Cat & Kitten Guardianship Form

Date*

Date

Full Name*

First NameLast Name

E-mail*

example@example.com

Phone Number*

Please enter a valid phone number.

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

What is your occupation?

How did you hear about us?*

Which cat or kitten are you interested in?*

What is your reason for wanting to adopt a cat?*

House petCompanionCompanion for pet

Are you 18 years of age or older?*

YesNo

Do you own your own home?*

YesNo

What is your landlord's policy on pets?

Type of Dwelling:*

Landlords Name and Phone Number:*

How long have you lived at this address?

Are there children in the home? If so, how many and what are their ages?*

Are all humans in your home aware that you are adopting a cat or kitten?*

Please provide the name, address, and phone number of your veterinarian so that we may call for a reference:*

Will arrangements be made if you are traveling?

If adopting a cat or kitten, where would the cat or kitten be kept when alone?

Are your current cats declawed?*

YesNoN/A

If declawed, please let us know the circumstances:*

Are any members of your household allergic to animals?*

YesNo

Please describe:

Over the past 5 years, how many pets have you owned? (Include current pets)*

Please list breed, age, if they're still living with you. (If not, why?)*

Have you ever lost or given away a pet?*

YesNo

If you currently own a dog or cat, how does he/she react to new cats?

Are your present pets up to date on their annual vaccines?*

YesNoN/A

Please explain:

Are your present pets spayed or neutered?*

YesNoN/A

Please explain:

Were your previous pets spayed or neutered?*

YesNoN/A

Please explain

If your cat displays behavioral problems (such as poor litter box habits, inappropriate scratching etc.) how would you go about correcting the behavior?

Contact a ProfessionalUse a bookPersonal KnowledgeOther

What type of solution would you be willing to try if housebreaking accidents continue after the first week (check all that apply)?

Are you prepared to commit to a pet for 15 - 20 years (average life span)?

YesNo

Where will your cat spend most of his/her time?

If you selected outdoor, would your cat be supervised?

YesNo

If there is anything else you think we should know, please note it here.

PLEASE READ:

To the best of my knowledge, all the information I've given is true and complete. I will comply with all rules and policies of JustCare Animal Rescue & Sanctuary. The choice to adopt a cat(s) or kitten(s) is mine.

By adopting a cat(s) or kitten(s), I release JustCare Animal Rescue & Sanctuary from any responsibility for damage, injury, or harm caused. JustCare Animal Rescue & Sanctuary, at its sole discretion, reserves the right to refuse any applicant for any reason.

In the event that you are unable to care for or keep your cat(s) or kitten(s), he/she should be returned to JustCare Animal Rescue and Sanctuary.

I will provide the animal with proper and adequate food, water, shelter, training, and affection. I will provide medical care, if needed, and as approved by the veterinarian. JustCare Animal Rescue & Sanctuary does not guarantee an animal's temperament, or behavior. JustCare Animal Rescue & Sanctuary, at its sole discretion, reserves the right to refuse any applicant for any reason.

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