Adoption Application

WSCR Adoption Application
Which Cat(s) Are You Applying For? *
Please put "open" if this is a general application for any cat that is a good fit.
Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone*
Email*
example@example.com
Employer Name & Address*
Character Reference #1 Name*
Character Reference #1 Phone Number*
Character Reference #2 Name*
Character Reference #2 Phone Number*
Are all members of your household in agreement with this adoption?*

YesNoUnsure
Type of Housing:*

HouseApartmentCondoMobile HomeOther
Do you own or do you rent?*

OwnRent
If you rent, are there any pet-related restrictions from the landlord?*
N/A if not applicable.
Landlord Name and Phone Number*
N/A if not applicable.
How many adults are in your household?*
How many children are in your household?*
N/A if not applicable.
If there are children, what are their ages?*
N/A if not applicable.
Have the children been around animals before?*

YesNoN/A
Does anyone in your home have allergies to cats, or have asthma?*

YesNo
Do you currently have pets in your home?*

YesNo
Please list all pets you own or have owned within the last 10 years and their ages*
N/A if not applicable.
Where are these animals now?*
N/A if not applicable.
Are all of these pets spayed/neutered? If no, please indicate which are not.*

YesNoN/A
If no, details?*
N/A if not applicable.
Have you adopted a pet before?*

YesNo
If yes, from what rescue group?*
If not from a rescue, please specify from where you got the pet. N/A if not applicable.
Please provide the name and phone number of your current veterinarian or clinic, as well as any previous clinics you have used within the last five years.
Current*
N/A if not applicable.
Previous*
N/A if not applicable.
Are you prepared to adapt to any potential issues that arise from a new pet? Vet costs, behavior, etc.*

YesNo
Under what circumstances would you attempt to rehome your cat?*

AgressionTravelLitter Box IssuesSheddingChange in Living ConditionsMovingClawing at the FurnitureCost of CareBitingBehavioral IssuesNeverOther
How many hours each day will your pets be home alone?*
Who would you contact if you need advice regarding your pets?*
How much do you expect to spend per month on your pets (vet care, food, litter, etc)?*
What type of food do you feed your pet daily?*

Wet onlyDry onlyWet and Dry foodN/A
What brand of food do you feed your pet?*
N/A if not applicable.
Adoption Agreement
All cats adopted from West Side Cat Rescue Inc are non-transferable. Our rescue adheres to a strict INDOOR ONLY and NO DECLAWING policy. By submitting this application, I affirm that what I have answered in this document is truthful and complete. I also understand and agree to the policy as outlined in this document.
Signature*
Date*

MonthDayYear
Date
Should be Empty:

WSCR Adoption Application

Adoption Agreement