Date: *

MM

DD

YYYY

Name: *

First Name

Last Name

Phone: *

Country

(###)

###

####

Address: *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I acknowledge that there is a $750 tax-deductible charitable adoption donation. I understand that this is a donation to contribute towards the costs associated with rescue, including medical care, microchip, spay/neutering and boarding, and not a purchase price for a cat / dog: *

Yes, I understand.

I understand that a home visit is required prior to final placement: *

Yes, I understand.

I agree to provide my own collar, leash, corrective collar or harness, and a personal ID tag at the time of completing the home visit: *

Yes, I agree.

I understand that A little Rescue does not adopt on a first-come-first-serve basis. Their priority is the well-being of their cats / dogs and they will be adopted based on the needs of that particular cat / dog. *

I agree

I understand that this application does not guarantee adoption. A little Rescue reserves the right to refuse adoption to any applicant for any reason. This application becomes part of our contract: *

I agree