Carbon Cat Rescue

Name of cat you're interested in adopting
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you 18 and older?

YesNo
If you're interested in one of our special needs cats, are you aware of their different requirements?

YesNoN/A
Do you own or rent your current residence?

OwnRent
If renting, what's your landlords number?

Area CodePhone Number
Do you have children? If so what are their ages?(Some of our cats/kittens are not good with children.) This is why we ask.
Where will the cat spend most of its time?
Will this cat be left outside?
Who will be primarily responsible for the cat?
Does your home have a dog or cat door?
Do you currently have any other pets?

YesNo
Please list current pets in home.
Are your current animals up to date on vaccinations?
Are these animals spayed/neutered?
List the last two animals you have owned and what happened to them.
How many hours will this animal be left alone?

Less than 44-810+
Are you aware of the cost to maintain a pet?
Do you plan on Declawing?
Have you ever surrendered an animal to a shelter or rescue?
Is anyone in the household allergic to animals?

YesNo
If you have surrender an animal. Please describe why.
What will you do with the cat if you can no longer care for it?
Why are you adopting this cat?

Family petBarn CatCompanionGiftOther
Please list your Veterinarian Name & Number. If you do not have one please find one to list.
Do you agree to give the cat back to us, if for any reason at any time you are unable to keep her/him?

YesNo
Do you have any questions?
Are you okay with the rescue doing a home check?
I acknowledge and agree with the above statements. Signature

Clear
Application are not first come first served. We pick the best applicant for each of out rescue cats.
We will not hold on to a cat with out payment.
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