Cat Adoption Form

Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How long at this address?:*
Do you:
If you rent, is your landlord aware of and in agreeance with you keeping pets on the property?

YESNO
If you rent, name and phone # of landlord:
E-mail*
Home Phone Number

Area CodePhone Number
Cell Phone Number

Area CodePhone Number
Name and Address of Employer:
Work Phone Number

Area CodePhone Number
Are you able to afford the adoption fee of $75 and the subsequent care of the pet (food, veterinary care, etc.)?*

YesNo
How did you hear about Whisker Hill Animal Rescue?*
Name and age of all occupants in household (including yourself). Please note, you must be at least 21 years old to adopt:*
What is your reason for wanting to adopt a cat?*

HousepetMouse PatrolCompanionCompanion for petGiftOther
If other, please explain:
How many total hours will your new pet be left alone during the day?*
Are any members of your household allergic to animals?*

YesNo
If yes, please explain:
Who will have chief responsibility for the care of your new pet?*
What arrangements have you made for the care of your pets during time away from home, such as vacations?
What pets do you currently own? Please List each individually including breed, age, sex, etc.:
Have you ever lost or given away a pet?*

YesNo
If Yes, please explain.
If you currently own other pets, how do they react to new pets?
Are your present pets up-to-date on their annual vaccines?*

YesNo
If no, please explain:
Are your present pets spayed or neutered?*

YesNo
If no, please explain.
Can/Will you provide your cat with monthly flea/tick prevention?*

YesNo
Who is your current or most recent veterinarian? Please provide their NAME and PHONE NUMBER: PLEASE MAKE SURE YOU CALL YOUR VET TO GIVE PERMISSION TO RELEASE INFORMATION AS MANY WILL NOT GIVE US A REFERENCE W/OUT YOUR CALL, AND WE WILL NOT BE ABLE TO PROCESS YOUR APPLICATION.*
Which cat(s) on our website are you interested in?*
Age of cat you would consider adopting: (check all that apply)*

KittenYoungAdultSpecial NeedsSenior
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
If other, please explain:
What type of solution would you be willing to try if housebreaking accidents continue after the first week (check all that apply)?*

Move box to new locationTry a different litterClean box more oftenHave cat examined by vetReturn CatNoneOther
If other, please explain:
What brand of cat food do you plan on feeding your new cat?*
Are all members of your household in agreement with the decision to bring a new pet into your home?*

YesNo
If anyone is NOT, please explain:
Are you prepared to commit to a pet for 15 - 20 years (average life span)?*

YesNo
Are you willing to allow WHAR to make future wellness checks in the form of phone calls, emails, and/or visits to your home if deemed necessary?*

YesNo
Have you or any member of your household ever been charged with cruelty to animals or negligence in animal care?*

YesNo
If yes, please describe:
Have you ever adopted or tried to adopt a pet before? If yes, fill out info below.*

YesNo
Rescue Information

Name of RescueContact Name
Rescue's Phone Number

Area CodePhone Number
Where will your cat spend most of his/her time?*
If you selected anything other than "Indoors Only," please explain:
Where will your cat eat?*
Where will your cat sleep?*
Do you consent to a home visit conducted by a Whisker Hill Animal Rescue volunteer, prior to adoption approval?*

YesNo
Please provide 3 personal references (only 1 can be a relative) that can testify to your responsibility and ability to care for your animals. This is required or your application cannot be approved. PLEASE BE AWARE: If your references are not easily reachable or do not reply in a timely manner, it will delay your application. If multiple references do not reply, your application will be filed on HOLD. Please choose your references carefully and be sure to list the correct contact numbers.
Reference #1*
First and Last Name & Relationship to Self
Reference # 1 Phone Number*

Area CodePhone Number
Reference #2*
First and Last Name & Relationship to Self
Reference #2 Phone Number*

Area CodePhone Number
Reference #3*
First and Last Name & Relationship to Self
Reference # 3 Phone Number*

Area CodePhone Number
If there is anything else you think we should know, please note it here.
Please remember, we are all volunteers and it may take approximately a week for us to get back to you. If you do not hear from us within one week, please send an email to whiskerhillrescue@yahoo.com
Thank you so much for wanting to rescue a cat!!
Should be Empty:

Please remember, we are all volunteers and it may take approximately a week for us to get back to you. If you do not hear from us within one week, please send an email to whiskerhillrescue@yahoo.com

Thank you so much for wanting to rescue a cat!!