Rainbow Rescues Inc-Adoption Application

Changing The World One Adoption At A Time

Adoption Application

Please be aware there is an adoption fee for all pets.
PUPPIES (5 MONTHS OR YOUNGER)-$225
ADULT DOGS (6 months- 8 years)-$195
SENIOR DOGS (9 years or older)-$100
CATS (ALL AGES)-$100
Please allow 1-3 business days for a reply from our volunteers.
Please provide as much information as necessary to expedite
the process.

FIRST NAME

LAST NAME

STREET ADDRESS

ZIP CODE

CITY

STATE

EMAIL ADDRESS

PHONE NUMBER

Can we contact you regarding news and events?

How did you hear about Rainbow Rescues:

PLEASE DESCRIBE THE PET YOU ARE INTERESTED IN:

RESCUE ID#

TYPE OF PET:

ENERGY LEVEL

AGE

LEVEL OF
TRAINING

SIZE

Please Describe The Reasons You Would Like A New Pet:

PLEASE DESCRIBE YOUR LIVING CIRCUMSTANCES:

Do you own your home, rent, or have another
arrangement?

Please provide your landlord's
name and phone number:

Is your yard
fenced?

Do you have a yard?

How often will you walk the pet?

How many people live in your
home and what are their ages?

Is everyone aware of the decision to adopt the pet?

Who will be responsible for the pet?

Name and Phone of current/past vet:

Do we have permission to contact your vet?

How Many hours a day will the pet be left alone?

Will this pet be left outside unattended
for any reason? (If yes explain)

Please describe all current and past pets:

Pet Name

Spayed/Neutered

Age

Breed

BY CHECKING THE BOX BELOW, I HEREBY CERTIFY THAT I AM AUTHORIZING
RAINBOW RESCUES INC TO INITIATE ADOPTION PROCESSING BASED ON THE
INFORMATION PROVIDED ABOVE. I ATTEST THAT ALL INFO PROVIDED TO
RAINBOW RESCUES INC IS TRUE AND COMPLETE TO THE BEST OF MY ABILITIES
AND FURTHER AUTHORIZE RAINBOW RESCUES INC TO VERIFY INFORMATION
PROVIDED THROUGH CONTACT WITH MY PAST/PRESENT VETERINARIAN AND
THROUGH CONTACT WITH MYSELF AND CO-APPLICANTS AND ALL PERSONS
OR ENTITIES LISTED HEREIN. BY CHECKING THE FOLLOWING BOX I AM STATING
THAT I HAVE READ AND UNDERSTAND THE ABOVE INFORMATION.

PLEASE CHECK HERE BEFORE SUBMITTING
APPLICATION.

Rainbow Rescues Inc

Rainbow Rescues Inc
(Mailing Address)
89 Rolf Ave
Chicopee, Ma 01020

Main Line: 413-612-2744
Emergency Line:413-552-7326
applications@rainbowrescues.org

Please allow 24-48 hours for a message
to be returned.