ADOPTION APPLICATION

ADOPTION APPLICATION

Friends of San Martin Animal Society P.O. Box 71, Morgan Hill, CA 95038 Phone: (669)228-4440; Email: info@fosmas.org
Which pet(s) are you wanting to adopt?
Adopter
Adopter’s name
Please provide the name that your employer and landlord will recognize.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Adopter's Driver’s license
I can best be reached at
Adopter's mobile phone number
Format: (000) 000-0000.
Adopter's home phone number
Format: (000) 000-0000.
Adopter's E-mail address
example@example.com
Adopter's Employer
Adopter's Work Phone
Please enter a valid phone number.Format: (000) 000-0000.
Adopter - How long with this employer?
Household
Do you have a partner living with you?
Partner’s name
Partner's Employer
Partner's Work phone
Format: (000) 000-0000.
Partner - How long with this employer?
Are there other family/household members?
Names & ages of other family/household members
If none, type None.
Do all family/household members approve of this adoption?
Is anyone in the household allergic to animals?
Have all members of your household been around and exposed to the type of pet being adopted?
I/we live in a:
I/we:
(Note: If renting, you must provide proof indicating that pets are allowed and that you agree to any added rent or deposits necessary.)
If renting, are pet(s) allowed?
Landlord/Management Co. Name
Landlord/Management Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
How long at this address?
Property Details
Are there screens on all windows and doors?
Is there a pet/doggie door?
Is there a private fenced yard?
Is there an enclosed courtyard?
Is there a dog run or catio?
Do you expect to move within the next 6 months?
Do you have expensive furniture/collectibles?
When you are away, who care for your pet(s)?
Do you currently have construction/remodeling ongoing in your house, or plan to have soon?
History
Have you ever had a pet before?

Other
Have you recently lost a pet?
Do you currently have a pet?

Other
Are you current pet(s) on vaccinations?
Where do your current pet(s) live/sleep?
Current pet(s)
Where will your new pet(s) live/sleep?
New pet(s)
If adopting a cat, will the new cat be:
Who will be the primary pet caretaker?
When you’re away, who cares for your pets?
Have you ever cared for a sick animal?
If yes, describe
Who is, or will be, your vet?
Vet Phone
Please enter a valid phone number.Format: (000) 000-0000.
How did you hear about us and/or today's Adoption Petfair?
Have you adopted from FOSMAS before?
If yes, which pets?
Adoption Planning
Do you know the annual cost of a pet?
Describe why you want a new pet now?
How long have you been looking for a new pet?
Describe why you like this particular pet?
Do you have a small room where the pet(s) can stay as they adjusts to their new home?
Describe how you will introduce this pet to your existing pet(s)?
Have you or would you ever surrender your pet to a shelter/pound?
If yes, why?
What will you do with your pet if anyone in your household develops allergies?
Have you ever had a cat declawed?
Do you plan to declaw this new cat?
What will you do with your pet(s) if your life situation changes, e.g. college, marriage, pregnancy, birth, move, job transfer, job loss, divorce, death, etc.?
Adoption Fee
If approved, how do you plan to pay for the adoption fee?
Adoption Contract

Adopter’s initials after each statement indicate he/she has read, understands, and agrees to each statement.
1. I understand FOSMAS has spayed or neutered, tested cats for leukemia and FIV, administered age-appropriate vaccines due, treated for fleas and worms as needed, and completed routine veterinary examinations to ensure my pet is in good health prior to putting the pet up for adoption. I will read the medical records provided upon adoption, and adhere to the recommendations listed on that document or told to me verbally, e.g., vaccination schedule, food suggestions, etc. I will follow FOSMAS’ recommendations for introducing my new companion to my home and other pets, if any already reside in my home.
Initial
2. I understand my pet has a microchip to aid in identification and return should he/she become lost. I will contact Home Again microchip database company at 888 466-3242 to verify my pet’s microchip registration if I haven’t received confirmation from Home Again within ninety 90 days of adoption please note; rarely, other microchip companies might be used If my pet becomes lost, I will immediately contact FOSMAS at 408 681-3788, Home Again at 888 466-3242, the local animal control, local newspapers, neighbors, other shelters, and post signs at pet stores and vet offices. I understand the best chance of finding my lost pet occurs within 24 hours.
Initial
Alternative Microchip Contact Name
Microchip Alternate Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Microchip Alternate Email
example@example.com
3. FOSMAS strives to ensure the overall health of all animals adopted-out through FOSMAS, however, can't guarantee against future illnesses or conditions. I will immediately contact FOSMAS if my pet experiences any physical, medical, or behavioral problems within seven 7 days of adoption, and will follow FOSMAS' guidance to correct the problem. I understand FOSMAS is an IRS-registered publicly-supported 501c3 nonprofit organization with minimal funds which help support and care for our animals. As such, I agree FOSMAS isn’t responsible for any veterinary bills incurred by my pet for illnesses that may manifest after seven 7 days from the date of adoption below.
Initial
4. I understand participating veterinarians will provide one (1) free check-up following this adoption and upon presentation of the form showing proof of adoption. I will contact FOSMAS for a list of participating veterinarians.
Initial
5. I understand pet health insurance is advantageous for future veterinary expenses. Various pet health insurance policies are available, and some offer new client specials if completed within a certain timeframe. I will research pet health insurance; decide which best fits my needs; and choose or decline based upon this research. Having pet health insurance isn’t required to adopt from FOSMAS.
Initial
6. If adopting a cat, I will not de-claw my cat.
Initial
7. I agree to allow FOSMAS to check on the welfare of my adopted pet from time to time either by phone, in person, or e-mail. Iunderstand this isn’t an infringement, but rather, is to ensure my pet is loved, safe, well taken care of, and happy.
Initial
8. I am aware of the long-term commitment I’m making by adopting a pet today. I agree to care for my pet for the rest of his/her life which I understand may be 10 to 20 years. I am a responsible pet owner and, as such, I will provide my pet clean, safe, comfortable indoor living space, make sure his/her vaccinations are always up-to-date, will take him/her to my veterinarian for annual examinations, and provide prompt emergency care as needed.
Initial
9. I understand and agree an animal’s actions may be unpredictable, and FOSMAS makes no representations as to the behavior and temperament of my pet. I agree to accept possession of the pet at my own risk, and release and waive any and all claims against FOSMAS and its officers and volunteers now or in the future for any damages to person(s) or property caused by my pet.
Initial
10. I understand if I decide to return my pet within seven (7) days of the adoption date indicated below, FOSMAS will refund the adoption fee in full except for a $20.00 handling fee. Unless I call FOSMAS to document a physical, medical, or behavioral problem I'm trying to work out, if I decide to return my pet at a date later than seven (7) days from the date below, there will be no refund whatsoever.
Initial
11. Frequently, FOSMAS adopts multiple pets that need to stay together. If I adopt multiple pets during this current adoption, but have to return one for any reason, I agree to return all adopted during this current transaction so multiples aren’t split-up.
Initial
12. I understand and agree these statements constitute a contract between FOSMAS and me. If the above conditions are not met, or if inaccurate or unverifiable information was provided, this will constitute a breach of contract and custody of the cat will immediately revert to FOSMAS.
Initial
Adopter's Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Adopter's Signature
Should be Empty:

ADOPTION APPLICATION

Adopter

Household

Property Details

History

Adoption Planning

Adoption Fee

Adoption Contract

Adopter's Signature