Apply For A Cat

name:*
Home phone:*
Work phone:*
address:*
Email:*
example@example.com
Would you like to be on our email list?

yesno
city:*
postal code:*
Do You:*

OwnRent/Board
if you rent/board, how long at current address:
If less than three months, please provide the previous address and the landlord’s contact information.
Previous address:*
Previous Landlord’s Name:
phone:
Current Landlord’s Name:
phone:
*LANDLORD CONSENT FORM WILL BE PROVIDED
Living Arrangements:*

HouseApartmentTownhouseWith Parents
Are You:*

A StudentWorkingRetiredOther
Household members:*
Visiting children:*
Are there children who visit?*
Is anyone in your house allergic to pets?*

YesNo
Why would you like to adopt a pet?*
Who will be responsible for feeding and training the pet?*
If you move, what will you do with your pet?*
Have you ever been the primary caregiver of a pet?*

YesNo
Do you currently own any pets?*

yesno
If yes, what type (s):
If yes, please fill out the following for all your pets:

Type a question

	Animal/Name	Breed	Age	Sex	Spay/Neutered?	up to date vaccinations?	Where is it kept?
Add Record
Add Record
Add Record
Add Record
Add Record
Add Record

please list any pets that are no longer with you (deceased or rehomed)*

yes (deceased or rehomed)no

Type a question

	Animal/Name	Breed	Age	Sex	Spay/Neutered?	What happened to this animal
Add Record
Add Record
Add Record
Add Record
Add Record
Add Record

Veterinary Clinic Details*
Are your pets licensed with your municipality?*

yesno
Tag #
All dogs or cats (if applicable) in your household must be licensed to adopt from the SPCAAnimal Rescue.
Will you spay or neuter your adopted pet?*

yesnoAlready Neutered/Spayed
Are you prepared for the expense of owning a new pet? (Estimate only - $600-$2000 per year) E.g., yearly vaccinations, food, flea treatments, annual license and miscellaneous items*

yesno
Do you accept the financial responsibility of unexpected medical expenses? E.g., an injury, bloodwork, x-ray, surgery, an illness requiring ongoing medication*

yesno
Do you agree to you provide a proper adjustment period, e.g. a few weeks to several months?*

yesno
Are you aware of cat licensing and Animal By-Laws in your municipality/town?*

yesno
Will someone be home during the day with your pet?*

yesno
How many hours a day will your pet be alone?*
Where will your pet be kept during the day?*
Where will your pet be kept during the night?*
Have you ever house-trained a pet before?*

yesno
Briefly explain how you will house-train your pet:*
Please explain how will you handle behaviour problems:*
Do you want to adopt a*

CatKitten
Have you chosen one from our Website?*

yesno
if yes, which pet would you like to adopt?
if yes which one?
If no, what are you looking for?
if no, what are you looking for?
Sex:*

MaleFemaleNo Preference
Haired:*

Long hairedShort hairedNo Preference
Age:*

Adult (8 months to 6 years)Senior (over 7 years)
Behaviour:*

Laid backHigh energy/playful
Do you plan to let your cat go outside?*

yesno
Cats are often active at night. How will you handle this?*
By signing below, I certify that the information I have given is accurate and true. I understand that the SPCA ANIMAL RESCUE has the right to deny my request to adopt an animal and the SPCA Animal Rescue reserves the right to hold in confidence any information concerning decisions about my application.
I authorize investigation of all statements in this application.
I agree to have said animal spayed or neutered by the date entered on the Adoption Contract (to be signed at time of adoption).

I understand that as part of the follow-up program, the SPCA AR can phone or visit me to see how the pet is doing. At any time, an SPCA Animal Rescue may assess the adopted animal and living conditions and retake possession of the adopted animal if they think the situation is unsatisfactory.
Applicant’s Signature*

Clear
Should be Empty:

*LANDLORD CONSENT FORM WILL BE PROVIDED

All dogs or cats (if applicable) in your household must be licensed to adopt from the SPCAAnimal Rescue.