Cat Adoption Form

Animal you are interested in Adopting*

Applicant's First Name*

Last Name*

Street Address*

City*

State*

Apartment Number (if applicable)*

Zip Code*

Phone Number*

Please use the following format 248-555-1212

Email Adress*

Please enter correctly as this is the main way we will contact you

Are you interested in multiple animals or pairs? (list the name of additional animals of interest)*

How did you find out about us?*

Have you applied anywhere else for a pet? *

Is this pet for you or someone else?*

Please list any current pets by providing names, breeds, and ages.*

Are all of your pets spayed/neutered/fixed?*

How many pets have you owned in the last 5-10 years? *

What happened to any pets that are no longer in your care?*

Are your pets current on their vaccinations?*

Have you ever surrendered your animal into a shelter? If yes, please explain? *

Please list your current veterinarian's Name, Address, City, State, Zip Code, and telephone number.*

Again if you have never owned a pet please list where you would go

Have you ever had a pet euthanized? If yes, please explain*

What preventative care do you prefer? (Flea and tick, heartworm, vaccinations)*

If you have pets, will they adjust to a new pet in the house?*

Were any of your pets obedience trained?*

Please check the main reason you plan to adopt a pet:*

If you answered "other" above, please explain here:*

Please describe in detail the pet you are looking for.*

Do you own or rent your home?*

Please select your current residence type.*

If you answered "other" above, please explain here:*

How long have you lived at this address?*

If you rent, does your landlord and lease allow pets? *

Including yourself, how many people live in your household?*

Please list the ages & relationship of those who live in your home (including yourself).*

Is everyone in your household aware that you are planning to adopt a pet?*

Does anyone in your household have allergies to dogs/cats?*

Employment Status *

If you chose "other" above, please explain:*

On average, how many hours per day will your pet be left alone?*

How much do you think the annual medical bills will be for your pet?*

What would you do if the bills went over this amount?*

Will this pet be predominantly living inside, outside, or both?*

Please provide a description of this pet's living conditions.*

Where will the animal sleep?*

If you answered "other" above, please explain:*

Will the animal spend any time in the garage?*

If the animal will spend time in the garage, please explain when/why:*

How will you handle destructive behavior?*

Will you keep the animal up-to-date on vaccinations and heartworm preventative?*

If no, please explain:*

Have you ever been convicted of domestic violence/abuse or neglect of a child or animal?*

If yes, please explain:*

What arrangements will you make for the care of your pets in case of an emergency?*

If you answered "other" above, please explain:*

What will you do with the animal when you go on vacation?*

If you answered "other" above, please explain:*

For what reason(s) would you consider returning/giving up the animal?*

What would you do with your animal if you had to move?*

If you answered "other" above, please explain*

Is anyone in the home allergic to cats, dogs, or small animals?*

Are you willing to take responsibility for this animal for the next 10-20 years?*

Are you open to a special needs animal?*

Please provide the name and phone number for a reference that is not related to you.*

Please provide the reference name and contact telephone number.*

Please provide the name and phone number for a reference that is not related to you.*

Will you allow us to perform a virtual home check?*

I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I am authorizing you to contact references, landlords, associations and veterinarians. You are also aware that we cannot guarantee the health and temperament of the animal.*

Lucky Cat Rescue And Sanctuary Adoption Application