CAT/DOG ADOPTION APPLICATION
PIBBLE & MORE ANIMAL RESCUE
P.O. Box 863998
Ridgewood NY 11385
Please take time to accurately complete the application. Thank you.
Date: _________2/29/12________ Adopted:_________Cole________________
Description (breed, color ect..)_______Domestic long hair Black and white cat, medium__
If your dog/cats become injured, are you willing to pay at least $100 to $300 in medical costs?
__x_YES or ___NO
Would you agree to an unannounced visit and/ or phone call? __x_YES or ____NO
What is your main reason for wanting a pet?__I want an animal that I can love and provide a good home to.___
Name of Spouse___________Luis Vidal_______________________________
Address_________1725 Madison Street_____________________________
Daytime Phone #( 718 )__360-0928___
Evening Phone # ( 718 )__600-3389__
Are you over 21 years of age? Yes___x__ No_____ If Yes, what is your age?___________32_____________
Residence: (check one) ____ House ___Condo _x__Apartment ___Hobby Farm ___Mobile Home
Do you Own or Rent? ____Own __x__Rent
If Rent, do you have permission from your landlord to adopt a cat/dog? Yes__x__ No____
Name of Landlord_________Berangere Champagne______________
Phone # (718 )___564-9053___
Do you have children under the age of 18 living in the household? Yes__x___ No_____
If yes, list their ages___2 m, 6 yrs, 9 yrs_________________
If you have children, what has been their exposure to cats/dog? None___ Some___ A lot__x__
Excluding children, spouse and applicant, list any... [continues]
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(2012, 03). Cat and Dog App. StudyMode.com. Retrieved 03, 2012, from http://www.studymode.com/essays/Cat-And-Dog-App-936491.html
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