CARE Cat Adoption Application

Name of Applicant*

First NameLast Name

Age of Applicant*

Applicants must be at least 21 years old to adopt

Name of Co-Applicant

First NameLast Name

Email Address*

example@example.com

Cell Number*

Alternative Phone Number

Employment*

Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

What type of cat are you interested in adopting? Check all that apply.*

Kitten(s)AdultSeniorUndecided / no age preference

Are you interested in adopting a specific cat?*

Yes - I am applying for a cat I met at a pet store / eventYes - I am applying for a cat I saw onlineNo - I am still considering all options

Which location

List the name of the location

Which platform

Which cat(s)/kitten(s) are you interested in adopting?*

List the name(s) of all cats you're interested in

Describe the type of personality and/or appearance you would like your cat to have:*

Ex: playful, friendly, lap cat, good with kids, good with other dogs, male, orange etc.

If the cat(s) you are interested are no longer available for adoption, would you like us to continue to process your application for pre-approval in the event that another cat interests you?*

YesNo

Who is this pet for?*

Are all members of the household aware of the adoption and in agreement?*

YesNo

Have you applied to adopt from us previously?*

YesNo

Have you adopted from us previously?*

YesNo

Are you looking to adopt now, or in the future? *

If future, please provide an estimate as to when you'll be ready to bring home your new cat

Describe your home*

Do you own or rent your home?*

OwnRentI live with a parent, guardian or family member

If you rent or live in a family member's home, please provide their contact information here:

Who else lives in the home or visits regularly? Please list names and ages for individuals under 18 years of age.*

Ex: Michael, husband (41); Jessica, daughter (7). Susan, mother-in-law (80).

Is your home busy or quiet?*

BusyQuietA mix of both, depending on the time & day

Are any members of the household allergic to pets (eg. dogs, cats etc.)*

YesNo

If you had to move, are you willing to find housing that accepts pets?*

YesNoMaybe

Do you have any pets currently?*

YesNo

List all current household pets:

	Name	Type of Animal	Sex (M/F)	Age	Fixed? (Y/N)	Up-to-date on vaccines? (Y/N)
Pet 1
Pet 2
Pet 3
Pet 4
Pet 5

Have you had any pets of your own in the past 10 years?*

YesNo - this is my first pet

Have you ever had a pet euthanized?*

YesNo

If yes, please explain the circumstances:

Have your current or past cats been mostly indoor with some time spent outdoors? How often did they go out? Please explain:*

Do you plan to let your cat out for outdoor time? If so please explain.*

Did you declaw any of your past or current cats?*

YesNoN/A - this is my first pet

Do you plan on declawing your adopted cat?*

YesNoI don't know

Are you willing/able to take your pets to yearly check-ups?*

YesNo

If your pet becomes ill, are you able to afford a veterinary bill?*

YesNo

How would you deal with behavioral issues such as excessive meowing, destructive behavior, inappropriate urination etc.?*

Does your home have space (i.e. a spare bedroom, office, or bathroom) to separate new pets from current pets during the acclimation and introduction period?*

YesNo

Are you willing to give your cat/kitten time to adjust to its new environment? (Note: this could take anywhere from several days to several months)*

YesNo

If you have to leave town, urgently or planned, where would your cat stay or who would take care of it?*

If you were no longer able to care for your pet, or had to move, what would happen to your pet?*

Have you ever had to re-home a pet or surrender it to an animal shelter, animal control etc.?*

YesNo

If you answered "Yes" to the above question, please explain the circumstances:

Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment?*

YesNo

If you answered "Yes" please provide a detailed description:

Are you willing and able to care for your cat for the full duration of its life (15-20+ years)?*

YesNo

I certify that I am at least 21 years of age*

AgreeDisagree

The information I have provided on this application is true. I also recognize that any misrepresentation or omissions may result in the loss of privilege to adopt from QTee Rescue Organization.*

AgreeDisagree

I understand that QTee Rescue Organization has the right to deny any application for any reason*

AgreeDisagree

I understand that QTee Rescue Organization is not able to guarantee the health or temperament of any cat, as many cats come in with unknown histories. There are traits that could change upon adoptions and I take responsibility to care for and address these issues if they do arise*

AgreeDisagree

I understand that anything could happen in life, and if I find that I am no longer able to care for my adopted cat, I agree to contact QTee Rescue Organization by phone and/or email to discuss return/or need for help of the adopted animal*

AgreeDisagree

I attest that the cat I am adopting is for me, in my home, and NOT a gift for anyone*

AgreeDisagree

I understand that I am responsible for paying for all follow-up vaccines, wellness visits & medical procedures my pet will require in the future.*

AgreeDisagree

Please upload a valid photo ID*

I hereby authorize QTee Rescue Organization to contact my references, veterinarian(s), and landlord to verify said statements.

Applicant Name*

First NameLast Name

Signature*

Date*

Date

Cat Adoption Application Form

General Information

Home & Family

Current & Past Pets

Terms & Conditions