Strays Of Sussex

ADOPTION APPLICATION
CAT NAME:
Strays Of Sussex
NAME
ADDRESS:
PHONE#
EMAIL
example@example.com
ARE YOU OVER 18 YEARS OF AGE? YES NO
YES
HOME: RENT HOME OWNER/LIVE WITH OWNER
RENT
IF RENTING, ARE PETS ALLOWED? YES NO
LANDLORD NAME AND PHONE NUMBER:
HOW LONG HAVE YOU BEEN AT CURRENT RESIDENCE
ARE YOU PLANNING ON A MOVE IN THE NEXT YEAR? YES NO
NO
IF YOU MOVE, WHAT DO YOU PLAN ON DOING IN REGARDS TO
HOW MANY ADULTS IN THE HOME?
HOW MANY CHILDREN IN THE HOME?
Are there currently any pets in the home?
DO ANY MEMBERS OF THE HOUSEHOLD HAVE ASTHMA OR
ALLERGIES? YES TYPE
YES
(TYPE)
ARE YOU AWARE THAT DECLAWING IS ILLEGAL? YES NO
NO
YOUR VETERINARY CLINIC NAME AND PHONE #
CAT?
WHO WILL BE THE PRIMARY CAREGIVER FOR THIS
A CAT MAY LIVE 12 TO 20 YEARS ARE YOU FULLY PREPARED FOR
THIS COMMITMENT AND FINANCIAL RESPONSIBILITY IN CASE OF
ILLNESS OR INJURY?
WILL THIS CAT BE KEPT INDOORS FULL TIME OR
INDOOR/OUTDOOR?
HOW WOULD YOU DISCIPLINE A CAT FOR DESTRUCTIVE OR MISCHIEVOUS BEHAVIOUR SUCH AS SCRATCHING FURNITURE OR
PEOPLE?
PLEASE PROVIDE NAME AND PHONE NUMBER OF 2 REFERENCES
NOT RESIDING WITH YOU
1)
2)
BY SIGNING THIS APPLICATION, I CONFIRM THAT ALL INFORMATION PROVIDED IS ACCURATE AND CURRENT. FAILURE TO DO SO MAY RESULT IN CANCELLATION OF ANY FURTHER AGREEMENTS AND RELINQUISHMENT OF ANY ANIMAL ADOPTED
APPLICANT SIGNATURE X
APPLICANT SIGNATURE
DATE

MonthDayYear
Date
APPLICATION RECEIVED BY
Should be Empty:

Are there currently any pets in the home?