Cocoa & Friends Cat Rescue Adoption Application

COCOA & FRIENDS CAT RESCUE, INC.

Adoption Application, Contract and Waiver

In order to best match our cats with prospective adopters, we require applicants to answer all the questions on the application. It will give us a better understanding of your lifestyle, your experience with cats, and your philosophies on pet ownership. Thank you for your cooperation!

Estimated time to complete application: 10-15 Minutes

In order to adopt a cat you must:

-Be 18 years, or older

-Have a valid driver's license or ID

-Pay the $120 adoption fee. $200 for 2 cats

-Be able to absorb the costs for veterinary care, food, supplies, etc.

Applicant's Name*

First NameLast Name

Applicant's Date of Birth*

Are you adopting a cat for your home, someone else, for your workplace?*

Email Address

example@example.com

Phone Number*

Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Occupation*

Employer Phone

Work Schedule*

How long have you been at your current job?*

Do you ever work from home?*

YesNoSometimes

Does your job require travel? If so, how often?*

Do you own or rent your home?*

OwnRentLiving with familyOther

How long have you lived at your current residence?*

If you rent, what is your landlord's pet policy?*

If you rent, please provide your landlord's contact information.

Do you live with anyone else? If so, whom ? Please list adults full names and their relationship to you*

Are there children in the home? (If yes, please list ages)

Does everyone in the home wish to adopt a cat?*

YesNo

Is anyone allergic?*

YesNoOther

Do you have smoke detectors?*

YesNo

Are your windows completely screened?*

YesNo

Do you have any of the following?*

Have you had pets in the past? If so, please explain what types of animals, when, and for how long. Please include why you no longer have these pets.*

Do you own any pets currently?*

YesNo

Pets Names, Type of Animal, Breed, Age, Sex

How long have you had your current pets?

Please describe your pet's personalities. Describe pet's disposition and behavior towards cats.

Are you pets spayed/neutered?

YesNoOther

Are your cats FIV/FeLV tested?

YesNoUnknownOther

What is your cat's FIV/FelV status?

Are your pets up to date on their vaccines? (Rabies and Distemper)

YesNoOtherN/A

Please provide your veterinarian's name, address and phone number. We will call them to obtain your pet's records

What type of food and what brand do you prefer to feed your pets? (Wet/ Dry, and Brand)

Name of cat you wish to adopt*

Did you read the entire biography for the cat(s) you are interested in?*

YesNo

If the cat(s) you are interested in become(s) unavailable or they are not a good match, are you willing to receive recommendations for a different cat?*

YesNoMaybe

What type of cat are you looking for? Are you looking for a specific type of cat? What personality traits do you want in a cat?*

What made you want to adopt a cat?*

Please describe your household (Loud, Quiet, Busy)*

How long do you plan on having this cat?*

Would you prefer a declawed cat?*

YesNo

Will the cat(s) be allowed outside?*

YesNoOther

Would you prefer a cat who catches mice?*

YesNoOther

Will you travel with your cat(s)?*

YesNoOther

Will you crate your cat?*

YesNoOther

How many hours per day would the cat be alone?*

Do you agree to take this cat to the vet for medical attention whenever needed?*

YesNoMaybe

If you currently have pets, do you have pet insurance?*

Does your budget allow for the cost of maintaining of a cat and can you afford vet expenses? *

What would you estimate the cost of maintaining a pet to be per month?*

How would you plan to pay for a costly emergency vet visit?*

How would you deal with behavioral issues such as destructive behavior, bathroom accidents indoors, etc. in your cat?*

If you or someone in your household ever develops allergies to cats, how would you handle this?*

If you ever move, what will happen to this cat*

Under what Circumstances would you not be able to keep this cat. Check all that apply*

Please explain any further details regarding above question.

Do you agree to take this cat to the vet for medical attention whenever needed?*

YesNoMaybe

Have you ever declawed a cat before?*

YesNoOther

Will you ever declaw this cat?*

YesNoOther

Have you ever had to re home a pet? If so, how did you do so, and why?*

Have you ever surrendered a pet you own to any animal shelter including a "low" or "no kill" shelter? Please explain. *

Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment?*

YesNo

If you answered "Yes" please provide a detailed description:

Are you willing to allow a home visit by a representative?*

YesNoOther

What is your timeline for adopting?*

As soon as possibleWithin the next couple weeksWithin the next monthNo rush

Is there any other information that you wish to provide?

If you have to leave town, emergently or planned, where would your cat stay? Give name of individual*

Relationship to you*

Their phone number*

Can we call this person to verify?*

YesNoOther

Please supply 2 personal references.

Reference #1 Name*

First NameLast Name

Reference #1 Phone Number*

Reference #2 Name*

First NameLast Name

Reference #2 Phone Number*

If approved to adopt do you agree to sign a legally binding adoption agreement?*

YesNo

If approved to adopt do you agree to a 30 day checkup?*

YesNo

Do you understand that the adoptable cats from Cocoa & Friends Cat Rescue come from situations where their histories may not be known. While Cocoa & Friends does evaluate and vet every animal, the health, temperament or behaviors of the adopted cat(s) can cannot be guaranteed.*

YesNo

Do you agree that if for any reason you can no longer keep this cat or provide care for this cat you will return the cat to Cocoa & Friends Cat Rescue?*

YesNo

Please scan or take a photo of your Driver's License, or Photo ID and upload below. *

By clicking the submit button, I understand that an application, interview, and home visit DO NOT guarantee adoption.
By clicking the submit button, I agree to Cocoa & Friends Cat Rescue adoption process, will undergo a homecheck, and interview at the discretion of Cocoa & Friends Cat Rescue.
By clicking the submit button, I understand Cocoa & Friends Cat Rescue will check my references including veterinary and personal.
By clicking the submit button, I understand there is an adoption donation associated with adoption of a pet from Cocoa & Friends Cat Rescue and that it is tax deductible according to IRS 501(c)3 guidelines. I understand this donation will ensure the organization is equipped to rescue another homeless pet.
By clicking the submit button, I understand there is no "cooling off" period, and that if I no longer want or can no longer care for my adopted pet, I agree to notify Cocoa & Friends Cat Rescue BY EMAIL and BY TELEPHONE and provide a 14 day period to allow Cocoa & Friends Cat Rescue to make arrangents for my pet to be taken back into rescue.
By clicking the submit button, I agree to indemnify and hold harmless Cocoa & Friends Cat Rescue against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet, once adoption has been completed.
By clicking the submit button, I understand that Cocoa & Friends Cat Rescue will disclose any of the pet's health or behavior issues known by the above named rescue group before adoption is completed.
By clicking the submit button, I understand that if I no longer want my pet, or am no longer able to care for my adopted pet, I will be directed to surrender my pet to Cocoa & Friends Cat Rescue and provide transport to where Cocoa & Friends Cat Rescue deems appropriate.
By clicking the submit button, I verify all of the above information is true and accurate.

Signature*

ADOPTER INFORMATION

CURRENT PETS/ PREVIOUS PETS

ADOPTER QUESTIONS

ADOPTER REFERENCES

ADOPTION AGREEMENTS