Cat Adoption Application

Date

MonthDayYear

Full Name

First NameLast Name

Phone Number

Area CodePhone Number

E-mail

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Employer, phone, address

Which cat are you interested in?

Any specific reason you are interested in this cat?

Where did you hear about this cat?

Please indicate reasons for wanting to adopt this cat

Do you live in a

Do you

Does your rental agreement allow pets?

What are the pet restrictions, if any?

May we contact your landlord?

Reason to not contact landlord:

Name of Landlord

Phone Number

Area CodePhone Number

Do you have a secure fenced yard

How long have you resided at this address?

Please check all that apply

Are there children living in the home

Ages of children

How many people are living in your home including yourself

Are all people living in your home aware you are adopting a cat

If yes, does everyone approve

Does anyone living in your home have allergies to cats

Will your cat be:

If "other", please give more info

Where will your cat sleep

Where will your cat be when no one is home?

Who will be responsible for the care of the cat?

How many hours will the cat be alone in a typical 24 hour day?

What arrangements will you make for your cat when you are traveling?

Do you currently have other pets

If so, names, ages, breeds:

For current pets, check all that apply

If not spayed or neutered, please provide the reason why?

Have you had any other pets in the last five years

If yes, what happened to them or do you still have them?

Do you have any experience with the following

We don't always know what kind of personality a rescue cat has. Are you committed to litter training and any other training your adopted cat may need?

Please include any other experiences that you think would be beneficial when adopting one of our cats:

Most cats need time to adjust to new people and surroundings. How much time are you willing to allow for adjusting and bonding?

Other

Under what circumstances would you feel it necessary to give up this cat

Have you ever surrendered a cat to a shelter or Humane Society or rehomed to another person and if yes please explain:

If your pet went missing, what would you do?

Have you ever been denied adoption by a rescue, please explain:

Any animal violations, if yes please explain

Have you or anyone in your household ever been convicted of animal neglect or abuse or other crimes. If yes please explain

Please provide veterinarian name, phone number, and location if you have one:

A home or virtual visit by one of our rescue representatives is a requirement. Do you you consent to a home visit (During Covid19 virtual tours are acceptable)

Please provide three references including, name, phone number,and relationship:

IMPORTANT: All of the information I have provided is true and complete to the best of my knowledge. I agree to follow all rules and policies of Imagine Peace for Pups Rescue, Inc. I understand it is my decision on whether to adopt a cat or not. I will not hold Imagine Peace for Pups Rescue, Inc. responsible for any damage, injury or harm caused directly or indirectly to any person or property by any cat that I agree to adopt. Imagine Peace for Pups Rescue, Inc., at its sole discretion, reserves the right to refuse any applicant for any or no reason.

I agree that I will not make any claims against, sue or attach any property of Imagine Peace for Pups Rescue, Inc., its directors, officers, agents, employees, and/or volunteers for any injury or damage caused by any animal(s) adopted from Imagine Peace for Pups Rescue, Inc.

By submitting this application, I agree to all stated policies, releases, and wavers.

Do you agree to all terms stated above

Questions:

Signature

CAT Adoption Application Imagine Peace for Pups Rescue, Inc.