Drac Rats
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Pre-adoption Application


Name:
Email Address:
Physical Address (Including Street, City, and State)
Are you over 18? Note that if you are not at least 18 years of age, we will send a consent form to your parents or legal guardians at the physical address you listed. You will be ineligible to adopt until the form is signed and returned. Yes, I am 18 years of age or older.
No, I am younger than 18 years of age.
Describe your home. House
Apartment
Condo
Mobile Home
Do you Rent?
Own?
Other?
If you are renting, please include your landlord's name and telephone number here.
If you selected other, please specify.
Describe your housing situation. Alone
With parents
With family
With roommates
Military housing
Other
If other, please specify.
How many people are in your household?
Does anyone in your household have any animal-related allergies? Yes
No
Are you employed? Yes, full time
Yes, part time
No, but another member of the household also responsible for primary care of the pet is
No
If you are not employed, what is your primary source of income?
Which pet are you interested in adopting? If no specific pet is in mind, what are you looking for in a pet?
What is your primary reason for wanting to adopt a new pet? (Check all that apply) Family companion
Companion for another pet
Personal companion
Gift
Protection
For children
Other
If you have another reason or additional reasons for wanting to adopt, please specify.
If you move, will you be taking your new pet with you? Yes
No
Do you currently own ANY other pets? Yes
No
Please list your current pets with species, age, and sex. Also, please indicate if they are spayed/neutered.
Have you owned any other pets at any time in the last 5 years? Yes, I have owned pets in the last 5 years.
No, I have not owned pets for more than 5 years.
No, I have never owned a pet.
Please list the pets you have had in the last 5 years (that you do not currently have) and why you no longer have that pet.
If you currently have pets, how long do you plan to quarantine your new pet?
Have you ever applied to adopt or adopted from Draconis Small Animal Rescue? Yes, applied
Yes, adopted
Neither applied nor adopted
Have you ever applied to adopt or adopted from any other rescue organization, shelter, pound, breeder, etc? Yes, I have applied or adopted before.
No, I have neither applied nor adopted before.
Were you: Approved?
Denied?
Never applied or adopted before.
If you were denied, what reason did the rescue, shelter, pound, breeder, etc. give for the denial?
Who is your vet? It is important to keep in mind that choosing an appropriate vet for your new pet is much like choosing a doctor for a new baby. It is not the responsibility of the rescue to research a proper vet for you. A vet is REQUIRED before adoption. Please include a telephone number
Have you ever had to surrender an animal to a shelter, rescue, pound, etc? Yes, I have previously surrendered a pet.
No, I have not surrenedered a pet.
If you have surrendered, why?
What type of food will you be feeding your new pet? Please be as specific as possible, including brand names (Purina, Mazuri, Zupreem, etc), and type (Low Fat, Senior, etc).
If your pet requires litter, what type of litter will you be using? Please be as specific as possible, including brand names and types (hard wood pellets, wood chips, clay litter, etc.)
How will you be primarily housing your new pet? (Check ALL that apply) Indoor only
Outdoor only
Cage (indoor)
Aquarium (indoor)
Tether (outdoor)
Kennel (outdoor)
Fenced (outdoor)
Crate (indoor)
Tethered (indoor)
Cage (outdoor)
Some other way
If you choose to house your new pet some other way, please specify here.
How much anticipated time will your new pet be left alone daily?
How will you house your new pet when he or she is home alone? (Check all that apply) Indoor only
Outdoor only
Cage (indoor)
Aquarium (indoor)
Cage (outdoor)
Tether (outdoor)
Kennel (outdoor)
Fenced (outdoor)
Crate (indoor)
Tether (indoor)
Some other way
If you said your pet would be left alone some other way, please specify here.
If your pet requires a cage, what type of cage do you intend on using? Please be as specific as possible, including brand names, type names (My First Home, Ferret Mansion, etc.), and dimensions (Length, Width, Height).
If your new pet is a cat, do you intend to declaw? Yes
No
Unsure
Do you breed any animals? Yes, I breed animals.
No, I do not breed animals.
If yes, what type?
Do any members of your household smoke inside the home? Yes
No
In case of an emergency, who will care for your pet while you are away? Please include name and phone number.
If approved for adoption, how do you intend on getting your new pet to your home? Pickup
Delivery (will pay gas)
Some other way
If you chose other, please specify how you intend on bringing your pet home. WE DO NOT SHIP FOR ANY REASON!
What is the best way to contact you?
If email is not the best way to contact you, please indicate how you would like to be contacted here. We do not share this information with anyone, it is simply for us to contact you regarding your adoption process.
I verify that I have read and agree to all terms set forth in the Adoption Contract found at http://drac.20m.com/adoptioncontract.html Yes
Please type your full name for verification. This will serve as your electronic signature of the pre-adoption application.

free forms






If any pertinent questions are left unanswered, you will be asked ONCE to supply those answers. If an answer is not provided within a reasonable amount of time, you will be disqualified from adoption at this time.





Our adoption process includes asking questions, verifying identity, age and address, and, if needed, verifying landlords’ approval for renters. We do not sell this information, or use it for any purpose other than intended. Once the questionnaire is complete and an adoption counselor has reviewed it, youwill be contacted regarding the pets you are interested in, or pets that fit your needs and wants. You may have an email from a member of our staff who will explain the history and needs of each pet, as necessary. At ANY time, you may ask questions regarding health issues, behavioral issues, house breaking, basic care, and exercise requirements.







After information regarding your potential new pet is given, you must decide if the pet you have chosen is a good match for you and the other members of your household. Many of the pets are at our rescue because their previous owner did not make the lifelong commitment we are asking you to make today. We want to help you find the best pet for you and your family and we want our pets to find good and permanent homes. Please take this responsibility seriously. It is very stressful for the animals, our staff, you and your family members when an adoption does not work out and a pet must be returned to our shelter. It may take up to a month for you, your family and your new pet to adjust to each other. Sometimes an animal’s personality or temperament may be different in your home environment than when you first met with it here in this rescue environment. If this difference becomes a problem we ask that you work with us to correct it. If we both agree the problem cannot be resolved and it is in the best interest of both you and the pet, the pet may be returned to our facility within the first 15 days after adoption. We reserve the right to determine if you choose to return an animal whether or not we will offer a refund, exchange voucher and/or future adoption privileges. After you have returned the pet to our rescue a notification letter descrining our decision will be sent by mail within 30 days.


Our adoption counselor reserves the right in determining your commitment and sincerity about adopting this pet. Once your application is reviewed, we will move forward with the adoption process. You will be asked to sign an adoption contract, go over all appropriate information (including medical history) and pay an adoption fee. This fee is a general care and treatment fee and does not cover spay or neuter, veterinary exam, microchip, de-worming, vaccines, or licenses for your new pet unless otherwise stated in your adoption contract.