ADOPTION APPLICATION & CONTRACT

We are hoping to make a purrfect match. Please complete this application in its entirety. Incomplete applications will not be considered.

Name of Pet(s) you are applying for:

Reason for adopting:

Applicant's Name:

Cell #:

Address

Home Address

Street Address Line 2

City/State/Zip

Are you the legal owner of your home? yes or no (This will be verified through property records.)

Do you rent your home from someone else? (Permission to have animals will be verified.)

Email Address:

example@example.com

Employer's Name and Phone Number: (If you don't work, state currently unemployed, homemaker, etc. You will be asked during the phone interview how the animal will be cared for if you do not have employment.)

Your Position:

Driver's License Number and State of Issuance:

Number of Household Members:

Ages of all Household Members:

Number of Cats in Household:

Number of Dogs in Household:

Vet's Name and Phone Number: (If you don't currently have pets, list previous vet. If you've never owned a pet, please state so here.)

Please answer the following questions about your current pets. If none, please list past pets and enter "Past pet" after name. (If more than 4, we can collect information over the phone. This table has 8 columns to fill out. If completing on a phone, scroll or tab right to make sure all columns have been completed.)

Rows	Name of Pet?	Cat or Dog?	Age?	Indoor, Outdoor, or both?	Up to Date on Vaccines?	Spayed/ Neutered?	If cat: Tested for FIV/FeLV?	If cat: Claws on all Four Paws or Declawed?
Pet 1
Pet 2
Pet 3
Pet 4

Describe a typical day for your pets (additional space below):

Typical Day continued

May we contact you via email regarding upcoming events, fundraisers, and/or volunteer opportunities?

Initials: