Cat Adoption Form

Full Name*

First NameLast Name

Phone Number*

Area CodePhone Number

E-mail*

Are you 18 years of age or older?*

YesNo

Birth Date*

MonthDayYear

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Do you own your own home?*

YesNo

If not what is your landlords phone number

Area CodePhone Number

Type of Dwelling:*

Are you planning on moving within the next 6 months?*

YesNo

If yes, what are your plans for your pets if you move?

If other, please explain:

What is your reason for wanting to adopt a cat?*

If adopting a kitten, where would the kitten be kept when alone?

Are you planning on declawing your new cat or kitten?*

YesNoMaybe

Are your current cats declawed?*

YesNoN/A

Are any members of your household allergic to animals?*

YesNo

If yes, please describe:

Is this cat a gift?*

YesNo

Who will be the primary caretaker?*

MeA friendA family member

Are there any children in your house?*

YesNo

If yes please list ages

Over the past 5 years, how many pets have you owned? (Include current pets)*

Please list breed, age, if they're still living with you? (if not, why?)*

Have you ever lost or given away a pet?*

YesNo

If you currently own a dog or cat, how does he/she react to new cats?

Are your present pets up-to-date on their annual vaccines?*

YesNoN/A

If no, please explain:

Are your present pets spayed or neutered?*

YesNoN/A

If no, please explain.

Were your previous pets spayed or neutered?*

YesNoN/A

If no, please explain.

If your cat displays behavioral problems (such as poor litter box habits, inappropriate scratching etc.) how would you go about correcting the behavior?*

Contact a ProfessionalUse a bookPersonal KnowledgeOther

If other, please explain:

What type of solution would you be willing to try if housebreaking accidents continue after the first week (check all that apply)?*

If other, please explain:

What brand of cat food do you plan on feeding your new cat?*

Are you prepared to commit to a pet for 15 - 20 years (average life span)?*

YesNo

Where will your cat spend most of his/her time?*

If you selected outdoor, would your cat be supervised?

YesNo

If there is anything else you think we should know, please note it here.

By clicking the submit button, I agree to Orchid Acres Farm and Rescues adoption process.

By clicking the submit button, I understand Orchid Acres Farm and Rescue assumes zero responsibility for the health of the animal once it is placed in your possession
By clicking the submit button, I understand there is an adoption fee associated with adoption of a pet from Orchid Acres Farm and Rescue. I understand this fee will ensure the organization is equipped to rescue another pet and is non-refundable
By clicking the submit button, I understand there is no "cooling off" period, and that if I no longer want or can no longer care for my adopted pet, I agree to notify Orchid Acres Farm and Rescue BY TEXT and provide a 14 day period to allow Orchid Acres Farm and Rescue to make arrangents for my pet to be taken back into rescue.
By clicking the submit button, I agree to indemnify and hold harmless Orchid Acres Farm and Rescue against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet, once adoption has been completed.
By clicking the submit button, I understand that if I no longer want my pet, or am no longer able to care for my adopted pet, I will be directed to surrender my pet to Orchid Acres Farm and Rescue and provide transport to where Orchid Acres Farm and Rescue deems appropriate.
By clicking the submit button, I verify all of the above information is true and accurate.

Signature