WDDMDR:Dog Adoption Application

White Diamond Double Merle Dane Rescue Association-Cat Adoption Application
Sumitting this application does not mean you are commiting to a particular cat, nor does it guarantee you will get that cat. It is simply a tool we use to help both you and us identify a good potential match for your family and lifestyle.

A successful adoption depends on selecting the right cat for your household and a good understanding of the cat's needs and care requirements. Please help us with this process by answering the following questions fully & completely. There is a $25 application fee which will be used towards our rescue dogs/cats needs. If the fee isn't paid, your application will not be processed. THANK YOU!
How did you hear about us? *
Name of the cat you want to adopt *
Adopter's Name *
First & Last Name
Co-Adopter's Name
First & Last Name
Address *

Street Address

Street Address Line 2

City State

Zip Code
What County do you Reside in? *
Adopter's E-mail *
Phone Number *

Area Code Phone Number
Phone Type *

Cell Home Work
Best Day/Time to Contact you: *
Names and ages of all permanent residents of your home (adults/children) *
Do you currently have any pets? *

Yes No
If you currently have pets, please list them below.
Are your current pets altered?

Yes No Will be within the next 30 days, appointment has been scheduled. (We will call your vet to verify this.)
If your current pets are not altered, please explain why below.
Have you ever sold, returned, rehomed, or given away a pet? *
If yes, Please explain
Vet reference (please call your vet and give permission to release information to us) *
Vet name, address & phone number
Two Personal References *
When will you be ready to adopt this cat? *

Today This weekend Within a week Within a month Not ready yet, just researching
Are you in contact with any other rescues or shelters about a specific cat? *

Yes, application is pending Yes, just an email inquiry, no app yet No, but I am looking at several cats online No, I am only interested in this particular cat
Are you going to meet another cat? *

Yes No
Is anyone in your home allergic to cats? *

Yes No
I/We live in a *

Single Family Home Duplex/Twin Condo/Townhome Trailer Apartment
Do you rent or own this property? *

Rent Own
Renters, have you contacted your landlord to find out if you are allowed to have a cat?

Yes No Not yet, but I will It's written in our lease
If you rent, you must show us a written letter from your landlord or a copy of the section of your lease stating that you are allowed to have a cat.
Approximate square footage of your home *

Less than 800 square feet 800-1,000 square feet 1,000-1,500 square feet 1,500-2,000 square feet Over 2,000 square feet
Do you work outside the home? *

Yes No One applicant is home/works from home We work different shifts
If you both work outside the home, how many hours per day are you away? *
Is everyone on board with adopting a cat? *

Yes No It's a gift Still trying to talk them into it
Upon meeting the cat, what would give you cause to not want to adopt it? Please explain. *
Do you plan on declawing?
Where will the cat spend most of it's time?
How much do you feel you can reasonably afford and would be willing to spend on your cat per year (for things like veterinary care, food, toys, other supplies, pet sitting, etc)? *
Please check all that apply. I want to adopt this cat... *

As a family pet To interact with lots of friends/family As a gift for a friend, partner, or family member As a companion for my dog(s) As a companion for my cat(s) As a companion for my child/children
Please check all that apply. My adopted cat will... *

Be kept outside most of the time Be kept indoors most of the time Be left outside during the work day while we are away Be kept inside while we are away Be mostly interacting with adults Be interacting frequently with children under 8 Be interacting frequently with older children Be boarded when we go on vacation Stay with family when we go on vacation Be given away to someone else if we feel it's not a good match for us Be turned in to a shelter if we can't keep it
What would cause you to return a cat? *
What would you do if you discovered after adoption (at any time during the life of the cat) if your vet diagnosed an expensive health condition? *
Do you plan to get pet health insurance? *

Yes No I wasn't aware this was available. I will look into it.
What brand of cat food do you plan to feed? *
How long have you been looking for a cat? *
Do you have any additional comments, questions or concerns?
I understand that completing this application does not guarantee I will be allowed to adopt a cat, and that the application is a tool to help WDDMD Rescue determine if this cat and my family are a good fit for each other. I acknowledge that all information provided on this form is true and correct. I understand that any misrepresentations may result in my not being approved and/or removal of the adopted cat from my possession. I also certify that I have never been convicted of animal cruelty or neglect.

I agree to allow a representative from WDDMD Rescue to contact my vet for a reference. If I am approved to adopt a cat, I agree to pay a non-refundable adoption fee and hand sign an adoption contract at the time of adoption.

I understand that all cats adopted from WDDMD Rescue will be returned to WDDMDR if I am no longer able to keep the cat. The ownership of the cat once adopted cannot be transferred to another person or organizaion.

Cat adoption fee is $100.
Please read the above, check this box, sign, and click Submit. *

I/We have read and understand all of the above.
Applicant's Signature *
Co-Applicant's Signature
Signature date *
After you submit this form, it will take you back to the WDDMD Rescue home page. Feel free to email us with any questions:

Contact-Whitediamonddanes@gmail.com

Renters: Please send a copy of the pet section of your lease or a landlord pet permission letter to the email address above.

WDDMD Rescue reserves the right to reject any application based on information obtained during this screening process. Please understand that our primary goal is the health, happiness, and safety of our rescued animals.
Application Fee/Donation *

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USD Application Fee/Donation
**APPLICATIONS WILL NOT BE PROCESSED WITHOUT THE $25 APPLICATION FEE**
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White Diamond Double Merle Dane Rescue Association-Cat Adoption Application