LITTLE BEANS' HOPE RESCUE ADOPTION APPLICATION

GENERAL INFORMATION
Pet You Are Interested In (if any specific)*
First and Last Name of Applicant*
Cell Phone*

Area CodePhone Number
E-mail*
Address*

Street Address

Unit/ Suite

CityState / Province

Postal / Zip CodeCountry
Date of Birth & Driver’s License*
Place of Employment*
How did you hear about us?*
Facebook, Instagram, Petfinder, Friend/Relative, Offsite Location
Names AND AGES of children (under 18) in the home*
Have all adults in the household agreed that they want to adopt a new pet?*

ABOUT YOUR NEW CAT
In your selection of a cat, what is your preference for breed, age, male/female?*
In your selection of a cat, what is your preference for size/weight, hair length, hair color?*
In your selection of a cat, what is your preference for personality and energy level?*
Why are you interested in adopting a new pet?*
In your selection of a cat, what things do you NOT want (personality, temperament, behavior)?*
Check all that apply. Will this new pet be:*

Companion for meCompanion for family/childrenCompanion for another petFor protectionA gift
Have you ever owned a cat before?*
Have you ever owned a young kitten?*
Do you already have a veterinarian?*
If yes, who is your veterinarian?
Vet name, Clinic name, Phone Number, City
Please list 2 personal references (one must not be a relative), their contact information and relationship to you.
How many hours per day will your new pet be home alone? Please explain.*
What type of discipline will you use to correct undesirable behavior?*
If your new pet escaped from your home, what steps would you take to find him/her?*

PET HISTORY
Please fill out the following information about your current and past pets. Please do not include pets you had as a child living at home - and we do not need information regarding reptiles, livestock or fish.
Current Pets

Pets you have in your household right now.
Do you currently have pets in your home? *
Please list name, breed and size of all pets.
EX: Fluffy
How long have you had your pets?
EX: I've had him 10 years - from 2010 to Current
Is this pet spayed/neutered?
Do they like cats?
Describe previous interactions with cats
Past Pets

Pets you have had in the past as an adult.
Did you have other pets in the past?
Please list name, breed and size of all previous pets
EX: Fluffy
How long did you have them for?
EX: I had him 6 years - from 2010 to 2016
Was this pet spayed/neutered?
What happened to this pet?

SUMMARY AND SIGNATURES
THANK YOU FOR TAKING THE TIME TO COMPLETE THIS APPLICATION.

PLEASE NOTE: Filling out this application DOES NOT guarantee an adoption.
We thoroughly evaluate all of the kittens and cats in our care, and try very hard to match the right pet to the right person and situation. Adoptions are not on a first-come first-served basis. We reserve the right not to adopt.

Please remember that we are all volunteer organization. We will reply to your application as soon as it has been processed (normally 2-3 days).

Thank you for choosing to adopt!
YOU ARE MAKING A MAJOR COMMITMENT WHEN YOU ADOPT ANY PET. PLEASE REMEMBER THAT CATS CAN LIVE FOR 15 OR MORE YEARS. THOUSANDS OF CATS ARE KILLED AT ANIMAL SHELTERS EACH YEAR BECAUSE THEIR OWNERS DID NOT PLAN FOR THE FUTURE. CATS CAN GET SICK AND REQUIRE EXPENSIVE MEDICAL TREATMENT DURING THE COURSE OF THEIR LIFE. CATS NEED AFFECTION, ATTENTION AND UNDERSTANDING. YOU MAY HAVE TO ADJUST YOUR LIFESTYLE TO ACCOMMODATE A NEW PET. IF YOU ARE READY TO MAKE THIS COMMITMENT, PLEASE TYPE YOUR NAME BELOW:*
ADOPTION REQUIRES MEETING YOUR PROSPECTIVE KITTEN OR CAT IN PERSON OR THROUGH VIDEO CALL. IN THE EVENT THAT MY APPLICATION IS ACCEPTED, I AGREE AND CONSENT TO THIS FINAL STEP IN THE APPROVAL PROCESS. I UNDERSTAND THAT IF LITTLE BEANS' HOPE RESCUE OR THE POTENTIAL ADOPTER(S) FEELS THE CAT OR KITTEN IS NOT A GOOD FIT, THE ADOPTION WILL NOT BE APPROVED and FINALIZED. WE SUGGEST THAT ALL MEMBERS OF THE HOUSEHOLD - INCLUDING ROOMMATES AND CHILDREN - BE PRESENT FOR THIS MEETING. IF YOU UNDERSTAND AND AGREE, PLEASE TYPE YOUR NAME BELOW:*
IT IS UNREALISTIC TO EXPECT A CHILD OF ANY AGE TO ASSUME COMPLETE RESPONSIBILITY FOR AN ANIMAL. ULTIMATELY THE ADULT(S) OF THE HOUSEHOLD ARE RESPONSIBLE FOR THE COMPLETE CARE OF THE ANIMALS IN THE HOME. YOU MUST PREPARED TO TAKE ALL RESPONSIBILITY FOR THIS ANIMAL SHOULD YOUR CHILDREN BECOME DISINTERESTED. IT IS THE RESPONSIBILITY OF THE LITTLE BEANS’ HOPE RESCUE TO PLACE THIS ANIMAL IN AN ENVIRONMENT COMPATIBLE WITH ITS NEEDS AND TO ENSURE THE ADOPTION IS IN THE BEST INTEREST OF BOTH THE ANIMAL AND APPLICANT. LITTLE BEANS’ HOPE RESCUE RESERVES THE RIGHT TO DENY ANY APPLICANT. LITTLE BEANS’ HOPE RESCUE MAY FOLLOW UP BY PHONE OR IN PERSON ON ANY ADOPTION TO ENSURE COMPLIANCE WITH THE ADOPTION CONTRACT. IN THE EVENT YOU CAN NO LONGER KEEP THE PET, YOU MUST RELINQUISH THIS PET BACK TO LITTLE BEAN'S HOPE RESCUE. I CERTIFY THAT I HAVE READ THE ABOVE INFORMATION AND THAT ALL INFORMATION I HAVE GIVEN IS TRUE AND ACCURATE AND IS SUBJECT TO VERIFICATION BY LITTLE BEANS’ HOPE RESCUE. I UNDERSTAND THAT ANY FALSIFICATION MAY RESULT IN THE NULLIFICATION OF AN ADOPTION. PLEASE SIGN AND DATE BELOW*
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Current Pets

Past Pets