Full Name
*
First Name
Last Name
Phone Number
-
Area Code
Phone Number
E-mail
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you 18 years of age or older?
*
Yes
No
Which of our adoptable animals are you interested in adoption? If one were not to be available are you interested in learning more about our other adoptable animals?
Do you own your own home?
*
Yes
No
If not, what is your landlord's policy on pets?:
Type of Dwelling:
*
Please Select
House
Apartment
Condo
Mobile Home
Are you planning on moving within the next 6 months?
*
Yes
No
What are your plans for your pets if you move?
Do you have any special home situations that should be taken into consideration when matching an adoptable animal to your house?
Young children
Elderly family
Loud and fast environment needing confident pet
Large dogs never having been around cats before
Other
What is your reason for wanting to adopt a cat?
*
Housepet
Mouse Patrol
Companion
Companion for pet
Gift
Other
If other, please explain:
Do you understand that any cat or kitten adopted from Yelp 4 Help Rescue is INDOOR ONLY?
Are you planning on declawing your new cat or kitten?
*
Yes
No
Maybe
Are any members of your household allergic to animals?
*
Yes
No
If yes, please describe:
Please list any current animals in your home:
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?
*
Yes
No
N/A
If no, please explain:
Are your present pets spayed or neutered?
*
Yes
No
N/A
If no, please explain.
Who is your primary veterinarian for your current pets? Please list name and phone number.
Please List one Personal Reference
First Name
Last Name
Phone Number for Personal Reference
-
Area Code
Phone Number
If your cat displays behavioral problems (such as poor litter box habits, inappropriate scratching etc.) how would you go about correcting the behavior?
*
Work with them on training
Rehome them
Other
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)?
*
Move box to new location
Try a different litter
Clean box more often
Have cat examined by vet
Use a cat door
Return Cat
None
Other
If other, please explain:
Are you prepared to commit to a pet for 15 - 20 years (average life span)?
*
Yes
No
Are you able to provide your new pet with veterinary care if they were to become ill and need to be seen?
Yes
No
Can't afford
Do you understand that this application is not a guarantee of adoption of the animal you are applying for?
Please Select
Yes
No
All our animals over 4 months of age are adopted out already fully vetted (fixed/microchipped/vaccinated/combo tested). Do you understand that if you choose to adopt an animal under age for being fixed and booster vaccinations that this care is included in the adoption fee and adopter will have the responsibility of working with rescue on setting up the appointment for adopted animal to be fixed once age appropriate and to finish out booster vaccination at the closest low cost location to adopter?
Part of our adoption process is a home visit, do you agree to this? (Depending on location this may be completed virtually)
*
If there is anything else you think we should know, please note it here.
Submit Adoption Application
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