CLP Animal Rescue adoption Application

Is anyone in your immediate family allergic to cats? (cats only)*

YesNoUnknown

Past Pet Experiences: Have you ever had pets before? If so, please list their names, and species,you have had in the last 20 years*

List Current Pets (name, species and age) *

Are your current pets up to date on vaccinations?*

YesNoCurrently have no cats or dogs

Are are your current pets spayed/neutered?*

YesNoN/A

Have you ever had to rehome a pet before?*

YesNo

If yes, please explain the circumstances.

Who will be the primary caregiver of the pet?*

Is someone normally home during the day?*

YesNo

If no, how many hours will the pet be left alone?*

Where will the pet spend the day when left alone?

Where will the pet be allowed to sleep?

Are there any areas in your home that will be off limits to your pet?*

YesNo

Do you have a screened in porch?

YesNo

Do you have a fenced in backyard? (dogs only)

YesNo

If yes please explain (obviously kitchen table, counter tops, etc are off limits)

Do you have someone that can take the pet(s) while you are on vacation, in case of an emergency, or should something happen to you or a family member?*

YesNo

Full name and their relationship to you *

Phone Number for emergency contact *

Please enter a valid phone number.

What would you do with your pet if you suddenly had to move?*

If something were to suddenly happen to you, do you have someone whom is willing to take on the responsibility of your pets?*

YesI’m not sureNo

VET & PERSONAL REFERENCES Who is or will be your veterinarian? *

What is the practice or clinic name?*

Phone Number

Please enter a valid phone number.

Please list at least 1 and up to three personal references (not a co applicant or emergency contact) that can vouch for your ability to be a proper pet owner, Full and phone number:*

We have committed a great deal of time, effort, and love in preparing these animals for their new homes and take their adoptions seriously. These furbabies are our babies.

We absolutely do not believe in declawing. We will teach you how to trim nails. Please sign *

We sometimes require home visits as part of the application process. If 24 hours notice is given, will you be okay with one of our representatives coming over for an inspection

YesNoVirtual visit

Most of our cats that came to us from the outside were from situations where they could not be returned. We have spent a great deal of time adjusting them to life as an indoor cat ONLY. Do you agree to honor this by keeping this cat as an indoor cat (fully enclosed and attached porches are considered extensions of the inside)?*

YesNo

** If you wish to have an indoor/outdoor cat for your barn, warehouse, or working
environment, please let us know. We will find you a suitable “working” cat instead. **

Are you aware that some rescue pets have been abused and/or neglected, and need extra attention or training?*

YesNo

Are you committed to working with the cat on ITS timeline?*

YesNo

Are you prepared to make the financial, emotional, and medical commitment to this animal for the rest of its life, understanding that this may be for 20+ years?*

YesNo

Are you willing to spend the time brushing and grooming a pet?*

YesNo

Are you prepared to take their needs into consideration when making decisions that affect your life (such as present/future life partners, having children, moving, etc)?*

YesNo

By signing you acknowledge that you have filled out this form to be true Applicant *

Date*

Date

Co applicant

Adoption application

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