Adoption Application

Application for (name of cat)

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.

Best time to call blanks

Email

example@example.com

Do you own or rent?

ownrent

If you rent, are you allowed to have pets?

yesno

How long have you lived at your current address?

Landlord/Management company
Contact info

Will your cat be:

indooroutdoorindoor/outdoor

If you have a terrace or balcony, is it enclosed?

yesnono terrace or balcony

Are all windows in your home screened?

yesno

What is the level of activity in your home?

very activemoderately activecalm

How many hours are you gone from your home per day?

How often do you travel?

Who will care for your pet when you travel?

Please list all people living in your residence including relationship and age.

Does anyone in your home have allergies to any animals?

yesno

If yes, who has the allergies and to what animals?

For whom are you adopting this animal?

myselfmy childrenas a gift

If you are adopting as a gift, please explain.

Who will be the primary caregiver and financially responsible for this animal?

If you become ill, who will take care of your pet? (please provide name, address, phone number)

Do you have any pets now? (please list type and age)

Are your cats declawed?

yesno

Do you plan to declaw this cat?

yesno

Are your pets current on their vaccinations?

yesno

Do your pets get along with other cats?

yesnodon't know

Have you given up any pets in the past? If yes, please explain.

Do you have a local veterinarian?

yesno

Do we have permission to contact your vet?

yesno

Veterinarian office and Vet's name
Street Address Address Line 2 City State Zip
Area Code Phone Number
Name veterinarian records are under?

Personal reference name   First Name   Last Name
Street Address   Address Line 2   City   State   Zip
Area Code   Phone Number

Occupation/Employer
How long employed there?
Employment reference contact infoFirst Name Last Name Area Code Phone Number

By submitting this appication you agree to the following:

You are at least 21 years of age.
All household members are part of the adoption decision process.
You have considered all responsibilities with pet adoption which is a lifetime commitment.
You are prepared for financial obligatons such as regular veterinary health maintenance or illness/injury which may occur in a pet's lifetime.
The information provided in this application is true and accurate to the best your knowledge.
Completion of this application does not guarantee the approval to adopt a cat from our rescue.
If application is approved, you will allow a home inspection.