Tulip's Timestamps adoption application
We make every attempt to screen our animals for health, behavior and temperament issues. Certain types of problems may not demonstrate themselves until the animal is in a home environment. For these reasons we cannot guarantee the behavior, health or temperament of any animal.
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Do you rent or own your home?
Please Select
Rent
Own
If you are renting, please provide you landlord's name and phone number:
Please provide your veterinarian's name and phone number
Which pet are you applying to adopt?
How did you hear about Tulip's Timestamps?
Please list all animals that currently live in your home or that you have owned in the last three years. Name, breed, age, and sex, if they are neutered and microchipped. If you do not own them anymore, please explain why.
When you are NOT home, where will your new cat be?
There are additional expenses for pets for routine care and possible unexpected medical costs. Are you prepared to be financially responsible for you new pet?
Please Select
Yes
No
It may take weeks for the new pet to adjust to a different environment. It may even require keeping the animals separate to introduce them properly. Are you prepared to handle this?
Please Select
Yes
No
All pets adopted through Tulip's Timestamps are spayed/neutered, microchipped and up to date on all core vaccinations. If you are adopting a pet younger than 6 months of age, you agree to have your pet altered with a veterinarian of your choosing at cost to you or through Tulip's Timestamps. You agree to provide a ($150/kitten, $225/bonded pair, $100/adult cat or $250/dogs) monetary donation at the time of adoption which will help cover some of the medical costs for other pets in need, as well. All kittens under the age of six months must go to a home with another young cat or adopted with a friend.
Please Select
I understand
I do NOT understand
I understand that purposeful falsification of the information contained in this form will result in automatic denial of an adoption, or subsequent confiscation of already adopted pet (s). I certify that the information I have provided herein is accurate and I authorize Tulip's Timestamps to investigate all statements made on this questionnaire. I understand that Tulip's Timestamps makes no representation or guarantee about any animal's temperament, behavior, health or any combination thereof. Tulip's Timestamps is not held liable for any future injury or damage, which may be caused by any adopted animal, nor is Tulip's Timestamps responsible for any illness or medical malady, which may befall the animal subsequent to adoption. Tulip's Timestamps reserves the right, at our sole discretion, to refuse any applicant for any reason. I agree should the pet I am adopting need to be rehomed for any reason, I will contact Tulip's Timestamps for assistance with rehoming or surrender the pet back to Tulip's Timestamps.
Please Select
I understand
I do NOT understand
By signing here, adopter agrees to the above information
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