Cat Adoption Application

CAT Adoption Application Imagine Peace for Pups Rescue, Inc.
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?

FacebookPetfinderFriendRescue RepresentativeOther
Please indicate reasons for wanting to adopt this cat*

Family PetCompanionMouserOther
Do you live in a*

HouseApartmentCondoManufactured Home
Do you*

OwnRent
Does your rental agreement allow pets?*

yesI don't knowconditionalOwner
What are the pet restrictions, if any?
May we contact your landlord?*

yesnoOwnerIf no, please explain:
Reason to not contact landlord:
Name of Landlord
Phone Number

Area CodePhone Number
Do you have a secure fenced yard

yesno
How long have you resided at this address?
Please check all that apply*

Busy household - children in and out a lot - visits by friendsNoisy - loud TV, music, children playing, barking dogs, machineryModerate - normal coming and goingQuiet - homebodies, come home, stay homeLots of children in the neighborhoodLive on a busy, fast paced street
Are there children living in the home*

yesno
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*

yesno
If yes, does everyone approve*

yesno
Does anyone living in your home have allergies to cats*

yesnoI don't know
Will your cat be:*

Indoor onlyIndoor/Outdoor (cat will come and go as it pleases)Outside onlyMainly indoor -outside on occasionIndoor with outside time supervisedIndoor only with enclosed patio/catio accessOther
If "other", please give more info
Where will your cat sleep*

cratepet bedwith ownerdesignated roomoutsidegaragepatio/porchwherever it wants
Where will your cat be when no one is home?*

free inside homecrategarageOutsideOther
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*

yesno
If so, names, ages, breeds:*
For current pets, check all that apply*

Up to date on vaccinesSpayed/neuteredLicensed in my countyCurrently on flea treatment
If not spayed or neutered, please provide the reason why?
Have you had any other pets in the last five years*

yesno
If yes, what happened to them or do you still have them?
Do you have any experience with the following*

Obedience trainingPotty trainingModifying behavioral issues
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?*

Two weeksA month or longerAs long as it takesOther
Under what circumstances would you feel it necessary to give up this cat

meowing/talkative catmovingcat damages propertycat becomes illpotty accidentsother
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*

yesnoI have questions that I will discuss with a rescue representative
Questions:
Signature*
Should be Empty:

CAT Adoption Application Imagine Peace for Pups Rescue, Inc.