Valley Cats Adoption Application

Cat(s) or Kitten(s) Desired:

Name

First NameMiddle NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email

example@example.com

Phone Number

Please enter a valid phone number.

Birthdate: (Month/Day/Year)

Occupation/Employer Name:

Home Information:

Ownership Information:

If you rent, please provide your landlord's name and phone number here:

How long have you lived at this address?

Names & Ages of other Adults & Children Living with You:

Have you owned a companion animal before? If so, please list names and ages of pets you've owned in the last 10 years, and if they are/were spayed/neutered, declawed, and living or deceased, here:

Please list your current/previous veterinarian(s):

Where will the cat be kept?

Are you planning to declaw the cat?

YesNo

How did you hear about Valley Cats?

Comments:

Please read and check all boxes below:

I acknowledge that it may take my new cat/s a month or more to adjust to my routine and household and I am willing to devote time to the transition process.I am financially prepared to incur emergency expenses should my new cat/s need urgent care.I agree to provide annual exams, vaccinations and any additional veterinary care for my new cat/s, by a qualified veterinarian, as needed.I have a plan in place for someone else to care for all of my pets should something happen to me that I am no longer able to do so.When picking up my new friend(s), I will bring a secure cat carrier for each cat I am adopting.By submitting this adoption application, I acknowledge that the information on this form is true and correct. I agree to all provisions indicated on this form. I understand that any misrepresentation of fact may result in Valley Cats, Inc. refusing adoption privileges to me. If my request for adoption is approved and later Valley Cats, Inc. discovers that the information is not true or correct, this application becomes null and void, and this constitutes a breach of contract. Because of my breach of contract, Valley Cats, Inc. reserves the right to remove the adopted cat/s from my home, and I will be held responsible for any associated costs incurred as part of said reclamation process. I understand that in order to ensure the best homes for its rescued cats, Valley Cats, Inc. reserves the right to deny any adoption application for any reason.