Adoption Application

Adoption Online Form

Westfield Stray Cat Rescue, Inc. 59 E. Main St., Westfield, N.Y. 14787 Tel. 716-232-4152

Application to Adopt Cats or Kittens

**WESTFIELD STRAY CAT RESCUE RESERVES THE RIGHT TO DENY ANY APPLICANTS BASED ON THE BEST INTERESTS OF OUR CATS."

Before moving forward in the adoption process, please realize this adoption is a life-long commitment. You are responsible for the total well-being of the cat that you are adopting.

All applicants must be at least 21 years old. Are you 21 years or older?*

YESNO

Cat's Name*

Adoptor's Name*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Home Phone*

Please enter a valid phone number.

Cell Phone if different

Please enter a valid phone number.

Email Address

example@example.com

Occupation

WSCR cats and kittens will be micro-chipped and registered with the AKC Reunite program. As part of this program. please provide a back-up emergency contact name & phone # :

Name*

Phone*

"The care for an adopted cat will require the cost of food, litter, and medical care**

Does your current budget allow for these additional expenses?

Does your current occupation allow you time to spend with your cat?

Type of dwelling*

Own HomeRental

If Rental, name of the owner

Phone number of owner

Do you have the owner's permission for a cat?

Name of Veterinarian*

Veterinary Phone Number*

Please enter a valid phone number.

Address of Veterinarian*

Will the vet provide a good reference for you?*

"Name, location, and phone # of the veterinarian who will provide care for this cat. if different than the doctor listed above

Do you have any other animals?*

YESNO

Please describe your other pets

If you currently have dogs, have they had positive interactions with other cats?

Are there children in your household?*

YesNo

If "Yes', what are the children's ages?

Terms of Adoption - By signing this contract I agree to the following conditions:*

YOUR NAME HERE

I will house this cat in my home as an indoor companion. I will not sell, abandon, or give this cat away.*

2. I will provide food, water, exercise, and kind treatment at all times.*

Please initial

3. I will have the cat vaccinated on schedule and provide proper and appropriate veterinary treatment at my own expense.*

Please Initial

4. I will not permit the cat to run at large and become a public nuisance.*

I will not subject my cat to the cruel, painful, and inhumane procedure of de-clawing.*

Please Initial

IF FOR ANY REASON I CAN NO LONGER KEEP THIS CAT, I WILL CONTACT WSCR AND SURRENDER THE CAT TO A REPRESENTATIVEOF WSCR.*

Please Initial

I accept this cat as is and understand that complete information is not known about the cat and that WSCR can only vouch for information from the time the cat came into our care. this includes any future medical conditions that the cat may develop and need veterinary treatment.*

I HAVE READ AND AGREE TO ALL OF THE ABOVE CONDITIONS.

Signature of Adoptor (sign with finger, stylus, or e-signature)*

DATE*

Date