Ragdoll Rescue NW

Ragdoll Rescue NW Preliminary Screening Application

This online application is for screening purposes only, this in no way guarantees you an adoption from RRNW.

The information you provide on this application will assist Ragdoll Rescue NW in making the best match possible between you and the cats available through Ragdoll Rescue NW. Please be complete in your answers. If no phone number is given, this application will be ignored. Applications are retained on file for 6 months, after which you must submit a new application.

Personal Contact Information

First name: Last name:

Occupation:

Address:

City: State: Zip:

Day Phone: Eve. Phone:

Best time to call:

E-Mail Address: or

Personal Reference

First name: Last name:

Day Phone: Eve. Phone:

Best time to call:

Relationship: Parent Sibling Co-worker Other relative

Personal Information (Confidential)

Do you: Rent: House-sit: Own:

How long have you lived in your current home?

If less than two years, prior address:

How many adults and children are in this home:

Childrens ages?

Does anyone in your home have allergies?

What are the allergies?

Current / Previous Pets

Do you own other cats?

If yes, are they spayed or neutered?

Are they indoors only?

Are they up-to-date on rabies/distemper vaccines?

How do you feel about declawing?

How many other cats have you owned in the last five years?

If you no longer have the previous cats, what happened to them? Be specific!

Do you have other pets? Type of Pets?

Reason for wanting a cat?

Veterinary Information

Do you have a regular veterinarian?

Veterinarian's name:

Clinic Name:

Phone:

About the Cat You Wish to Adopt

Are you willing to adopt a shelter rescue:

Are you willing to adopt a retired breeder:

Does the Ragdoll have to be a purebred:

How much are you willing to pay: a reasonable amount

Have you owned a Ragdoll before?

Why do you want to adopt a Ragdoll? .

Desired age:

Desired sex: Spayed Female: Neutered Male: No preference:

Willing to adopt: Declawed Cat Shy Cat Cat that needs regular medication None of these

Desired color:

Where will the cat spend the day?

Number of hours (average) cat will spend alone?

Who will have primary responsibility for this cat's daily care?

How will you care for its coat:

Who will have financial responsibility for this cat? Do you agree to provide regular health care by a Licensed Veterinarian?

Do you agree to contact Ragdoll Rescue NW if you can no longer keep this cat?

Do you agree to make a not in your will or make sure that whom ever is to take care of your affairs is aware they must let us know if the cat is orphaned and will make sure that RRNW get the cat back or agrees with who ever wants to adopt it?

Are you be willing to let a representative of Ragdoll Rescue NW visit your home by appointment?

If not, why?

How did you hear about Ragdoll Rescue NW?

Agreement

All of the information I have given is true and complete. This cat will reside in my home as a pet. I will provide it with quality cat food, plenty of fresh water, indoor shelter (Due to the gentle nature of the breed & inability to defend itself, this Ragdoll is NEVER to be outside.) , affection, annual physical examination and vaccinations under the supervision of a Licensed Veterinarian.

I understand Ragdoll Rescue NW is a referral service and is not responsible for the accuracy of information received about the temperament, habits or physical condition of cats available for adoption.

I understand that it is my responsibility to see and evaluate the cat for myself before agreeing to adopt it. Ragdoll Rescue recommends the adopter have the cat examined by a Licensed Veterinarian within seven days of the adoption date, at Adopters expense, and to immediately return the cat if the Veterinarian finds the animal has a terminal or life-threatening health problem, unless the Adopter agrees to assume all costs of treatment. Ragdoll Rescue NW makes no guarantees about the health, quality, or condition of the adopted cat or kitten.

I am in full agreement with these terms of adoption. Ragdoll Rescue NW is in no way liable or responsible for any damage, accident, or injury resulting from the placement of a cat into my household.

I verify the information I have provided in this application is above is true and correct, Ragdoll Rescue NW members have my permission to contact the people listed above and verify my references.

Signature Date:

Received by: Date:

Ragdoll Rescue NW Policies

We do charge an adoption fee for cats placed in new homes, to help recover our expenses. The adoption fee varies for young healthy cats, reduced or waived fee for elderly cats, which covers the costs of items such as spaying/neutering, vet-checking, vaccinations, and de-worming etc.

We reserve the right to refuse an applicant!

This application will remain on file for 6 months

Thank you for contacting Ragdoll Rescue NW. One of our volunteers will contact you after receiving your paperwork if we have cats that might be a match for you. If no cats are available, you will be placed on our waiting list and contacted by email or phone when a suitable cat becomes available.

Mail this application completed, signed and dated to.
RRNW Adoption Application
Sharla Hill
497 Dearborn Ave.
N. Keizer OR. 97303