Cat Adoption Application

Broken Promises Rescue

Cat Adoption Application
We are completely run by volunteers and receive dozens of applications a week. Those short listed will be notified. Thank you in advance for applying.

OUR ADOPTION PROCESS:

We are located in Victoria British Columbia. We are staffed entirely by volunteers and have no shelter or other facility. Our wonderful foster families care for all adoptable pets. If you are interested in adopting a pet, please read about our Adoption Process & Fees below for more information.

https://brokenpromisesrescue.wordpress.com/adoptions/adoption-process/

Helping Local and BC Animals

***We do not sell, rent or exchange any personal information collected from our site visitors that has been gathered online.
This questionnaire is designed to help Broken Promises Rescue find the best possible home for our adoptable cats and kittens. All adopting parties are required to complete this form prior to adoption.
Applicant Information
Name of the cat(s) you are interested in: *
Are you looking to adopt a pair or a single cat?*
Name

First NameLast Name
Partner

First NameLast Name
Your age: (must be 21 years of age)*
Partner's age:
**** Please be conscious of the “age” of the cat you are adopting as cats can live approx. 15 – 20 + Years ! Our hope is to home our animals for their entire “Life” in the home where we adopt them to.
Address*

Street Address

Street Address Line 2

CityProvince

Postal
Phone:*

Area CodePhone Number
Cell Phone:

Area CodePhone Number
E-mail:*
Confirm E-mail:*
2nd E-mail:
Employer/Retired/ Disability? If Employed who is your Employer ?:*
Household Information
Are all members of your household in agreement with this adoption?*

YesNoDon't Know (it's a surprise)
Who will be the pet's primary caregiver?*
Do you live in a*

HouseApartmentCondoMobile HomeTown HomeRV/TrailerOther
Do you own or rent?*

OwnRent
Are there any pet restrictions from your landlord?

YesNoOther
Landlords Phone: (to confirm Pet Policy)

Area CodePhone Number
How long have you lived at this current address ?*
Do you plan to move and if so when ?*
If you are moving please provide more information where and when ?
How many adults live in the home and and what are their ages?*
How many children are in your household?*
If children, what are their ages?
Have your children been around cats before?

YesNo
Does anyone in your home have allergies to cats or have asthma?*

YesNo
Do you agree to a Home Visit Prior to Adoption?*

YesNo
Are you chosing this pet for yourself ?*

YesNoOther
Current Pet Information
Do you currently have cats in your home?*

YesNo
If You have a cat now where does/will it spend its time?*

Inside OnlyIndoor/OutdoorOutdoor OnlyIndoor Only with Catio access or Harness Leash trainingOther
Please tell us about all the pets you currently have in the home (type, and age) If no pets put "none"*
How many of these pets are spayed/neutered?*
When was your pet last at the vet and how often do you take them?)*
Please provide the name and phone number of your current and/or previous veterinarian:*
Do you give us permission to Call your vet for a reference?*

YesNo
Which Vet clinic Do you plan to take your new pet:*
Previous Pet Information
List any pets you own or have owned in the past, and their ages (do not include childhood pets)*
Where are these animals now?*
Have you adopted before?*

YesNo
If yes, what Organization or was it a private adoption?
New Cat Information
Why do you want this new cat ? *
How many hours each day will your new cat be home alone? (please put the hours each day on average *
Where do you plan for your new cat spend it's time? (once settled in the future):*

Inside OnlyIndoor/OutdoorOutdoor OnlyIndoor Only with enclosed Catio accessOutdoor on a Harness/Leash ONLYOther
Would you allow the cat to go outside in the future?*

No this cat will be 100% inside onlyI am considering itI am still not sureI am "hoping" to do this but fine with not doing it if the cat isn't happy with it.Yes I need a cat who will be able to do this as this is something I wantI would like the cat to come out in the yard with me (Please explain below)The cat will only go out with me on a harness and leashOther
Please provide more information if you are considering having the cat outside at all what are your plans?
Will your cat have access to a patio?*

Yes Will have access to patioNo will not have access to patioThe patio is 100% enclosed by glass, or wire with full Sides and Roof. No part is open to the outside.The patio is only partially enclosed (please explain below)Other
Please describe in full. Is it 100% enclosed or open to the outside at all ? Is it waist high and open above the waist?
If you have a Cat enclosure or Catio. PLEASE provide full details with where it is, how it is built and if any part is open to the outside and how the cat will access it?
Do you have windows without screens ?*

YesNoGetting Screens soonOther
Do you have plants in the home that are Toxic to animals ? If so what are your plans for these plants if you get a cat? *
Where would your cat be kept when you are out or at night*
The average North American family spends $1000 per year on food, supplies, and annual vaccines for each of their pets. Are you prepared for this financial responsibility?*

YesNo
Almost every pet will require some form of veterinary treatment during his or her lifetime. Are you prepared for any unexpected financial responsibilities that may occur?*

YesNo
What would be the maximum amount that you would be able/willing to spend on a unexpected veterinary bill? *
How much are you prepared to spend in ONE YEAR for your pet (This Includes food, supplies, toys and vet visits etc.)*

$5-$100$100-$300$300- $500$500-$1000What ever is needed we are prepared financially
How much are you prepared to spend in the event your cat gets sick and requires urgent vet care*

$5-$100$100-$300$300- $500$500-$1000What ever is needed we are prepared financially
How often Will you take your pet to the vet ?*

If Signs of Illness or InjuryWhen Vaccines are DueYearly for an exam
Are you planning to get pet Insurance?*

YesNoNot sure yetI am prepared financially without insurance
Are you willing to work through your new pet's issues, if any?*

YesNo
What behaviors are you not willing to tolerate? Or Why would you need to rehome?*

AggressionMovingTravelScratchinglitter box issuesCost of careSheddingBitingChange in living conditionsBehavioural IssuesDoes not get along with other petsThere is nothing I wouldn't be able to handle and wouldn't need to rehomeOther
Why do you want this pet?*

Companion for youA GiftCompanion for other petTeach kids responsibilityRodent ControlBarn cat
What are your plans with your Pet when you travel or go on Vacation ?*

Take with meI take to a Pet Sitters home or Boarding FaciltyI have a pet sitter/Family/Friend take care of the cat in our home
If you take your cat with you on Vacation Please explain more

We visit family and the cat is welcomeWe camp and Plan to take our catWe travel and stay in Hotels that accept cats
Who would you contact if you needed advice regarding your cat(s)?*
Where do you plan to purchase your pet food ?*

Pet StoreGrocery or Box StoreVet officeMake your ownOther
Do you Plan to Feed Dry food ?*

YesNo
What Brands of Dry Would you Feed ?*
Do you Plan to Feed Wet food?*

YesNoOther
How often will you give Wet food ?*

Once a DayTwice a DayThree Times a DayMultiple Times a DayOther
What kind of Wet food are you planning to Feed? Please be specific what possible Brands and Types
Are you willing to purchase special food if needed if your new pet has a preference to a special food ?*

YesNoOther
How would you deal with and discipline your cat from bad behaviors like spraying or scratching*
How long do you expect to have your pet ? Please note cats can live anywhere from 15-20+ years*
Do you have a back up plan in place should you not be able to care for this animal or pass away? Please let us know what your plan is!*
Have you ever surrendered or had to give up a pet before ? please explain*
What will you do with this pet if you have to move?*

Take with meFind a New homeGive to the SPCAGive to a friend/FamilyReturn it to BPROther
Please tell us why you think you would be a good home for this pet ?*
Do you agree to pay an adoption fee and have you read about our Adoption Process and Fee's ?https://brokenpromisesrescue.wordpress.com/adoptions/adoption-process/*

YesNoOther
How did you find out about Broken Promises Rescue?*

FacebookFriend/Family MemberWebsiteOther
If you heard about us from someone you know please tell us who !
Agreement & Signature

Broken Promises Rescue attempts to give an honest evaluation of any cat based on our assessment or that of the source. Should you encounter any behavourial concerns, please contact us so we are able to work together to resolve the issues.

All applications are evaluated without bias. We evaluate based on the needs of the cat. Applications are not guarantee of acceptance. Any falsehoods will be automatic disqualification.

Thank you for wanting to opening your hearts and home to one (or two!) of our amazing cats! We appreciate your application and ask for your patience as we work through the applications. We are 100% volunteer run so we try to get back to you as soon as we can.
I understand that I assume full responsibility for the welfare of this pet from the date of adoption.

By submitting this application, I affirm that what I have submitted is truthful and complete. I also understand and agree to the policy as outlined in this document.
I Affirm all Information is true and compete. My Name is:*

First NameLast Name
Should be Empty:

Broken Promises Rescue

Applicant Information

Household Information

Current Pet Information

Previous Pet Information

New Cat Information