Ragdoll Rescue NW Preliminary Screening Application

Print out this form and mail to the address below

• This online application is for screening purposes only – this is no way guarantees you an adoption from RRNW.
• Please bear in mind that the majority of our rescued Ragdolls are adult cats between the ages of 4 and 10 years.  We very rarely get kittens, and we have never yet had a purebred kitten in the rescue.
• 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 and answer all questions to the best of your knowledge. The questions here are significant in placing and in finding a match.
• If there is no phone number given, this application will be considered void.
• Applications are retained on file for 6 months, after which you must resubmit a new application. 
• Thank you for your interest in adopting a Ragdoll Rescue NW cat or kitten. After you have fully completed the application below and we have received it, one of our volunteers will contact you if we have the cat or kitten 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 become available.

1. Date of application
2. First & last name
3. Home phone & best times to call
4. Cell phone, if applicable
5. Work phone & best times to call, if applicable
6. Occupation
7. Address
8. City, state, zip
9. Email address
10. Do you rent or own your home?
11. If renting, please provide property manager’s name and phone number
12. How long have you lived at this address?
13. If less than two years, please list your previous address
14. Personal reference first & last name (choose a person that does not live with you and is not related to you)
15. Personal reference phone number & best times to call
16. Veterinary reference name
17. Veterinary reference phone number
18. How many adults live in the home?
19. Are all adults in the home supporting of adopting?
20. How many children are in the home?
21. Ages of children?
22. Can you provide a room for the adopted cat that is separate from all other pets in the home for up to two weeks?
23. Please list all pets that have lived with you in the last 10 years.  Fill out this question on a separate sheet of paper, or type it up and print it.

Do not include livestock.  a. through g. for each pet.

1. Pet’s name.
2. Pet’s breed.
3. Pet’s age.
4. Spayed/Neutered?
5. If feline, is the cat kept indoors only?
6. Up-to-date on vaccines?
7. If this pet is no longer with you, what happened to the pet?

24. Do you agree to keep the adopted cat(s) strictly indoors?
25. How do you feel about declawing?
26. Why are you interested in adopting?
27. Are you willing to adopt a shelter rescue?
28. Are you willing to adopt a retired breeding cat?
29. Are you willing to adopt any breed of cat or only a Ragdoll?
30. Are you willing to adopt a Ragdoll mix or wannabe? (A mix or wannabe may or may not have any Ragdoll blood but will resemble a Ragdoll in personality and appearance.)

31. Are you willing to adopt a cat that needs medication?
32. Are you willing to adopt a cat that has behavioral issues?
33. Are you willing to adopt a shy cat?
34. Are you willing to adopt a declawed cat?
35. Desired age (please list as wide of an age range as possible, bearing in mind that 95% of our cats are between 4 and 10 years old)

36. Desired sex: Spayed Female - Neutered Male - No Preference
37. Desired color
38. Why do you want to adopt rescued a Ragdoll?
39. Where will the cat spend its days and nights?
40. How many hours per day are there no people at home?
41. Who will have primary responsibility for the cat’s care?
42. How will you care for the cat’s coat?
43. If you have a disability or special need, please let us know so that we can do our best to accommodate you.

45. How did you hear about Ragdoll Rescue NW?
46. Are you willing to have a representative of Ragdoll Rescue NW visit your home for a family interview?

47. How much are you willing to donate?

48. Additional Comments: 

RRNW Terms of Agreement: Circle your answer

I agree to contact RRNW if I can no longer keep this cat.

Yes / No

I agree to make a note in my will which states that, if the adopted cat outlives me, my executor will ensure that either a) the cat is safely returned to RRNW or b) the cat is moved to an RRNW-approved home.

Yes / No

If you do not agree, list reason here:

I agree that the adopted cat will reside in my home as a pet.  I will provide it with quality food, plenty of fresh water, affection, annual examination and vaccinations by a licensed veterinarian, and indoor shelter (due to the gentle nature of the breed and inability to defend itself, Ragdolls are never to be outside).

Yes / No

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

Yes / No

I have read the Terms of Agreement and agree to abide by them.

Yes / No

By signing your full name and dating the application below, you acknowledge that all the information you have provided is true and complete.

Signature:       

Date:

Ragdoll Rescue NW Policies: We do require an adoption donation for cats placed in new homes to help recover our expenses.  The adoption donation varies for young healthy cats and purebreds, and possibly reduced donations for elderly cats and domestics.  Your donation helps cover the costs of items such as spaying/neutering, vet-checking, vaccinations, and de-worming. We support senior for senior adoptions.  We cannot adopt to anyone under 18.  This preliminary screening application will remain on file for 6 months. RRNW reserves the right to refuse any applicant.  This online application is for screening purposes only, which in no way guarantees you an adoption from RRNW.  Applicants must be willing to sign and agree to our legal contract in order for an adoption to take place.

Mail this form to:

RRNW PSA
Sharla Hill
497 Dearborn Ave. N.

Keizer, OR   97303