Aloha Kitty TNR Adoption Application

Adoption Application Form

Aloha Kitty TNR
Aloha and Mahalo for choosing Aloha Kitty TNR (AKTNR) to help you find your new pet! We are passionate about finding permanent, responsible and loving forever homes for our rescued cats, kittens & occasional dog from the island of Oahu. The information you provide on this application is completely confidential and will help us help you find the most compatible pet. Please be patient……Sometimes the adoption process may take a few days for approval. (We want to make sure you will all live your best lives ever TOGETHER!) You must be at least 21 years old to adopt an animal (although some rare exceptions have been granted). Have a current and valid photo I.D. If you rent, have the knowledge and consent of your landlord. Be able & willing to spend the time, open your heart to love & (the part that’s not easy to talk about) MONEY necessary to provide medical treatment & proper care of the cat. All of our cats a& kittens are spayed/neutered, microchipped, & have received at least two sets of vaccinations prior to adoption. They are also tested for FIV & FeLV. An in-home visits may be requested prior to approval & follow-up visits may be required as part of the adoption agreement.

The submission of an application does not guarantee that you will be able to adopt one of our animals.

Adoption Fee/Donation: Hawaii Adoptions ($150) Oregon Adoptions ($225)*

*Health Certificate for travel & Rabies vaccination 4 months or older by travel date.
General Information
Name of Applicant*

First NameLast Name
Age of Applicant*
Applicants must be at least 21 years old to adopt
Email Address*
example@example.com
Cell Number*
Alternative Phone Number*
Best Time to Call:
Name of Co-Applicant

First NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How long have you lived at your current address?*
Applicant Current Employment & How Long?*
Ex: Safeway (Full Time) (8 yrs.)
Co-Applicant Current Employment & How Long?*
Ex: Safeway (Part- Time) (6 yrs)
What type of cat are you interested in adopting? Check all that apply.*

Kitten(s)AdultSeniorUndecided / no age preference
Are you interested in adopting a specific cat?*

Yes - I am applying for a cat I saw on PetfinderYes - I am applying for a cat I met at the shelter / in a foster homeYes - I am applying for a cat that I saw on FacebookNo - I am still considering all options
Which cat(s)/kitten(s) are you interested in adopting?*
List the name(s) of all cats you're interested in
Describe the type of personality and/or appearance you would like your cat to have:*
Ex: playful, friendly, lap cat, good with kids, good with other dogs, male, orange, long hair, no hair etc.
If the cat(s) you are interested are no longer available for adoption, would you like us to continue to process your application for pre-approval in the event that another cat interests you?*

YesNo
How long have you been thinking about adopting a cat or kitten?*
Who is this pet for?*

MyselfMy familyRelativeFriendESA AnimalOther (Barn Cat, Mouser, Office/Shop Cat)
Where will your cat live primarily?*

Inside OnlyInside/OutsideOutside OnlyFree Access in/out via Cat Door
Are all members of the household aware of the adoption and in agreement?*

YesNo
Have you applied/adopted from us previously?*

YesNo
Have you ever adopted from another rescue organization or shelter? Please List
Are you looking to adopt now, or in the future? *
If future, please provide an estimate as to when you'll be ready to bring home your new cat
Home & Family
Describe your home*

Single-FamilyApartmentCondo/DuplexPublic HousingStudent Housing
Do you own or rent your home?*

OwnRentI live with a parent, guardian or family member
If you rent, were you required to pay a pet deposit?*
If you rent or live in a family member's home, please provide their contact information here:*
If you rent please provide your landlord/property manager's name & phone number here:*
If you have lived at your current address less than a year, what was your previous address?*
Who else lives in the home or visits regularly? Please list names and ages for individuals under 18 years of age.*
Ex: Michael, partner (41); Jessica, daughter (7). Susan, mother-in-law (80).
Is your home busy or quiet?*

BusyQuietA mix of both, depending on the time & day
Are any members of the household allergic to pets (eg. dogs, cats etc.)*

YesNo
If you had to move, are you willing to find housing that accepts pets?*

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

YesNo

Have your cat(s) been tested for FIV and FeLV (Leukemia)?*
Have any of your current cat(s) tested positive for FIV or FeLV?*

Negative for bothNegative FIV, Positive FeLVPositive FIV, Negative FeLVNot testedI don't have cats
Have you had any pets of your own in the past 10 years?*

YesNo - this is my first pet

Have you ever had a pet euthanized?*

YesNo
If yes, please explain the circumstances:
Have your current or past cats been mostly indoor with some time spent outdoors? How often did they go out? Please explain:*
Do you plan to let your cat out for outdoor time? If so please explain.*
Did you declaw any of your past or current cats?*

YesNoN/A - this is my first pet
Do you plan on declawing your adopted cat?*

YesNoI don't know
Under what circumstances would you have your cat declawed & are you aware of the potential side effects of declawing a cat?*
Are you willing/able to take your pets to yearly check-ups?*

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

YesNo
Are you aware and willing to spend approximately $1000 per year to keep a cat?*

Yes, I understand that it may cost more than $1000 per year to keep a cat!No, I was not aware, but I am now!No, I am not willing to pay that amount for a new cat or kitten!
How many hours per day would the cat be alone?*
How would you deal with behavioral issues such as excessive meowing, destructive behavior, inappropriate urination etc.?*
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?*

YesNo
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
What are your deal breakers that might make you return this cat?*
Ex: None, Destructive Behavior, Moving, Change in Marital Status, Aggressiveness, Vet Bills, Job Change, Baby...
Do you anticipate any major lifestyle changes?*
Ex: Moving, marriage, new baby, new job
If you have to leave town, urgently or planned, where would your cat stay or who would take care of it?*
If you were no longer able to care for your pet, or had to move, what would happen to your pet?*
Have you ever had to re-home a pet or surrender it to an animal shelter, animal control etc.?*

YesNo
If you answered "Yes" to the above question, please explain the circumstances:
Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment?*

YesNo
If you answered "Yes" please provide a detailed description:
Are you willing and able to care for your cat for the full duration of its life (15-20+ years)?*

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*
Last name that the pet(s) are listed under (if applicable):*
Previous Vet Clinic
Previous Vet Clinic Phone
Personal References

Please provide 2 non-family references (eg. neighbors, coworkers, family friends etc.)
Reference 1*

First NameLast Name
Reference 1*
Relationship to Reference 1*
Ex. Neighbor, coworker, roommate, family friend
Reference 2*

First NameLast Name
Reference 2*
Relationship to Reference 2*
Ex. Neighbor, coworker, roommate, family friend
Military Service Personnel

Help us prevent pet abandonment by we respectfully request the following information:
Are you currently serving in the military?*

YesNoOther
If yes, which branch of service are you in?
Thank you for your service!
Where are you stationed currently?
Ex: Name of Military Base/State
Please provide the name of your unit, commander, & their phone number.
Do you live in government housing? Which type of housing?
Ex: Family Housing, Barracks
What is your approximate PCS date?
Who will care for your pet(s) if you go to the field or other short term assignment?
Who will care for your pet(s) if you deploy?
Are you aware of the costs associated with moving your pet(s)?
What is your contingency plan for your pet(s) if you get an assignment to a non-pet duty station i.e. the middle east, Africa?
Terms & Conditions
I certify that I am at least 21 years of age*

AgreeDisagree
The information I have provided on this application is true. I also recognize that any misrepresentation or omissions may result in the loss of privilege to adopt from Aloha Kitty TNR.*

AgreeDisagree
I understand that Aloha Kitty TNR has the right to deny any application for any reason*

AgreeDisagree
I understand that Aloha Kitty TNR and its fosters are not able to guarantee the health or temperament of any cat, as many cats come in with unknown histories. Though we do our best to inform perspective adopters with as much information as possible about the cat in which they are adopting. There are traits that could change upon adoptions, and I take responsibility to care for and address these issues if they do arise*

AgreeDisagree
I understand that anything could happen in life, and if I find that I am no longer able to care for my adopted cat, I agree to contact Aloha Kitty TNR by phone and/or email to discuss return/or need for help of the adopted animal.*

AgreeDisagree
I understand that I am to immediately contact Aloha Kitty TNR in the event that my adopted cat is lost/missing & I will make every effort possible to find it.*

AgreeDisagree
I attest that the cat I am adopting is for me, in my home, and NOT a gift for anyone else.*

AgreeDisagree
I understand that I am responsible for paying for all follow-up vaccines, wellness visits & medical procedures my pet will require in the future.*

AgreeDisagree
I hereby authorize Aloha Kitty TNR to contact my references, veterinarian(s), and landlord/property manager to verify said statements.*

AgreeDisagree
I understand that this is not a completed adoption agreement. This is an application for adoption. I understand that there is a separate agreement form that will be signed in the event that I am approved & selected for adoption.*

AgreeDisagree
Applicant Name*

First NameLast Name
Signature*

Powered by Jotform SignClear
Date*

MonthDayYear
Date
Should be Empty:

	Name	Type of Animal	Sex (M/F)	Age	Fixed? (Y/N)	Up-to-date on vaccines? (Y/N)
Pet 1
Pet 2
Pet 3
Pet 4
Pet 5

	Name	Type of Animal	Sex (M/F)	Age	Why don't you have them any longer?
Pet 1
Pet 2
Pet 3
Pet 4

Adoption Application Form

General Information

Home & Family

Current & Past Pets

Veterinarian

Personal References

Military Service Personnel

Terms & Conditions