YBRR Cat Adoption Application

YBRR Cat Adoption Application
Name of the cat(s) you are interested in:*
In the event this pet is no longer available, is there another pet you'd be interested in meeting instead? If so, which pet?
Applicant Name:*

First NameLast Name
Today's Date:*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email - Please make sure to put an email that is active and checked on a regular basis as we do communicate via email. Please also check spam/junk as occasionally our emails will end up in there. *
Please enter your email, so we can follow up with you.
Instagram/Facebook names:*
Preferences for age of cat(s):*

Baby 8 weeks - 5 monthsYoung 6 months - 1 yearAdult 1 year to 7 yearsSenior 8+ years
Household information:*

OwnRentLive with parents
Please indicate which best describes your current living situation:*

Single family houseApartmentTwo Family HouseTown House/Condo
What setting best describes where you live?*

UrbanSuburbanRural
Are you allowed to have pets on your property?*

YesNoUnsure
If you rent, list the landlord's name and phone number. We may contact your landlord to verify any limitations on pet ownership - this is to help you find the pet that will fit into your rental circumstances. We also ask that you upload a copy of your lease agreement/pet addendum below to help expedite processing.
Upload Lease Agreement Here if Renting:

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How long have you resided at your present address? *
Are you willing to have a representative from Yellow Brick Road Rescue NJ do a home check to see where the cat will be living?*

YesNoIs it really necessary?
Please list all adults and children who reside in your home including name and ages. Please include yourself as well.*
If you and your significant other were to separate, whom will the cat go with and why? And, if adopting a bonded pair, would you split them up amongst yourselves? *
Do any of the following have regular and/or unsupervised access to your home? (check all that apply):*

HandymanMaid/HousekeeperPool ManGardnerNeighborhood ChildrenFriendsLandlord/Property ManagerOtherNo one is allowed inside my home unsupervised
If your cat gets lost, what would you do to find him/her? *
Do you have any of the following? (check all that apply):*

PatioBalconyPet Door to OutsideUnscreened WindowsBackyardNone of the Above
If you have children or plan to extend your family, are you aware that you must supervise your new cat with your child for the safety of both the child and the cat? And, are you comfortable that the cat could bite or scratch your child?*

YesNoDon't plan on having childrenN/a
Do any members of your household have asthma or allergies to cats?*

YesNo
Are all members of your household in agreement about adopting a cat?*

YesNo
Do you view pets as family members? Why are you choosing to adopt vs. buying from a pet store or breeder? *
If you applied for a kitten, are you open to adopting an adult cat if it's the right fit?*

YesNo, kitten onlyMaybeNot Applicable
What qualities are you looking for in a cat? (check all that apply)*

Good with dogsGood with other catsGood with childrenOne that would be ok as a single petShy cats needing a lot of patience and time to adjust are welcomeA cat who likes other cats, but is not a people catA cat who will adjust quicklyplayful and interactivemellow / lap catoutdoor catindependent, doesn't need much attentionAffectionate
Are there any senior citizens or physically/mentally disable persons in your household?*

YesNo
Please indicate how often your cat(s) will need to interact/get along with the following? Seniors/elderly:*

SometimesAlwaysNever
infants/toddlers:*

SometimesAlwaysNever
children (under 10):*

SometimesAlwaysNever
children (over 10):*

SometimesAlwaysNever
Dogs:*

SometimesAlwaysNever
Cats:*

SometimesAlwaysNever
Small Animals:*

SometimesAlwaysNever
Please describe the option that best describes your home:*

Loud, a lot of trafficQuiet, little to no trafficModerate activity level and traffic
Does anyone residing in the home smoke inside?*

YesNoSometimesPrefer Not to Answer
Employment Information- Are you currently:*

Employed Full TimeEmployed Part TimeStudentRetiredUnemployedDisability
If employed, name of Employer and Job Title:
If employed, length of time with employer:
If student, where?
Spouse/Partner's Occupation:
Spouse/Partner's Employer:
Spouse/Partner's length of time at present employer:
If you are adopting this pet as a gift for someone else, for whom is it for?
Who will be the primary caregiver for this cat? *
What is the age of this primary caretaker?*
Who will be financially responsible for the cat?*
Are you able to afford the adoption fee of $200 for 1 kitten, $150 for 1 adult cat or $350 if adopting a pair of kittens? (or the adoption fee associated with any purebred cat from Egypt listed in their profile)*

YesNoNot SureMaybe
If the kitten you are applying for is not spayed/neutered yet, there is a $200 spay/neuter deposit on top of the adoption fee. The $200 would be refunded once the kitten is spayed/neutered. The cost of the spay/neuter is also covered at one of our affiliated vets. Do you agree to this?*

YesNoNot ApplicableMaybe
How often do you travel?*

RarelyOccasionallyOften
How will you care for your cat when you are traveling? *
What will you do if you can no longer keep or care for the cat due to unforeseen circumstances? Have you considered providing for your pets in your will? What provisions will you make for the cat should you become unable to care for it? *
Hypothetically speaking, what would potentially cause you to return an adopted cat? What would you do on your end to prior to initiating a return?*
If you were to move, will your cat come with you?*

Absolutely, pets are family!Depends on the priceNot SureNo
Are you committed to finding pet friendly housing if you move, even at an increased cost?*

Absolutely!NoIf I can afford it
How did you hear about YBRR?
Have you ever adopted an animal from YBRR before?

YesNo
Please provide us with at least two references, one being a veterinarian if possible. Include name, address, and phone number for each reference. Please note, we may contact your references to obtain additional information about your experience/qualifications to own and care for a pet. Veterinarians, rescue contacts, groomers, pet daycare owners, etc. are all preferred contacts as they have knowledge of animal welfare. We discourage you from listing family/friends as references. *
Who is your current veterinarian? (If not listed above). Include name, address, and phone number. We will contact your vet to ask if your pet(s) are spayed/neutered, current on immunizations, etc. (PLEASE CALL THEM TO ALLOW US TO SPEAK WITH THEM). **If you have taken your animals to more than one veterinarian, please list each veterinarian** *
When was the last time you visited your veterinarian?*
Do we have permission to speak to your veterinarian(s)?*

YesNoN/a
Experience with cats:*

First time pet ownerHad cats growing upHad 1 or 2Had Many
Do you plan to spay/neuter your cat (if not already spayed/neutered)?*

YesNoMaybeIndecisive
Do you plan to declaw your cat?*

YesNoMaybeIndecisive
Have you ever declawed a cat in the past?*

YesNoPrefer Not to Answer
Are you aware of the potential side effects of declawing a cat?*

YesNoUnsureDon't Care
If you own other cats, are they declawed?*

YesNoPrefer not to answerDon't currently have other cats
Is anyone home during the day? How many hours will the cat(s) be left alone each day? Is this time consecutive?*
If adopting a kitten, where would the kitten be kept when alone? *
Where do you primarily intend to keep the cat?*

Indoors onlyIndoors and OutdoorsBasementGarageOutdoorsCrate Confined
Do you plan on letting the cat outside? If yes, under what circumstances? And, how long after adoption would you start allowing your cat to go out?*
If you stated outdoor above, would your cat be supervised?*

Yes, free roaming with close supervisionNo, no supervision at all. They can roam the outdoors as they pleaseYes, on a leash / harness onlyN/A, cat will be indoor onlyNot Sure Yet
Have you ever let a cat outdoors in the past?*

YesNoPrefer not to answer
Will the cat be allowed to have free roam of your home?*

YesNo
Are there times when the cat will be crated? If yes, please explain:*
Owning a cat requires a financial commitment. Are you aware of the costs? (food, cat litter, veterinary care etc.)*

YesNo
How much are you willing to spend if your pet becomes ill?*

Up to $100Up to $500Up to $1,000Whatever it takes
What would you do if your vet bills went over this amount?*
A cat is a lifetime commitment. How long do you think a cat can live? *
Are you aware that some cats require a period of weeks or even months to adjust to their new home and/or environment and/or other pets?*

YesNo
Are you willing to allow for this adjustment period?*

YesNoNot sure
What behavior would cause you to re-home the pet? *
Do you want the cat for a (check all that apply):*

MouserHouse PetGiftBreederCompanion for another animalFor myselfOther
Will your pet be allowed on the furniture? Please Explain Yes or No. What will you do if your cat claws your furniture or shows other signs of destructive behavior?*
Have you ever had a pet before? If yes, how long ago?*
Please list current pets you have. Include the pet's name, type age, years of ownership, and whether they are indoor, outdoor, or indoor/outdoor pets. *
Are your current pets spayed or neutered?*

YesNoPrefer not to answer
If not, Why?
Are your current pets up to date on vaccines?*

YesNoPrefer not to answer
If not, Why?
Have any of the pets you own or have owned been cosmetically altered? (declawed, debarked, etc.). Please explain.*
If you own other cats, have your cat(s) been tested for feline leukemia (FeLV) and feline aids (FIV)? **

YesNoUnsureDon't Care
Have your pets been around cats before?*

YesNo
Have you ever relinquished an animal to a shelter, rescue, or another individual? If yes, please describe. *
Please tell us about the animals you have owned in the past who are no longer with you. Include the animal's name, type, age, whether or not they are deceased, and cause of death if they are deceased. *
If you have owned a pet in the past who is no longer with you but still alive, where is it currently and why? *
Have any of your pets been: (check all that apply)*

LostStolenGiven AwayBrought to a shelterHit by a carNone
Are you willing to bring your pet to a veterinarian for regular exams, and for vaccinations per your veterinarian's recommendations?*

YesNoThey don't need to see a vet every year
When Ill/sick?*

YesNoDepends
Are you able to commit to providing a home for the cat for the next 10-20 years?*

YesNoUnsure
Any major changes to occur in your household over the next year (that you are aware of)? For example: moving, new baby, renovations, new roomate, etc. If yes, please explain: *
While it is our goal to facilitate a quality, life-long adoption, we understand that unforseen circumstances may require you to re-home your pet. Should this occur, are you aware that Yellow Brick Road Rescue NJ, Inc. has a 100% no-questions-asked return policy? If at any time you cannot or do not wish to keep a cat you have adopted from us, we will accept the cat back immediately.*

I acknowledge the above statementI do not acknowledge the above statement
What arrangements will you make for the care of your pet(s) in the case of an emergency, such as an evacuation order? If you were forced to evacuate your home due to fire, flood, hurricane, what would your plans for your pet(s)? *
Please describe a typical day for the cat in your home? *
Where will your pet spend the majority of its time? *
Where will your pet sleep at night?*

With meCrateWherever comfortableBasementGarageOutsideOther
When will you be ready to bring the cat into your home?*
If your new pet exhibits behavioral or adjustment issues, would you be willing to seek the advice of a YBRR representative?*

YesNo
How will you introduce your new cat to any existing pets? *
WHAT WOULD YOU DO WITH THE PET IF: The pet damages/destroys something highly treasured by you, your family or friends? *
WHAT WOULD YOU DO WITH THE PET IF: A roommate, spouse/significant other, child(ren), family or friends were suddenly allergic to this pet?*
Please use this space to brag, or to share with us anything you would like for us to know about your family:*
Have you ever been charged with animal cruelty (of any kind) or domestic violence?*

YesNoPrefer not to answer
Please give us a follow on Facebook and/or Instagram!*

Followed!Don't have social mediaPrefer not to
Upload a Photo of you, your family, your pets- anything you'd like us to see!

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Terms and Signature. Check each line and sign below.*

I am willing to make a 10 to 20 year commitment to my new pet.I will take my pet for annual visits to my veterinarian for wellness exams and tests/vaccinations, and when needed for injury, illnesses, etc.I understand in the event that the cat adoption does not work out, that I will return the pet to YBRRI understand that if I qualify and adopt a cat from YBRR I will be contacted for further verification of the pet’s welfare and will cooperate by providing requested information which may include a visit to your residenceI understand that cats require a visit to a veterinarian at least once a year, and I am comfortable with the possibility of additional medical expenses if my pet becomes illI understand that YBRR reserves the right to deny any request for any or no reason and that YBRR choose not to reveal specific reasonsI understand that if I violate this contract in any way or if I have not been truthful on this form, YBRR reserves the right to reclaim the cat any time
Signature*
If you do not hear from us within 24 hours, please send us an email to yellowbrickroadnj@gmail.com to ensure we received your application.*

I acknowledge
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