EBCP Adoption Application

Adoption Application
Please complete all questions to the best of your ability. We want to ensure the best matches for our animals as well as for your family. Failing to answer questions may disqualify your application.

To adopt an animal you:
- Must show current identification with present address.
- Must be at least 21 years of age.
* We take the adoption review process very seriously. We understand this is a long form to fill out at one time. At any point, you can save your form progress and come back later, by scrolling to the end and selecting SAVE, next to the SUBMIT button.

You will get a special link sent to the email you entered in the form, or you can select the Get shareable link button, once you select SAVE.

Do not close the browser window until the form is complete and ready to submit, or you have selected SAVE, at the bottom, and have received your special link.
Contact Info
Main Applicant Name: *

Prefix First Name Middle Name Last Name
DOB: *

Month Day Year
Age: *
Address: *

Street Address

Street Address Line 2

City State

Postal / Zip Code
Home Phone: *
Cell Phone: *
Work Phone: *
Email: *
example@example.com

Co-applicant Info (Spouse or significant other)
Co-applicant Contact Info
Co-applicant Name:

Prefix First Name Middle Name Last Name
Co-applicant Relationship:

Parent Relative Spouse Friend Other
Co-applicant Phone:

Main Applicant Cont.
Best way to reach you: *

Home Cell Work Text Email Other:
Time frame for adoption: *

Immediately A few days Other
Work status: *

Employed full-time Employed part-time Self-employed Retired Dependent on guardian or spouse SSI/Disability Student Unemployed Other
Are you or your spouse active in the military?

Yes No
Is there any chance of deployment or relocation?

Yes No
Reason(s) why you want a cat? *

Companion for me Family pet For an adult member of my household For a child in my household Gift or surprise for someone not in my household Playmate for current cat Playmate for other animal Other:
Have you ever been personally responsible for a pet before? *

Yes No
I’m interested in: *

Cat Kitten over 6 months Kitten under 6 months
Animal Name (optional):
Home Life:
Your current residence: *

Apartment House Mobile Home Other
How long have you lived there? *

Less than 1 year 1-3 years 3-6 years 6+ years
How many times have you moved in the past 5 years? *
Do you own or rent your home? *

Own Rent Other
If you rent, we must confirm that you are allowed to have pets.
Owner, landlord, or leaseholder name:

First Name Last Name
Owner, landlord, or leaseholder phone:
Is there a fee to have a pet?

Yes No I don’t know
Name(s) and age(s) of household members (besides yourself): *
How would you describe your household? *

Busy Quiet Other
Is any member of your household allergic to cats? *

Yes No I don't know
Do you or any member of your household smoke? *

Yes No
Cats are extremely sensitive to second-hand smoke, some essential oils, incense, perfume, household cleaning products, and other substances that may be in their environment. Please consult your veterinarian before using or continuing to use potentially harmful products in your home.
Current and Past Pets:

	Name	Type of animal	Age	Time in your care	Alive/Deceased	Spayed/Neutered
1
2
3
4
5
6
7

Are your pets up to date on their vaccinations?

Yes No
When were your cats last tested for the Feline Leukemia Virus?

Within the year Within the past few years 3+ years Never Other
Are any of your cats declawed?

Yes No
If yes, why?
Have you ever lost a pet due to an accident or illness?

Yes No
If yes, please describe what happened:
Do your cats go outside?

Yes No
If Your Application is Approved:
What will you feed your cat? *
How often will you feed her/him? *

Once a day Twice a day As often as recommended Anytime they ask
How often will you change her/his water? *

Daily Other
Where will the cat spend its time? *
Where will s/he sleep? *
What places will be off limits? *
Are you financially able and willing to provide annual checkups, vaccinations, and necessary medical care? *

Yes No I don't know
How much do you think you will spend on supplies and vet care each year? *

Less than $100 Less than $1,000 More than $1,000 Other
Do you have a way to cover vet expenses in an emergency situation? *

Yes No
If no, please explain: *
How often do you anticipate taking your cat to the vet? Check all that apply. *

Yearly or as recommended When necessary In the event of an emergency I don't plan to go to the vet Other
Will you let her/him outside? *

Yes No It depends
If it depends, please explain):
How do you feel about declawing? *
Have you ever lost (could not find) a pet?

Yes No
If yes, what did you do?
In the event that this cat gets lost, what steps would you take to find her/him? *
We understand unexpected circumstances may arise. Which of the following, if any, would cause you to give up your cat? *

Allergies Allergies: life-threatening only Marriage or divorce New baby or relationship Pregnancy Moving Child lost interest Didn’t “connect” with cat Don't have enough time Illness or death in family Litter box misuse/aversion Aggressive behavior Destructive behavior Scratching furniture Conflict with other pets Cat's health Too expensive Too much responsibility Cat got too big Excessive shedding Cat doesn’t like to be held None of the above Other:
Have you ever given up or returned a pet for any reason? *

Yes No
If yes, please explain the reason:
How long are you willing to allow the new cat to adjust? *

1-7 days A few weeks A few months A few years Indefinitely
How will you introduce the new cat to current pets?
Do you have a room in your home where the cat can be kept isolated from current pets until it acclimates to your family and home? *

Yes No
If yes, please describe the location(s):
Many people do not make formal plans for their pets in case of death or long-term incapacitation. They may expect a family member to assume responsibility for their pets in such a situation. This results in many animals ending up at shelters and losing their lives.
Please describe any provisions you have made for your pets in the event of an emergency or change in your ability to care for them: *
Have you or anyone in your household ever been convicted of animal abuse or neglect, or are any such charges currently pending? *

Yes No
Do you have any adoption applications pending with other groups? *

Yes No
Are you aware of our adoption fee and procedures? *

Yes No
Questions, concerns, or additional comments:
Two References:

Please provide two personal references who are not part of your household.
First Reference Name: *

First Name Last Name
First Reference Relationship: *

Parent Relative Spouse Friend Other
First Reference Phone: *
Second Reference Name: *

First Name Last Name
Second Reference Relationship: *

Parent Relative Spouse Friend Other
Second Reference Phone: *
Veterinarian Info:
Veterinarian Clinic/Hospital:
Veterinarian Name:
City:
Phone:
How many years have you used this veterinarian?

Less than 1 year 1 to 3 years 3 to 6 years 6+ years
By signing this form, I acknowledge that all information on this form is true and correct. I understand that any misrepresentation of fact may result in The Euclid Beach Cat Project (“EBCP”) refusing adoption privileges to me. If my request for adoption is approved and later EBCP discovers the above information is not true, whole or correct, EBCP reserves the right to remove the adopted cat(s) from my home.
Your Name: *

First Name Last Name
Your Signature: *

Clear
Co-applicant Name:

First Name Last Name
Co-applicant Signature:

Clear
Should be Empty:

Adoption Application

To adopt an animal you:

Contact Info

Co-applicant Contact Info

Home Life:

Current and Past Pets:

If Your Application is Approved:

Two References:

Veterinarian Info: