Charlie's Cat Rescue - Adoption Application

Name*

First Name Last Name
Charlie's Cat Rescue - Adoption Application

Please note that Charlie's Cat Rescue is located in Bathurst, New Brunswick. Because of our obligations to the cats and kittens in our care, for the time being we are only able to accept applications from up to a 75 km radius around the area. The adoption fee is $125, and included in that fee is spay/neuter, vaccines, and preventative treatments for fleas, mites, ticks, and worms.
Address*

Street Address

CityProvince

Postal Code
Phone Number*
Email*
example@example.com
Which cat or kitten would you like to adopt?*
If the cat or kitten you want is no longer available, would you consider another one?*

YesNo
Are you 19 years of age or older?*

YesNo
Do you:*

Own homeRentOther
If renting, what is the name and phone number of your Landlord?
We will need to verify that your landlord will allow you a pet before we can proceed with the adoption.
How many adults and children are there in your household? Please list ages of any children.*
How many hours per day would the cat or kitten be alone?*
Are you financially prepared to take care of the cat or kitten?*

YesNoDepends on the cost
Will your new cat or kitten be:*

Indoor onlyOutdoor onlyIndoor/Outdoor
If this cat or kitten will be allowed outside, how will you contain it?*

Harness and leashSecure outdoor areaLeave it free to roamN/A - cat or kitten will not be allowed outsideIn a pet carrierOther
Do you have the intention of having the cat or kitten declaw ?*

YesNoUndecided
If the cat or kitten you want to adopt is intact, do you agree to have them spayed or neutered?*

YesNoUndecided
In the past 5 years, how many pets have you owned? (Include current pets.) Please list each pet below - including breed, age, and whether or not they're still living with you (if not, why?). *
Are your current pets (if any) spayed or neutered?

YesNoOther
How do your current pets (if any) react to new animals?*
What are your plans if your new pet becomes sick or injured?*
What are your plans for your new pet if you go on vacation?*
Who is your current (or most recent) veterinarian? Do you give us permission to call them about your pet care?
Which reason stated below would cause you to return this cat or kitten to our rescue (check all that apply)?*

AggressionBitingBusy lifestyle (no time for pets)CostFighting with other petsJumping on counters/etc.Litterbox issuesMedical issuesNew babyPersonal health issuesScratching furnitureSheddingSprayingNothing would make me return the cat or kittenOther
Have you or any member of your household ever been charged with cruelty to animals or negligence in animal care?*

YesNo
Have you ever surrendered a pet to a shelter or rescue? If yes, why?
Have you ever adopted or tried to adopt from a rescue, shelter, or other organisation? If yes, please specify which and whether or not your application was accepted.*
Please provide 2 personal references (outside your household and immediate family) who can confirm your responsibility and ability to care for your animals. Please list name, phone number, and how you know each other.*
Any further comments?
Please review your answers before submitting your form. A representative from Charlie's Cat Rescue will be in contact once your application has been received and processed.

Please remember that pets come with responsibilities. A cat can live 12-20 years and cost $$$ in food, litter, vet care, and much more. By submitting this form you are certifying that you have considered this and would still like to proceed with the application.

By submitting this form you are also certifying that you are aware that Charlie's Cat Rescue can refuse any application for any reason.
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