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:*
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 Home
Do you own or rent?*

OwnRent
Are there any pet restrictions from your landlord?

YesNo
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
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 ?*

YesNo
Current/Previous 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 training
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?)*
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 group?
Please provide the name and phone number of your current and/or previous veterinarian:*
Which Vet clinic Do you plan to take your new pet:*
Cat Information
How many hours each day will your new pet 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):*

Inside OnlyIndoor/OutdoorOutdoor OnlyIndoor Only with enclosed Catio access
Would you possibly 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)
Will your cat have access to a patio? If yes please describe and is it enclosed or open to the outside at all ? Please go here to view what we mean by Patio's or Balconies before answering (copy and paste in your web browser to view) https://brokenpromisesrescue.wordpress.com/enclosed-deck-vs-open-deck/*

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)
If you have a catio or enclosure 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 soon
Where would your pet be kept when you are out or at night*
Are you willing to work through your new pet's issues, if any?*

YesNo
How much are you prepared to spend in one year for your pet (food, supplies, toys, 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 pet 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
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 pets
Why do you want this pet?*

Companion for youA GiftCompanion for other petTeach kids responsibilityRodent ControlBarn cat
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 own
What kind of food are you planning on feeding your pet ? *** Please be specific if you are feeding Wet and Dry and Brand Names of both!!! *
Are you willing to purchase special food if needed if your new pet has a preference to a special food ?*

YesNo
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 something happen to you and you can no longer care for the animal?*
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 BPR
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/*

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

FacebookFriend/Family MemberWebsite
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.
Should be Empty:

Broken Promises Rescue

Applicant Information

Household Information

Current/Previous Pet Information

Cat Information