Ark of Redemption Adoption Application Form

Email: redemptioncatrescue@yahoo.com Phone: 614-356-5555

Which cat would you like to adopt and why?

Name

First Name Last Name

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.

Email address

example@example.com

Homeowners/renters insurance company

Age of Applicant

Employment/Occupation of Applicant

Number of persons in your household

Do you own or rent your home?

Is it a house or condominium in a multi unit building?

Live in college dormitory

Live with parents

Does your lease or homeowner's association restrict pet ownership?

Is your yard fenced?

Are you prepared to make a commitment to care for this cat for the next15 20 years?

Are you committed to finding a home where you can keep this cat if/when you move during the next 15 years?

Are you financially prepared to deal with the cost of both routine (vaccinations, annual examinations, dental cleanings, heartworm treatment, etc.) and non routine/emergency veterinary care of this cat?

How much do you expect to spend annually to care for your cat?

How many hours during the day will your new pet be alone?

Where will your new pet sleep?

Where will the cat spend the day?

Who will have primary responsibility for the care of the cat?

CARE AND RESPONSIBILITY

What animals currently live in your household? (Please list type of animal, sex, age and how long you have owned them

Are these pets housed inside or outside? (Please explain)

What pets have you had in the past? (Please list type of animal, how long owned and what happened to the pet).

Cats are not as playful as dogs. They do not like to be chased, harassed, or constantly stroked as it over stimulates their senses. If you have young children, will this be an issue educating them?

How did you hear about the Ark of Redemption?

VET INFORMATION

Name

First Name Last Name

Phone Number

Please enter a valid phone number.

REFERENCES

Name/Relationship #1

Phone Number

Please enter a valid phone number.

Name/Relationship #2

Phone Number

Please enter a valid phone number.

Name/Relationship #3

Phone Number

Please enter a valid phone number.

All the information that / have provided above is true and complete to the best of my knowledge. Should a cat be placed with me, it will reside in my home as a pet. / agree to provide the cat with adequate food, water, shelter, affection, and medical care.
All animals in the household must be up to date on all shots, flea, and heartworm treatments. / agree with all previous statements and acknowledge that all the information have provided is true.

How would you like us to contact you?

Signature

Clear

Date

ADOPTION APPLICATION FORM

PERSONAL DETAILS

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