Feral Cat Rescue Adoption Application

ADOPTION APPLICATION

It is Feral Cat Rescue (FCR) policy to attempt to place each of our rescued animals in a home that is wellsuited to their needs. Once an animal is placed from our rescue, the animal cannot be sold, given away, or otherwise transferred. If the adopter is, at any time, unable to keep or continue to maintain the animal for any reason, the animal must be returned to FCR.

FCR reserves the right to deny adoption to any applicant based on findings during our adoption process.

GENERAL INFORMATION
Cat You Are Interested In
If you are undecided, leave blank.
First, Middle, and Last Name of applicant*
Applicant Date of Birth*

MonthDayYear
Date
Applicant E-mail*
Applicant Driver's License Number and State*
Applicant Cell Phone Number*

Area CodePhone Number
Applicant Employer Information*
Is there a Co-Applicant?*

YesNo
Co-Applicant First, Middle, and Last Name
Co-Applicant Date of Birth

MonthDayYear
Date
Co-Applicant Email
example@example.com
Co-Applicant Driver's License Number and State
Co-Applicant Cell Phone Number

Area CodePhone Number
Co-Applicant Employer Information
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Are you or your spouse in the military?*

YesNo
If so, when you are to be transferred?

ABOUT YOUR HOME
Do you:*

RentOwn
If renting, does your lease/landlord allow pets?

YesNo
Landlord Contact Information
Please list all adults who live in the household and their date of birth:*
Please list all counties and states you have lived in the past 10 years:*

PET HISTORY
Do you currently own pets or have you had pets within the last 5 years?*

YesNo
Please list all pets you've had in the last 5 years
Has a dog/cat ever been stolen, lost, or die prematurely? If so, please explain.*
Has it ever been necessary to sell or give a pet away? If so, please explain.*
Have you ever surrendered a dog/cat to a shelter? If so, please explain.*
Have you ever euthanized a pet? If so, please explain.*

OTHER INFORMATION
If you are unable to keep this pet, you will be responsible for ensuring its safe return to FCR. If you are living outside the area, all travel costs will be the adopter's responsibility. Are you willing to accept this responsibility?*

YesNo
If the cat must be on a prescription diet, and/or need daily medication, would you be willing and able to bear the added expense required to obtain the food and/or give the medication?*

YesNo
May a representative from our organization conduct a pre—and/or post—adoption home visit?*

YesNo
Should something happen to you, do you have someone who would provide a home for your cat?*

YesNo
If so, provide their name and phone number:

SUMMARY AND SIGNATURES
Please read the following carefully.

Cats and kittens shall be kept as inside pets only and should not be declawed.

By signing below, I am attesting to the truthfulness of my answers. Falsification of any of the above information will be grounds for rejection of this application and possible removal of adopted cat or dog from my home. I consent to FCR representatives
discussing information on this application with any persons named on this application. Applicants must be 18 years or older. FCR reserves the right to refuse any applicant for any reason. All completed applications become property of FCR.

I give FCR permission to fully investigate the information provided as well as contact veterinarians and related officials. If the application passes this review, I agree to a home visit (if requested) on a mutually agreed date by an FCR representative before an adoption decision is made.

Furthermore, I understand and accept that the adoption decision depends upon many factors, including – but not limited to – the compatibility of the family and home to the individual animal and other applications received on the animal. I understand and accept that it is FCR’s prerogative to decide which home is most appropriate for the individual animal, and therefore I will not take issue with the decision. Unless otherwise indicated by FCR, I may be considered for another animal.
Signature of Applicant*

Clear
Should be Empty: