NC Paws Rescue Application for Adoption

Date

Name

First NameLast Name

Age

Address

Street Address

Street Address Line 2

CityState

Zip Code

Please list the name(s) and relation of all adults living in the home (enter N/A if no other adults):

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Do you live in a:

Do you:

If renting, please list your landlord name and number

Which cat are you interested in?

Microchip Number

Have you adopted from NC Paws Rescue before?

Do you plan on moving in the next 6 months?

Do you have children living at home? If yes, please list ages.

Does anyone in the household have allergies?

Who will be responsible for the care of this cat? Please list responsibilities involved in caring for the cat.

How much time will you spend with this cat?

What attracted you to this particular cat?

Do you plan to declaw this cat?

Are there other pets in your house? If so, please list names,breed & ages.

Have you lived with cats before?

Have you ever had a cat with behavioral problems, such as failing to use the litter box, shyness (hid a lot), played rough, nipped when petted, people/pet aggressive, etc? If so, describe below and actions taken.

This cat will stay:

Do you have arrangements made for the care of this cat in your absence?

How long do you plan to provide a home for this cat?

How much do you think it will cost each month for the basic care of this cat?

What veterinary hospital do or will you use? Enter name and number. If you do not currently have a preferred vet, please enter N/A.

May a NC Paws Rescue representative visit your home in the future?

I certify the answers provided are true and correct. I understand if any false information on this application will make it null and void. I acknowledge this application does not guarantee approval for adoption.

Signature

Adoption Application