Adoption Application | Animals in Distress

animalsindistressnj@gmail.com

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AID Adoption Application

If you are experiencing technical difficulties while filling out this application, please send us an email with “APPLICATION REQUEST” as the subject line.

Email address is animalsindistressnj@gmail.com

First Name *

Last Name *

Age *

Email Address *

Main Phone *

Phone Type *HomeCellWorkOther

Alternate Phone

Phone Type *HomeCellWorkOther

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Employment Status *

Employer *

Spouse/ Partner's First Name

Spouse/ Partner's Last Name

Which cat(s) you are interested in? *

What are your reasons for wanting to add to your family at this time? *0 / 500

What attracted you to this particular pet? *0 / 500

Your Lifestyle

Is anyone home during the day? *YesNo

How long have you lived at your current address? *

Besides you and your spouse (if applicable) how many others live in your household?

First Name *

Last Name *

Age *

Relationship (child, parent, etc) *

First Name *

Last Name *

Age *

Relationship (child, parent, etc) *

First Name *

Last Name *

Age *

Relationship (child, parent, etc) *

First Name *

Last Name *

Age *

Relationship (child, parent, etc) *

First Name *

Last Name *

Age *

Relationship (child, parent, etc) *

Lifestyle (select all that apply) *

active/on the gohomebodyquiet/relaxednoisyentertain frequentlytravel frequently

Living arrangements *rentownlive with parentslive with friends

Landlord's First Name *

Landlord's Last Name *

Landlord's Phone Number *

Your Pet Experience

Reason for adopting? (check all that apply) *

companiongiftchild's petfamily petcompanion to other petbarn cat/mouser

This cat will be allowed in: (check all that apply) *

living/family roomdining roomkitchenbedroomsbathroomsgaragebasement

Have you adopted before? *YesNo

Name of organization *

Will this cat be permitted to go outside? *YesNo

Is anyone in your household allergic to animals? *YesNo

Explain *

What are your thoughts on declawing? *

Has anyone in this household had to give up a pet? *YesNo

Explain *

Under what circumstances would you give up a pet? *

What arrangement would you make for your pet(s) if you moved or were no longer able to care for them? *

Have you had any pets in the past 5 years? *YesNo

Please list the pets you've had in the past 5 years

Name *

Age *

Species *

Status *

Breed and Size

Personality *

Do you have a veterinarian? *YesNo

Veterinarian Name *

Phone Number *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

If more than one vet is used, please provide Name, Address, and Phone Number below:

Please call your vet and give permission for them to speak to us

Personal Reference

Please note that your reference cannot be a family member

Reference First Name *

Reference Last Name *

Reference Phone Number *

Additional Details and Submission

How did you hear about us? *

Is there anything else you'd like us to know?

By submitting this form, I give Animals In Distress (AID) access to all veterinary records of any and all animals I own or have owned. I give my consent for AID to contact the listed reference(s) and my landlord (if renting). I certify that all the information in this application is true and I understand that false information will void the application. Completion of this application in no way guarantees adoption of a pet. AID reserves the right to deny approval of any adoption.

Applicant's First Name *

Applicant's Last Name *

Date *

By selecting the "Submit" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this Agreement.

Once submitted, you will receive a confirmation e-mail. If not received, please resubmit or e-mail us directly at animalsindistressnj@gmail.com.

Visiting By Appointment:
To arrange a visit, please send a brief email telling us a little about your household and your reasons for looking to adopt, as well as your availability to meet & greet (weekdays, weeknights, or weekends) and we will get back to you with times available.

Contact:
animalsindistressnj@gmail.com

Mailing Address:
P.O. Box 3373, Hamilton, NJ 08619

Cottage Address (do not use for mailing):
720 Edinburg Rd, Hamilton Township, NJ 08619
Located behind Mercerville Animal Hospital
Go through the tall gate to find us.