ARC Cat Adoption Application

Cat Adoption Application
General Information

An approved application is required for any adoption. Adoption fees include spay/neuter, age-appropriate vaccinations, combo-testing (FIV & Feline Leukemia), microchip, dewormers, and flea treatments.
Email Address*
example@example.com
Name of Applicant*

First NameLast Name
Age of Applicant*
Name of Co-Applicant

First NameLast Name
Applicant's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Cell Number*
Alternative Phone Number
Home phone or co-applicant's phone
Applicant's Employer Name & Occupation*
Co-Applicant's Employer Name & Occupation
Home & Family
Describe your home*

Single-Family HomeApartmentCondo/DuplexStudent Housing
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 landlord or family member's contact information here:
If you rent, are you aware of your landlord's current pet policy?

YesNo
Who currently lives in the home? (Please list all residents and ages of those under 18 years old.)*
Ex: Michael, husband; Jessica, daughter (7). Susan, mother-in-law.
Tell us about your lifestyle (check all that apply)*

QuietLivelyA mix of both, depending on the time & dayAlways homeTravel often
Are all members of the household aware of the adoption and in agreement?*

YesNo
Who will be a primary caregiver for the cat?*

Me (primary applicant)My familyOther RelativeFriendOther
Are any members of the household allergic to pets (eg. dogs, cats etc.)*

YesNo
Does anyone in your household smoke inside your home?*

YesNoWe smoke, but only outside
If you have to move from your current location, are you willing to find housing that accepts pets?*

YesNoMaybe
Current & Past Pets
Do you currently have any pets?*

YesNo

If no current pets, have you had any pets of your own in the past?*

YesNoNo, this will be my first pet

Have you ever rehomed a pet?*

YesNo
If yes, please give a brief description of the circumstances:
Have you adopted from Animal Rescue Carolina previously?*

YesNo
If yes, what is the name of the cat you adopted from us?
What type of cat are you interested in adopting?*

Kitten(s)AdultSeniorUndecided / no age preference
Describe the type of personality or appearance that interests you:*
If known, what is the name of the cat(s)/kitten(s) you wish to adopt?*
List the name(s) of all cats you're interested in
Will this cat be a gift for someone?*

YesNo
If you adopt, where will the cat live?*

Indoor Only (Please note: Indoors includes access to screened-in porch or catio)Outdoor OnlyBoth Indoor & Outdoor (Please note: Outdoor includes fenced yards and leash walking)
Does your home have a pet door for indoor/outdoor access?*

YesNoNo, but we're planning to install one
Are you considering harness/leash training for your adopted cat?*

YesNo
If yes, for what purpose are you considering leash training your adopted cat?
Have you ever owned a declawed cat?*

Yes, I adopted him/her that wayYes, I declawed him/herNoN/A - this will be my first cat
Do you plan on declawing your adopted cat?*

YesNoI don't know/Maybe
What potential issue would cause you to consider declawing your adopted cat?*
Are you willing/able to take your pet for an annual well-check?*

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

YesNo
Have you ever had a pet euthanized?*

YesNo
If yes, please give a brief description of the circumstances:
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?*

YesNoN/A (this will be my first pet or only pet)
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
Are you willing and able to care for your cat for the full duration of its life (15-20+ years)?*

YesNo
If something unexpected happens to you during the life of this cat, have you made a care plan?*

YesNo
If yes, please describe:
If the cat you listed above is no longer available for adoption, would you like us to continue processing your application for pre-approval in the event another cat interests you?*

YesNo
Veterinarian

Please list your current / previous / planned veterinarian(s) and their phone number(s). We will contact them to verify your current pets are up to date on shots, fixed and FeLV tested; this is a requirement for new pet adoptions. Please call their office(s) to authorize release of information to us. If you are planning to utilize another vet but are not currently a client, please note that information.
Vet Clinic*
Vet Clinic Phone*
Currently a client*

YesNoNot yet; this is the vet I plan to use for my new petI have no vet, but would like a recommendation
Last name the pet(s) are listed under (if different from yours):
Previous Vet Clinic
If within the last 5 years
Previous Vet Clinic Phone
Personal References

Please provide 2 references (neighbors, coworkers, family friends etc. - at least one non-family)
Reference #1*

First NameLast Name
Phone Number of Reference #1*
Relationship to You*
Ex. Neighbor, coworker, roommate, family friend
Reference #2*

First NameLast Name
Phone Number of Reference #2*
Relationship to You*
Ex. Neighbor, coworker, roommate, family friend
Terms & Conditions
The information I have provided on this application is true. I recognize that any misrepresentation or omissions may result in the loss of privilege to adopt from Animal Rescue Carolina.*

AgreeDisagree
I understand that Animal Rescue Carolina has the right to deny any application for any reason.*

AgreeDisagree
How did you hear about Animal Rescue Carolina?*

Previous AdopterIn-person adoption eventOnline pet searchFamily or FriendOther
I hereby authorize ARC to contact my references, veterinarian(s), and landlord to verify said statements. I certify that all answers provided are true and there is no intentional deception.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

	Name	Type of Animal	Age	Sex (M/F)	Fixed? (Y/N)	Vaccines Up-To-Date? (Y/N)	If cat, declawed? (Y/N)	If dog, current on HW prevention? (Y/N)	Are they Indoor/Outdoor/or Both
Pet 1
Pet 2
Pet 3
Pet 4
Pet 5

	Name	Type of Animal	Age	Sex (M/F)	Fixed? (Y/N)	If cat, declawed?(Y/N)	Were they Indoor/Outdoor/or Both	Where are they now?
Pet 1
Pet 2
Pet 3
Pet 4

Cat Adoption Application

General Information

Home & Family

Current & Past Pets

Veterinarian

Personal References

Terms & Conditions