one week trial to begin on the following date and time:
If for any reason the dog or cat you adopted does not work out or you can no longer keep it, you agree to return it to Jean Lazzaro at Cry For Help Rescue at cryforhelprescue@gmail.com electing yes confirms you agree NOT to abandon your pet.
- Yes
- No
By signing my full name below, I agree I will NOT abandon my pet and will return it to Jean Lazzaro if I can't keep it for any reason.
By signing below, I certify that the information I have given is true. I understand that my application does not mean my adoption is approved. I understand my application can be denied for any reason. I authorize further investigation of claims.
Co Applicant's Signature
Submit

Thank you for contacting us. We will get back to you as soon as possible

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CRY FOR HELP RESCUE

If you don't rescue, don't breed ... Until there are none, ADOPT ONE!

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