RAIN PROFILEAdoptAll PetsDogsCatsSmall & FurryAdoption ProcessFinding Your MatchMighty MouserAdoption Profile RAIN PROFILE Tell Us Who You ArePlease fill out the form below. Items marked with * are required.Please enable JavaScript in your browser to complete this form.Tell Us About YourselfName *FirstLastPhone *Email *AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeTell Us About Your PetWhat Type Of Pet Do You Have? Select One: *DogCatOtherPet's Name: *Pet's Age: *Length Owned: *Why Do You Need to Rehome Your Pet? *Has Your Pet Ever Bitten or Scratched Another Animal, Drawing Blood? *YesNoIf Yes, Please Explain The Situation:How Does Your Pet Respond To Other Animals In The Home, In General? Select All The Apply: *Has not lived with other animals FriendlyPlayfulTolerantIgnoresGrowlsChasesHidesAttacksHow Does Your Pet Respond To Cats In The Home? Select All The Apply: *Has not lived with cats FriendlyPlayfulTolerantIgnoresGrowlsChasesHidesAttacksHow Does Your Pet Respond To Dogs In The Home? Select All The Apply: *Has not lived with dogs FriendlyPlayfulTolerantIgnoresGrowlsChasesHidesAttacksPlease List Any Animals That Lived In Your Home With Your Pet At Any Time: *Please Describe In Your Own Words How Your Pet Interacts With People In The Home And Outside The Home: *Has Your Pet Ever Lived With Children Under The Age Of 18? *YesNoIf Yes, How Old And How Were Their Interactions?MedicalIs Your Pet Spayed Or Neutered (fixed)? Your pet must be fixed to participate in this program. Selecting no will disqualify you and your pet from entering the RAIN Program. Select One: *YesNoIs Your Pet Declawed (cats only)? Select One: *YesNoDoesn't ApplyWhich Veterinarian Do You Use? *Do You Give Us Permission To Contact Your Veterinarian For Additional Information? Select One: *YesNoIs Your Pet On Any Medications? Select One: *yesNoIf Yes, Please List Medications And Conditions:Please Attach Historical Vet Records Indicating Vaccination Status And Spay/Neuter Proof (.pdf, .doc): * Click or drag a file to this area to upload. Signature *FirstLastCustom Captcha * = Submit
