Adoption Application - Darbster Rescue

APPLICATION FOR CAT ADOPTION

Thank you for adopting. Recently, we have had an overwhelming number of applications. We have a $10 application fee which helps to cover our administrative expenses of processing. The application fee is non-refundable. We do ask what pet you are interested in; BUT please note we cannot guarantee that pet will still be available once you are approved. Once approved your application is good for six months and you will have a meet and greet with pets we do have available at that time. We will do our very best to match you with a pet. Please feel free to call us or email us for the status of your application if you do not hear back within 48-72 hours. 603-635-4495 or dk@darbster.com.
Application fee
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Applicant Name:*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
How did you hear about us?
Home Phone
Cell Phone
Email*
Enter Email Confirm Email
Employer:
Occupation:
What type of pet are you interested in?
- Dog
- Cat
Age of pet interested in?
- Puppy/Kitten <12 Months
- Adult 1-6 Years old
- Senior 7+
Name of pet you are interested in:
Personality type:
Other Preferences:
How many people currently reside in your household?
Please enter a number from 1 to 50.
Any children in the household?
For Whom are you adopting the pet
- Self
- Gift
Does any member of of the family have allergies to animals?
If yes, explain:
Who will be responsible for the pet's care?
Where do you live?
Do you own or rent your residence?
If you rent, what is name of landlord and phone number?
If you own, we require proof of home ownership, which can be a tax bill or proof of purchase. Please upload below.
Accepted file types: jpg, gif, png, pdf, Max. file size: 2 MB.
A tax bill or proof of purchase. If your attachment is too big, please email it to dk@darbster.net
Are pets allowed?
Where will the pet be kept?
If outdoors will pet be?
Will anyone be home during the day?
How many hours will the pet be left unattended?
Please enter a number from 0 to 24.
When no one is home, where will the pet be kept?
Do you have a fenced yard?
Of adopting a cat, do you plan to declaw?
- Yes
- No
- Not Sure
If you move, what will you do with the pet?
How far from the road/traffic is you home/farm located?
What is the volume of traffic?
Have you ever had a pet before?
Describe the pets you still care for or that you have had in the last 5 years.
Name Breed Age Neutered? Kept where Time in your care
If the animal is no longer in your care, please explain:
Are your pets current on their vaccinations?
Please provide name of your veterinarian:
Veterinarian Phone number:
Personal References:
Name Phone Number Years known
Are you financially able and willing to provide annual checkups, vaccinations, and ANY medical care necessary? (Pets can live upwards of 15 years.)
What precautions would you take to properly introduce a new pet into your home if you have other animals (a dog, bird, rabbit, cat, etc.)?
What will you do if your new pet does not get along with your present pets?
Have you ever adopted an animal from a rescue/animal control agency?
Why do you want to adopt a pet?
Are you familiar with your local animal control laws?
Are you willing to sign legal pet adoption papers?
Do you agree to permit a visit to your home/farm by appointment?
Under which circumstances would you give your pet away or surrender to a shelter? If not listed, please indicate under ''Other''.
Other
Have you ever surrendered a pet to a shelter?
- Yes
- No
If yes, why?
By submitting this form, I/we acknowledge that all information on this form is true and correct. I/we understand that any misrepresentation of fact may result in Darbster Foundation refusing adoption privileges to me/us. If my/our request for adoption is approved and later Darbster Foundation discovers the above information is not true or correct, Darbster Foundation reserves the right to remove the adopted cat from my home. If you have exhausted all reasonable efforts to keep your pet, Darbster Foundation accepts the return of any animal adopted from our facility. Adoption returns must be scheduled in advance and are accepted by appointment only. Guardians who wish to return their adopted animal should call 603-856-9233 or email dk@darbster.com to schedule an appointment. Note- there will be an intake fee of $100 if returned after 14 days from the original adoption date.
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DARBSTER RESCUE

1226 Omar Road
West Palm Beach, Florida 33405

561.459.1587

DARBSTER DOGGY

109 Dover Road
Chichester, NH 03258

603.635.4495

Monday-Sunday: 8am-7pm

DARBSTER KITTY

332 Kelley Street
Manchester, NH 03102

603.856.9233

Monday: Closed
Tuesday -Wednesday: 3 -7 pm
Thursday- Sunday: 12 – 5 pm

Adoptions by appointment only. No walk-ins.

EMPLOYMENT

Not Obedient Enough
Illness in family
Pet became ill
Moving
New Baby
Shedding too much
Barking
Chewing
Too energetic
Doesn’t get along with other dogs
Divorce
Got a new pet
Allergies
Housetraining problem
Bit Someone
Kids ignore pet
Pets not getting along
Got too old
Doesn’t like all people
Would not give pet away at all
Pets on furniture

Name	Breed	Age	Neutered?	Kept where	Time in your care

Name	Phone Number	Years known