Feline Adoption Application

Please verify that you are human*

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Home Phone

Please enter a valid phone number.

Cell Phone

Please enter a valid phone number.

Email

example@example.com

Please list 2 personal references (outside of your household)

First Name   Last Name   Area Code   Phone Number

First Name   Last Name   Area Code   Phone Number

Are current pets up to date on vaccinations and monthly preventatives?

Veterinary Reference

First Name Last Name Area Code Phone Number

What type of residence do you live in?

Do you own or rent?

Landlord

First Name Last Name Area Code Phone Number

If renting, what is the pet policy at your residence?

Will cat/kitten be indoor, outdoor or both?

If outdoor, please describe what shelter you will provide

What is your main reason for adopting a cat/kitten?

How many people live in your household?

How many children and what ages?

Activity level in your home is

What other pets are in your household? (Please include breed and age)

Do you agree to allow a home visit prior to adoption?

Under what conditions would you return this cat/kitten?

I certify that the above information is true and understand that false information will result in nullifying this adoption. I agree to return my pet to Tyson's Chance if for any reason I cannot keep them and understand that transferring to another party without our approval goes against this written agreement. I also release Tyson's Chance Animal Foundation Inc and Tyson's Chance designated veterinarians from any future vet bills, illness, medical or behavioral issues/events that may arise after this contract is signed. I am committing to care for this animal and will provide proper medical care, training, food, water, shelter and grooming for my adopted pet. I also agree to allow a Tyson's Chance representative to do follow up visits to check on the well being of my adopted pet if they feel necessary. I understand that if the adopted animal is living in poor conditions and not being properly cared for or has been transferred to another party without consent, Tyson's Chance has the right to reclaim this animal and will do so if we feel our standards of care are not being met. This is to be determined by our organization. I have read and understand this contract in full.

Tyson's Chance reserves the right to refuse any adoption.

Signature

Date