JTRkitties adoption application

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

E-mail

example@example.com

Are you 18 years of age or older?

Birth Date

MonthDayYear

Do you own your own home?

What is your landlord's policy on pets?:

Type of Dwelling:

Are you planning on moving within the next 6 months?

What are your plans for your pets if you move?

What is your reason for wanting to adopt a cat or dog?

If adopting a cat or dog, where would the cat or dog be kept when alone?

Are you planning on declawing your new cat or kitten?

Are your current cats declawed?

Are any members of your household allergic to animals?

How Many people are in the Home?

How many are children and what are their ages?

Please describe:

Over the past 5 years, how many pets have you owned? (Include current pets)

Please list breed, age, if they're still living with you? (if not, why?)

Veterinary Contact

Have you ever lost or given away a pet?

If you currently own a dog or cat, how does he/she react to new animals?

Are your present pets up-to-date on their annual vaccines?

Please explain:

Are your present pets spayed or neutered?

Please explain:

Were your previous pets spayed or neutered?

Please explain

Can/Will you provide your cat or dog with monthly flea/tick prevention?

If your cat or dog displays behavioral problems (such as poor litter box habits, inappropriate scratching etc.) how would you go about correcting the behavior?

What type of solution would you be willing to try if housebreaking accidents continue after the first week (check all that apply)?

What brand of cat or dog food do you plan on feeding your new cat or dog?

Are you prepared to commit to a pet for 15 - 20 years (average life span)?

Where will your cat or dog spend most of his/her time?

If you selected outdoor, would your cat be supervised?

If there is anything else you think we should know, please note it here.

This animal has been given to you in the firm and confident belief that it will receive a good home with responsible and loving care.
Ownership of an animal yields much pleasure and satisfaction. It also has its obligations and responsibilities. The fact that the animal has been in our care usually indicates that someone has, in the past, failed to recognise these responsibilities.
I do hereby confirm to the following terms & conditions and undertake that:
1. I am over eighteen (18) years of age.
2. I will not part with possession of the animal except to return it to the Jtrkitties if for any reason I am unable to keep it. In the event that I fail to do so, I agree that I will be liable to pay to the Jtrkitties all costs which they may incur in obtaining confirmation that the animal has been homed to a suitable person, with suitable premises. In the event that this is not the case, I also agree that I will be liable for all costs which the SPCA may incur, including all legal costs on an attorney and client scale, in recovering possession of the animal.
3. I will give the animal a fair chance to adjust to its new home.
4. I understand that donations are not refundable or transferable.
5. I will feed and house the animal to the Jtrkitties satisfaction.
6. I will not chain or cage the animal, and understand that if it is found chained or caged, it will be removed from my care immediately.
7. I can afford the services of a private veterinary practitioner.
8. I will ensure that vaccinations are kept up to date and in the case of injury or illness professional veterinary treatment will be provided.
9. I understand that in the case of illness (not injury) occurring within the first seven (7) days of adoption, I may bring the animal to the Jtrkitties to be attended to by its veterinarian (at the discretion of othe Jtrkitties) at no charge - to myself.
10. I will ensure that the animal is sterilised as stipulated by the Jtrkitties
11. I will identify my dog with a collar and identification tag – only elasticised collars may be used for cats.
12. My property is adequately enclosed and at no time shall I knowingly allow my dog to roam the streets.
13. I will notify the Jtrkitties within forty-eight (48) hours should the animal die or go missing.
14. I know and understand the "By-Laws Pertaining to Dogs" of the Municipality in which I reside.
15. I will permit an authorised officer of the Jtrkitties to visit my premises from time to time, to be assured that the animal is being treated in accordance with this Policy, and I will allow the Jtrkitties to repossess the animal, if in the Jtrkitties opinion, the terms of this policy are not being reasonably adhered to.
16. I will not use or allow the animal to be used as a watchdog on any industrial or commercial premises.
17. I will notify the Jtrkitties of any change of address in writing by registered post within seven (7) days.

a fill in the blanks field. Please add appropriate blank fields and text.

Signature

Simple Kitten Adoption Form