| PetResQ Inc |
24 W. Railroad Avenue, Suite 172
Tenafly NJ 07670
Phone 201-377-8711
Email to: Petresqinc@aol.com |
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Adoption Application
We are a small group of volunteers who take in small shelter dogs that are in danger of being euthanized as well as dogs from owners who can no longer keep them. We do NOT have a shelter. All of our dogs are in foster homes. When you complete the Pre-Adoption Application and have been approved you will be contacted. Please make sure you give your phone number and what hours you are available. Please give us 3-5 days to return your email or phone call. Please be aware of the fact that our dogs are being fostered by regular people with big hearts, regular jobs, and hectic lives like everyone else. Please be considerate and patient when you are waiting for your return call or email.
Click Here for Printable Application |
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| Human Information: |
| Name |
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Home Phone: |
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| Address: |
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City: |
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| State: |
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Zip: |
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| Email: |
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Cell#: |
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| What is your occupation? |
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| How long have you worked there? |
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Name of Employer: |
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Phone #: |
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| Employer Address |
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| Pet Information: |
| Have You Ever Owned a Pet Before? |
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What Kind? |
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| What happened to your last pet? |
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| Do you own any pets now? |
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| If so, list |
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| Which pet are you interested in? |
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| Is it OK for a PetResQ Inc. representative to visit your home?
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| Is this pet being adopted for yourself?
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| Age of Applicant
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| How many people live in your household?
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| List information on people in your household below |
| Age |
Gender |
Relationship to you |
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| Are you willing to spay or neuter this pet?
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| Do you own or rent your current residence?
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| How long have you lived there?
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| If you are renting: |
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Does your lease allow pets?
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Landlord's Name and Phone Number:
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| Have you ever had to give up a pet?
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If so, what were the circumstances?
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What did you do with them?
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For Dogs: |
For Cats: |
| Are you familiar with crate training dogs?
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How many hours will the cat be outside?
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| Are you willing to obedience train or housebreak your new dog?
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Are you planning to declaw the cat?
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| Are you willing to adopt a handicapped pet?
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| How long will the pet be alone on a daily basis?
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| Where will the pet be during the day?
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During the night?
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| Will the pet be allowed on the furniture?
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| Is your yard fenced?
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If it is, what is its height?
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| Are there any allergies to be considered in your home?
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| Why have you chosen this pet?
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Are you aware of the financial responsibility of owning a pet?
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(Feeding, Vet Care, Grooming, etc.) |
| Are you prepared to make a lifetime commitment to this pet? (12-16 years)
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| References |
| Please provide a vet reference
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| Please provide 2 personal references (other than family): |
| Name:
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| Phone:
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| Name:
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Phone:
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Please Note
that an adoption fee is required at the time of adoption and it is NON-Refundable.
The monies help us to continue to rescue, house, feed and get the necessary vet care that these furbabies require.
Since our goal is to place our pets in their perfect forever homes, this application enables us to find a perfect match! |
Please mark the "I Agree" checkbox, by doing so you certify that all information is complete and accurate. Please sign on the line below |
I Agree ***REQUIRED*** |
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