TLC Adoption Application 2023

The Lost Companion (TLC)

is a non-profit, feral cat management 501(c)(3) organization.

Mailing Address: PO Box 282, Wild Rose, WI 54984

Email adoption questions to: patgreentlc@gmail.com

Adoption fees are $95 for one cat/kitten or $165 for two cats/kittens

PLEASAE NOTE:

Submitting an application does NOT a guarantee an approved adoption.

Date*

Date

Have you ever adopted from TLC before?*

YesNo

If so, when?

Name of Cat(s)/Kitten(s) interested in: 1st Choice*

2nd Choice

3rd Choice

Adopters Name*

First NameLast Name

Co-Applicants Name

First NameLast Name

Phone Number*

Please enter a valid phone number.

Email

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Length of time at this address?*

This is a/an:*

HouseCondoApartmentMobile Home

Do you:*

OwnRent

If you rent, do you have permission from your landlord to adopt a cat/kitten?*

YesNo

Landlord's Name

First NameLast Name

Landlord's Phone Number

Please enter a valid phone number.

How many adults in the household?*

How many children in the household?*

Is everyone in the household aware of, and in agreement with, your wish to adopt a cat(s)/kitten(s)?*

YesNo

Is anyone in the household allergic to cats?*

YesNo

Cats will be kept:*

IndoorsOutsideOther

If other, where?

Are you financially able to provide adequate food and shelter, annual vaccinations and exams, vet care for any unexpected illness or injures, as well as other expenses related to owning a cat?*

YesNo

Occupation*

Employer

Length of Employment

Employer's Phone Number

Please enter a valid phone number.

Have you had pets in the past?*

YesNo

If yes, were you the primary caretaker?*

YesNo

If no, who was?

List any current and past pets*

Veterinarian Information: List your current/previous veterinarian(s). TLC will contact them to verify your current/previous pets are/were up to date on shots and spayed/neutered. This is a requirement for new pet adoptions. Please call your Vet's office(s) to authorize release of information to The Lost Companion. If you are planning to use another vet, but are not currently a client, please make a note of this.

Clinic Name

Vet's Name

Phone Number

Please enter a valid phone number.

Email address or Website

example@example.com

As your new cat transitions to your home, it may take up to a month (or more) for the cat to adjust to its new environment. Are you willing to devote time to this transition process?*

YesNo

Have you applied for, and been denied, an adoption of any other animal?*

YesNo

If yes, what type of animal?

What organization denied your application?

When was this? (month/year)

Why were you denied?

NON-RELATIVE REFERENCES: Please list 2 references and advise them that a member of TLC will be contacting them.

Name*

First NameLast Name

Relationship*

How long have you known this person?*

Phone Number*

Please enter a valid phone number.

Name*

First NameLast Name

Relationship*

How long have you known this person?*

Phone Number*

Please enter a valid phone number.

How did you hear about TLC?

PetfinderWebsiteReferred byOther (please list)

Please list who referred you or the way you about of TLC

Please Note: Before being approved for the adoption of a cat/kitten from TLC, you must first have a compatibility interview which consistes of coming in to meet the cat/kitten(s) and be interviewed by a TLC Board Member. TLC does not use a first come, first served process. We must feel that you would make the best match for each cat/kitten. This process is intended to ensure the best fit, as well as a long-term, successful adoption for both the family and the cat/kitten(s). You acknowledge that your adoption fee is a donation to TLC and is non-refundable. You must bring a secure pet carrier to pick up and transport your new cat/kitten(s) to your home.

The Lost Companion does not allow declawing of any cat/kitten adopted from our organization. By signing this form, you agree NOT to have two-paw or four-paw declawing of the adopted cat/kitten(s).

I acknowledge that the information provided in this application is true and correct.

I agree to all provisions indicated on this form.

I understand that any misrepresentation of fact(s) may result in The Lost Companion refusing adoption privileges to me, or any others in my household.

If this adoption is approved, and at a later time, TLC discovers the information provided is not true or correct, or discovers that, for any reason, the home is not a safe/proper/secure environment for the cat/kitten(s), TLC has the right to declare this contract null and void. If this contract is declared null and void, TLC will have the right to remove the adopted cat/kitten(s) from my home and I will be held responsible for any and all associated costs, legal and otherwise, that were incurred as part of the reclamation process.

I understand that in order to ensure that best homes for the cat/kittens(s), TLC has the right to deny any adoption application.

Date*

Date

ADOPTION APPLICATION