Carolscatz  of Commercial Twp. N.J.        

apply to adopt

ANIMAL ADOPTION APPLICATION

CAROLSCATZ of Commercial Twp. N.J.

241 DAFFODIL ROAD

MILLVILLE NJ 08332

856-506-5572

http://www.Carolscatz.com

email: [email protected]

Name:__________________________________________________________________

Address:________________________________________________________________

City:_____________________________________State:____________Zip:__________

Home Phone:_____________________ cell Phone :____________________Age:______

Email Address: ___________________________________________________________

how many children do you have?______________________

are the children versed in proper handling of a pet?_________________________

childrens ages_______________________________

how many pets do you own now?   Cats_______Dogs________

are they all spayed or neutered and vaccinated?    yes   no   

what are their names and what are they cat or dog and ages? 

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________



Name of animal you are appling for? _________________________________________

animals website id number__________________________________________________


now lets talk about you.

why do you desire to adopt this pet?

____________________________________________________________________________________________

if you are the adopter, will you agree to  treat this pet as family and give it a forever home?   yes       no


a pet comes with a life time of financial responsibilities. are you financially able to afford this pet?   yes   no 

yearly income ?   ___________________________________

who will be your vet?     ________________________________________________

address of above vet________________________________

                                                       _________________________________________________                                    

phone number of above vet______________________________________

will this vet give you a referance based on your performance with other animals?  yes   no

if your answer is no,  please explain

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

do you agree to a  in home check?  yes   no 


referances:

I need 3 references 

Name:__________________________________________________________________________

address __________________________________________________________________________

phone both cell and home____________________________________________________________

how do you know this person?__________________________________________________________


Name_____________________________________________________________________________

address_______________________________________________________________________

phone, both cell amd home________________________________________________________

how do you know this person?_______________________________________________________


Name__________________________________________________________________________

Address__________________________________________________________________________

phone both cell and home_____________________________________________________________

how do you know this person___________________________________________________________


all references will be checked prior to your adopting the above pet.  a vet visit is required for this pet with your vet within 30 days of adoption.  by signing thois agreement you are stating that all that has been submitted is true and agree to assume full responsibility for this pet if adopted.  Carolscatz resumes no liability  for injury or illness or vet care  once the pet becomes yours. adoption fee is a donation to help defray  rescue costs of sheltering this animal' It is not refundable at any time.

if animal has not as yet been spayed or neutered, this must be done within the above allowable time limit. no pet will be adopted, to be an outdoor  animal, or used for breeding, fighting, or any other unlawful purpose. a new jersey valid id is required.

a contract of adoption will be signed, upon adoption, and a  adoption donation is required to be paid at this time in cash.


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applicant signature

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print name of applicant


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