Phone (732) 920-1600, Fax (732) 920-3706 www.jerseyshoreanimalcenter.org
RABBIT/GUINEA PIG APPLICATION (internet) – please print and fill out completely
ANIMAL NAME _________________ 2 ND CHOICE ________________ Staff/Volunteer _________
YOUR NAME ________________________________ PHONE ________________________________
ADDRESS _________________________________TOWN ________________________ ZIP ________
EMPLOYER ____________________________ PHONE ________________ POSITION ___________
Have you adopted from the JSAC before? Y or N If yes, when? _________________________
How many pets do you own currently? DOGS _______ CATS _______OTHER _________
Dog name(s)___________________________ Cat name(s) __________________________
Rabbit/Guinea Pig name(s) _____________________________
How many pets have you had in the last five years? (NOT INCLUDING THE ABOVE PETS) DOGS ______ CATS _____RABBITS ___________OTHER ______
Dog name(s) ___________________________Cat name(s) __________________________
Rabbit/guinea pig name(s) _____________________________________________________
What happened to these pets? Circle below
LOST STOLEN GIVEN AWAY GIVEN TO SHELTER SOLD DIED STILL HAVE
If pet died, please list date and cause of death ________________________________________
If given away, please explain circumstances and indicate name and address of new owner:
_________________________________________________
Are (were) all of your pets spayed or neutered? Y or N
If not, please explain: ________
Who is your veterinarian?
Name ______________________________ Address ___________________________________
Town ________________________________State ________ Phone ______________________
Under what LAST NAME is the pet listed? __________________________________________
# OF ADULTS IN HOME ________ Do all the adults work full time? Yes or No
# of children in home ________________ Please list ages _____________________________
If no children reside in home, do any visit frequently? Yes or No
If yes, please list ages ________________________
Has anyone in the home experienced allergies to animals? Yes or No
Do you: OWN RENT SHARE DWELLING LIVE WITH PARENTS 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? Yes or No
Do you plan to move within the next year? Yes or No
If you move, what will you do with the pet? ______________________________________
Where will your rabbit/guinea pig be housed? INSIDE ______OUTSIDE _____ BOTH _______
What size cage do you have? ____________
Does it have a wire mesh floor? Yes or No
What type of bedding do you plan to use? ___________________________________________
What do you plan to feed your rabbit/guinea pig? (Please be specific) ______________________
What will you provide for your bunny/guinea pig to gnaw on? ____________________________
Do you plan on brushing/bathing your rabbit/guinea pig? Yes or No
Do you know how to clip your rabbit’s/guinea pig’s toenails? Yes or No
Does your veterinarian treat rabbits/guinea pigs? Yes or No
If not, would you like a recommendation? Yes or No
Do you plan on having children handle the rabbit/guinea pig? Yes or No
If yes, what age are the children? _______________________
Have the children handled rabbits/guinea pigs before? Yes or No
Are you interested in a HOUSE PET OUTSIDE PET SCHOOL PET GIFT
If gift, for whom is the rabbit/guinea pig a gift? ______________________________________
Do you plan to breed your new rabbit/guinea pig? Yes or No
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 Phonebook Walk-In
PLEASE BE ADVISED: The JSAC adoption process may take several days. Applying for a pet does not guarantee approval or 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.