Pet Adopter Application

Pet Adoption Information Form
Adopter Name*

First NameLast Name
Cell Phone Number*
Alternate phone number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Employment
Age of adopter (D.O.B.)
If you are interested in specific pets for adoption, please enter the names.
What type of cat are you interested in adopting?*

kittenadultseniorspecial needsundecided/open to suggestions
Who is the pet for?*

myselfmy familyrelativefriend
Name and ages of everyone living at address. Please include adults and children.*
Is everyone in household agreeable with adopting a new pet?*
Does anyone in household have any known allergies to animals?*

YesNo
Type of Housing*

ApartmentCondoSingle Family ResidenceOther
Do you own or rent?*

OwnRentLive with family memeber
If renting landlord name and phone number (application cannot be processed without this information if you rent)*
Are there any size, weight, number of pets, or breed restrictions where you live? If so please explain.
Name, age, breed of current pets. Please include if they are up to date on vaccines.
Are all current pets neutered/spayed?

YesNo
Do you currently have (or have you in the past) a relationship with a vet office? If yes, please provide clinic name, address and phone number and name of pet taken to them. (Please let them know we may contact them for a reference.)*
Please provide 2 personal references that we may contact and let them know we may call. Include name, email, phone number, relationship to you.*
Have you ever had to rehome a pet or surrender to a shelter? Please explain if Yes.*
If you adopt a cat will they be kept*

Indoor onlyIndoor/OutdoorMostly outdoorsOther
Tell us characteristics of your ideal pet

Easy GoingCouch PotatoActive & AgileGood with CatsGood with DogsGood with ChildrenHas Basic Training
Why are you interested in adopting a pet?*
Are you able to separate new pet during acclimation period?*

yesno
Are you willing to give new pet time to adjust? (This can take several days to several months)*

yesno
Additional information you would like to share or any questions
Please check additional topics you would like to discuss

Feeding the PetHouse-TrainingPet InsuranceFlea/Tick PreventionPost Adoption SupportGrooming/Nail TrimmingVeterinary ServicesOther
How did you hear us?

TFAR WebsiteFacebookReferralPetfinder WebsiteAdoptapet WebsiteOther
Application Date*

MonthDayYear
Date
By signing this form, I hereby acknowledge that I am at least 21 years old and the information given is true.
Signature*

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Pet Adoption Information Form