Kitten Clutter Rescue Adoption Application Form

Kitten Clutter Rescue Adoption Application Form
General Information
Today's Date*

MonthDayYear
Date
Full Name of Adopter*

First NameLast Name
Birth Date*

MonthDayYear
Date
E-mail*
example@example.com
Phone Number*
Please enter a valid phone number.
Best Method of Contact*

Phone CallTextEmail
Best Time to Contact*

Morning (8am-12pm)Afternoon (12pm-5pm)Evening (5pm-8pm)
Address*

Street Address

Street Address Line 2

CityState

Zip Code
About the Prospective Cat(s)/Kitten(s)
What is your primary reason(s) for adopting a cat/kitten?*

Family companionFor my partnerFor my child(ren)For someone elseGiftCompanion for petOther
If Other, please explain:*
What type of cat are you interested in adopting? Include gender, age, special needs, hair type, color preference.*
Is there a particular cat/kitten we have that you're interested in?*

YesNo
Type the cat/kitten's name here you are interested in:*
Where will the cat(s) be kept?*

Indoor onlyMainly indoor, limited outdoorBoth indoor and outdoorOutdoor only
Who will be responsible for the daily care of the cat(s)?*
Who will be responsible for the healthcare of the cat(s)?*
On an average workday, how many hours will the cat(s) be alone each day?*
Where will the cat(s) be kept when nobody is home?*
Where will the cat(s) be kept when people are home?*
Where will the cat(s) sleep?*
Where will the cat(s) be kept when company is over?*
In addition to routine annual exams and vaccinations, veterinarian costs for sickness and injury can be very costly. Are you willing to accept this financial responsibility?*

YesNo
Do you plan to use regular flea control?*

YesNo
Will you have two or more litter boxes in the house?*

YesNo
Are you planning on declawing your new cat or kitten?*

YesNoNot sure
Cats have been known to claw furniture, carpet and drapes, to dig in potted plants, urine mark, etc. How do you plan to deal with behavioral issues if they occur?*
Are there behavioral issues you think you would not be able to accept? What would you do if these occur? Please explain in detail.*
Do you have a regular veterinarian?*

YesNo
Please provide your veterinarian's name (or the veterinarian you plan to use for your cat's healthcare), hospital name, and phone number. By submitting this application, it is understood that we will call your vet if we deem necessary.*
How will you provide care for your cat(s) when you travel or cannot be home for extended periods of time?*
If you move (locally or out of state), what will you do with the cat(s)?*
What will you do if your current or future partner does not want a cat or develops allergies to the cat(s)?*
What will you do if your baby or child develops allergies to the cat(s)?*
Under what circumstances would you not be able to keep this cat/kitten? (please check all that apply)*

Pregnancy/babySelf/household member develops allergiesDivorce/separationRequired daily treatment/medicatingJob change/lossNew house/apartmentScratches carpet/furnitureBehavioral problemsExpensive vet billsConflict with other petsSprays/litterbox issuesNeeds a special dietCat becomes sick/disabledCat becomes elderlyChildren lose interest or are unwilling to care for catNone of the aboveOther
If other, please explain:*
Will you allow a safe home check prior to approval? In some cases, we may authorize a virtual home check.*

YesNo
Household
How many people currently reside in your household? List names and ages of all people in the household (include babies/children)*
Is any member of your household allergic to cats? If so, what is your plan for accommodating for this when adopting a cat?*
Is everyone in the household on board with adopting this cat/kitten?*

YesNoNot sure
Previous and Existing Pets
Do you currently have any other pets in your home? If so, please provide their breeds, ages, vaccination status, and if they have been fixed (spayed/neutered).*
List previous pets over the last 10 years: cat/dog/other. What happened to this pet (i.e. gave it away, ran away, deceased, other)? If deceased, list age at death and cause.*
Have you ever rehomed a pet or given one up to a shelter/rescue? If so, please describe.*
Are you willing to isolate the new cat(s) in a separate area from other animals in the household for at least two weeks so they can acclimate? If so, where will they be isolated?*
What will you do if your new cat(s) doesn't get along with your current pets?*
Residence
Type of residence*

HouseApartmentCondoTownhouseMobile homeOther
Do you own or rent your residence?*

OwnRent
If you rent, will adding the cat(s) be in compliance with your rental agreement? If you rent, please describe the pet policy (including pet limits, any requirement for a deposit or additional rent).*
If you rent, please provide your landlord's name and phone number. Kitten Clutter Rescue maintains the right to contact your landlord for verification.*
How long have you been at your residence (number of years and/or months)?*
Do you have a pet door?*

YesNo
Do your windows have screens?*

YesNo
Will the cat(s) have access to balconies?*

YesNo
Will the cat(s) have access to patios?*

YesNo
Do you have an emergency plan in case you are unable to care for your pet(s) either temporarily or long term? Please explain in detail.*
Agreements
I/we are ready, willing, and able to take personal and financial responsibility for the cat(s) throughout its/their expected 15-20 year lifespan?*

YesNoMaybe
This is the adoption application. If selected to adopt, I understand that there will be an adoption contract that I will agree to sign. I can request a copy of the contract in advance if I am approved.*

Yes, I agreeNo, I do not agree
Do you agree to the following: By completing this application, I/we acknowledge that all information on this form is true and correct to the best of my/our knowledge. I/we understand that any misrepresentation of fact may result in Kitten Clutter Rescue refusing adoption privileges to me/us. If my/our request for adoption is approved and later Kitten Clutter Rescue discovers the above information is not true or correct or any terms of the adoption agreement have been broken, Kitten Clutter Rescue reserves the right to reclaim the cat(s)/kitten(s).*

Yes, I agreeNo, I do not agree
Do you have any questions or comments?
If there is anything else you think we should know, please note it here.
Should be Empty:

Kitten Clutter Rescue Adoption Application Form

General Information

About the Prospective Cat(s)/Kitten(s)

Household

Previous and Existing Pets

Residence

Agreements