Jersey Shore Animal Center, 185 Brick Blvd., Brick NJ 08723

Phone (732) 920-1600,  fax (732) 920-3706

CAT APPLICATION (internet)– please print and fill out completely

 

ANIMAL NAME____________________________2ndCHOICE___________________staff:Internet

YOUR NAME_________________________________PHONE_________________________________

 ADDRESS______________________________________TOWN___________________________ZIP___________

 EMPLOYER________________________________PHONE___________________POSITION_______________

PET INFORMATION

Have you adopted from JSAC before?    Y    or    N        

        If yes, when? ________________________________

How many pets do you own currently?     DOGS___________CATS__________OTHER___________

Name of dog(s)____________________________________________________________________________________________

Name of cats(s)____________________________________________________________________________________________

How many pets have you had in the last five years(if not same as above)  DOGS_______CATS______OTHER_____

Name of dog(s)____________________________________________________________________________________________

Name of cat(s)_____________________________________________________________________________________________

What happened to these pets?  

 LOST     STOLEN    DIED     GIVEN AWAY    SOLD     GIVEN TO SHELTER  

If pet(s) died, please list date and cause of death____________________________________________________________

If given away, please explain circumstances and indicate name and address of current owner:

Are/were all of your pets spayed/neutered?         Y      N

If no, please explain_________________________________________________________________

Who is/was  your veterinarian?

NAME_______________________________ADDRESS_____________________________________
PHONE______________________________

How often do your pets see the veterinarian?_____________________________________________

Under what LAST NAME are the pets listed at the veterinarian? _____________________________

 

 

HOME INFORMATION

# of adults in home_____________  do all the adults work full time?   Y  or   N

# of children in home___________please list ages__________________________

If no children reside in home, do any visit frequently?      Y   or   N

If yes, please list ages _____________________________

Has anyone in the home experienced allergies to animals?     Y   or   N

Do you:       own     rent      live w/parents    rent from parents    share dwelling   other_____________________

If you  rent , you must provide JSAC with a copy of your rental agreement

(even if you rent from a relative)

LANDLORD NAME___________________________________PHONE____________________________________

Home type:     HOUSE     CONDO     APARTMENT      TRAILER    OTHER_____________________

How long at this address? ___________________

Do you agree to a house visit by JSAC prior to adoption?    Y   or   N

Do you plan to move within the next year?     Y   or   N

If you move, what will you do with the pet?_________________________________________________________

 

CAT QUESTIONNAIRE  

Are you interest in:     House Cat    Indoor/Outdoor Cat    Barn Cat    Mouser

Do you plan on declawing?      Y      or       N

If yes, please state reason___________________________________________________________________

In the event that a member of your household becomes pregnant, what will you do with the cat? _____________________________________________________________________________________

Are you interested in     SHORTHAIRED      or     LONGHAIRED

If longhaired, how often do you plan on brushing your cat? _______________________________

What qualities are you looking for in your new cat?   Circle all that apply:

GOOD W/DOGS       GOOD W/CATS     GOOD W/CHILDREN       DECLAWED     

(This information will help us to match you with a compatible kitty)

What personal circumstances or cat behavior would cause you to give up your pet?

 

 

If the cat is a gift, for whom is it a gift? _______________________________________________________

 

I, THE UNDERSIGNED, HEREBY AUTHORIZE JSAC TO VERIFY THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT, AND PERMIT THE RELEASE OF VETERINARY HISTORY.

 

Sign here__________________________________________________Date____________________________

 

How did you hear about us?   Petsmart    Internet    Friend    Relative   Vet    Walk-In   TV

PLEASE BE ADVISED:  THE JSAC ADOPTION PROCESS MAY TAKE SEVERAL DAYS.  APPLYING FOR A CAT DOES NOT GUARANTEE APPROVAL FOR ADOPTION OR PLACE A HOLD ON AN ANIMAL.  DECISIONS ARE MADE IN THE BEST INTEREST OF THE ANIMALS AND PEOPLE INVOLVED.



THANK YOU for coming to the Jersey Shore Animal Center. We hope you had a nice visit.

What happens now?

It will take us 24-48 hours to review your application. We strive to place the right animal in the right home. Your patience and understanding is appreciated. There may be other applications submitted on the same animal. When there are equally qualified candidates for an animal, we must go by date of the application.

Please call us at (732) 920-1600 to follow up on the status of your application. If you are approved and the animal is ready, we will schedule a time for you to take the animal home. Below are our adoption fees.

If you have placed a “general” application, please tell us what you are seeking. If you are approved and an animal with the breed/age/size comes in that you are seeking, we will call you. We also recommend that you visit frequently since new animals come to us daily. You may also visit our website http:/www.jerseyshoreanimalcenter.org to see photos and descriptions of the animals available. The site is updated weekly.

Adoption fees*:

Dogs $100.00

Cats $ 45.00

Puppies $ 75.00 + $50.00 refundable spay/neuter deposit

Kittens $ 30.00 + $50.00 refundable spay/neuter deposit

Rabbits $ 35.00

All adult animals will be spayed or neutered prior to adoption (included in the adoption fee). We give routine vaccinations to our animals, as well as preventatives – all of this information will be supplied to you on the adoption paperwork. We will also provide you with a packet of information to take home and we are always glad to answer questions. WE ARE NOW MICROCHIPPING ALL DOGS, CATS, PUPPIES AND KITTENS. Please ask a staff member for more information.

*Payment can be made by cash, Visa, Master Card and Discover. Please bring a driver’s license with you as well as a leash and collar for dogs, or a carrier for cats to transport them home. We recommend that you transport newly adopted animals separately from other pets.