Mainely Rat Rescue ADOPTION Application

Name - First *
Name - Last *
Email *
Phone *
Address *
Address 2
City *
State *
ZIP *
Do you belong to any online communities such as Goosemoose or Facebook? If so, what are your usernames? *
Are you age 18 or over? *
Do you own or rent your home? *
If you rent, please provide your landlord's name and contact information.
Does your landlord allow pets?
Please list two (2) personal references, including names, email addresses, phone numbers and relationship to you. Only one may be a housemate, if you include your spouse or family members, we would like two additional references. *
Reference 1 - Phone Number *
Reference 1 - Email *
Reference 2 - Phone Number *
Reference 2 - Email *
Additional Reference Information
What animal(s) are you interested in adopting? *
Why do you want to adopt this pet? *
Please tell us your experience with this type of pet. *
Do you have other pets of this species at home? If so, what are their sexes and ages? Are they intact or neutered/spayed? *
Please tell us about all of the other pets in the home. *
Please tell us about your previous pets and where they are now. *
Have you ever rehomed a pet? If so, please explain the circumstances. *
Please tell us how you plan to house this pet. Please provide specific information on cage, bedding, food, etc. *
Tell us about the people living in your home (full names, ages, relationships to you). *
Do you smoke? Does anyone smoke inside your home? Smoking includes cigarettes, marijuana, vaping, etc. *
Do you have a veterinarian experienced with this type of pet? If so, please provide name and phone number. *
May we contact your Veterinarian? *
Have you ever adopted from, volunteered for, or been employed by an animal shelter or rescue group? If so, may we contact them for a reference? Please provide contact information. *
Are you prepared to care for a pet financially, should it need vet care? *
Have you ever adopted this kind of animal from a breeder? If so, may we contact them for a reference? Please provide contact info. *
Have you ever bred this type of animal before? If so, please explain the circumstances. *
Are you considering breeding this animal? *
Are you able to travel to meet or pick up this pet from its foster home? If so, how far? Please be specific on how far you can travel one way. *
Do you have any questions regarding this specific animal?
Do you have any questions that we can answer to help this become a successful adoption?
By submitting this adoption application, you agree that the information you have given us is true to the best of your knowledge. *
Signature *
Date *