Kitten Clutter Rescue Adoption Application Form
General Information
Today's Date
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Month
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Day
Year
Date
Full Name of Adopter
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First Name
Last Name
Birth Date
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Month
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Day
Year
Date
E-mail
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Best Method of Contact
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Phone Call
Text
Email
Best Time to Contact
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Morning (8am-12pm)
Afternoon (12pm-5pm)
Evening (5pm-8pm)
Address
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Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
About the Prospective Cat(s)/Kitten(s)
What is your primary reason(s) for adopting a cat/kitten?
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Family companion
For my partner
For my child(ren)
For someone else
Gift
Companion for pet
Other
If Other, please explain:
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What type of cat are you interested in adopting? Include gender, age, special needs, hair type, color preference.
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Is there a particular cat/kitten we have that you're interested in?
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Yes
No
Type the cat/kitten's name here you are interested in:
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Where will the cat(s) be kept?
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Indoor only
Mainly indoor, limited outdoor
Both indoor and outdoor
Outdoor only
Who will be responsible for the daily care of the cat(s)?
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Who will be responsible for the healthcare of the cat(s)?
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On an average workday, how many hours will the cat(s) be alone each day?
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Where will the cat(s) be kept when nobody is home?
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Where will the cat(s) be kept when people are home?
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Where will the cat(s) sleep?
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Where will the cat(s) be kept when company is over?
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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?
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Yes
No
Do you plan to use regular flea control?
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Yes
No
Will you have two or more litter boxes in the house?
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Yes
No
Are you planning on declawing your new cat or kitten?
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Yes
No
Not 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?
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Are there behavioral issues you think you would not be able to accept? What would you do if these occur? Please explain in detail.
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Do you have a regular veterinarian?
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Yes
No
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.
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How will you provide care for your cat(s) when you travel or cannot be home for extended periods of time?
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If you move (locally or out of state), what will you do with the cat(s)?
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What will you do if your current or future partner does not want a cat or develops allergies to the cat(s)?
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What will you do if your baby or child develops allergies to the cat(s)?
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Under what circumstances would you not be able to keep this cat/kitten? (please check all that apply)
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Pregnancy/baby
Self/household member develops allergies
Divorce/separation
Required daily treatment/medicating
Job change/loss
New house/apartment
Scratches carpet/furniture
Behavioral problems
Expensive vet bills
Conflict with other pets
Sprays/litterbox issues
Needs a special diet
Cat becomes sick/disabled
Cat becomes elderly
Children lose interest or are unwilling to care for cat
None of the above
Other
If other, please explain:
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Will you allow a safe home check prior to approval? In some cases, we may authorize a virtual home check.
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Yes
No
Household
How many people currently reside in your household? List names and ages of all people in the household (include babies/children)
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Is any member of your household allergic to cats? If so, what is your plan for accommodating for this when adopting a cat?
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Is everyone in the household on board with adopting this cat/kitten?
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Yes
No
Not 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).
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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.
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Have you ever rehomed a pet or given one up to a shelter/rescue? If so, please describe.
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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?
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What will you do if your new cat(s) doesn't get along with your current pets?
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Residence
Type of residence
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House
Apartment
Condo
Townhouse
Mobile home
Other
Do you own or rent your residence?
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Own
Rent
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).
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If you rent, please provide your landlord's name and phone number. Kitten Clutter Rescue maintains the right to contact your landlord for verification.
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How long have you been at your residence (number of years and/or months)?
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Do you have a pet door?
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Yes
No
Do your windows have screens?
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Yes
No
Will the cat(s) have access to balconies?
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Yes
No
Will the cat(s) have access to patios?
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Yes
No
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.
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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?
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Yes
No
Maybe
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.
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Yes, I agree
No, 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).
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Yes, I agree
No, 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.
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