Cat Adoption Application

Cat Adoption Application

Flower City Critters Small Animal Rescue, Inc
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Age*
Occupation *
Where do you currently live…*

Apartment - RentHouse - RentHouse - Own
Do you live with…*

Roomates / FriendsFamily / ParentsAlone
If renting please provide name and phone number of your landlord *
How long have you lived at your residence?*
Who lives in your home with you, include all adults and children and their ages*
Are all members of the household in agreement about adopting?*

YesNo
Are any household members allergic to pets?*

YesNo
List all other pets in your home*
Are all pets in your home spayed/neutered?*

YesNoNo other pets currently in my home
Are all pets in your home up-to-date on vaccinations?*

YesNoNo other pets currently in my home
Which cat(s) are you interested in adopting?*
What attracted you to this cat, or what are you looking for in a cat?*
What veterinarian do you currently use? Include name and phone number. Please let your vet office know we will be calling and give them approval to speak with us.*
Why do you wish to add a new cat to your home?*
Will your cat be declawed?*

YesNoI’m not sure what that is
Will your new cat be primarily:

IndoorOutdoorIndoor / Outdoor
Have you ever had to surrender or rehome a pet?*

YesNo
If you answered 'yes' to the above question (have you had to surrender or rehome a pet) what was the reason?
What situation might cause you to consider rehoming a pet?**
Do you have a contingency plan for your pet(s) in the event you are no longer able to care for them?*

YesNo
Do you agree to a home visit either in person or via video chat?*

YesNo
Please provide 2-3 photos of your home, including your current pets if you have any *

Cancelof
Do you agree that if at any time you can no longer keep your pet adopted from Flower City Critters then the pet is to be returned back to Flower City Critters? Surrender of the pet to any other shelter/rescue or private rehome of the pet will be considered breach of contract.*

YesNo
Where did you learn about our organization? / Where did you see our cats available for adoption?*
Signature*
Date*

MonthDayYear
Date
Should be Empty: