Pet Rescue Adoption Application Form

Pet Rescue Adoption Application Form

Please complete all required fields. If there are questions that do not pertain to you, please put NA for not applicable. The application will not be processed if it is missing information in the fields marked with an asterisk * Thank you!
Name of the cat of interest *
Date*

MonthDayYear
Date
Applicant Details
Name*

First NameLast Name
Phone Number (Primary-mobile)*
Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Phone Number (Secondary-home)
Format: (000) 000-0000.
Co applicant if any

First NameLast Name
Age*
Name of Employer. If not employed list why.*
Where did you hear about us?*
Household/Lifestyle
Any Allergies/Asthma?*

NoYes
If yes, please explain
Number of adults and children in your home (include all names and ages)*
Have all adults agreed to adoption*

YesNo
Residence
I / We live in a*

Single Family HomeDuplex / TwinCondo / TownhomeTrailer / Mobile homeApartmentOther
Do you rent or own?*

OwnRentLive with friendsLive with parentsOther
If other, please explain
How long have you lived at your current residence?*
Property manager or landlord name and number*
About the Adoption
Reason you want a kitty*

Family petCompanionGiftOther
What kind of feline are you interested in adopting?*

Age 3-6Age 6-12Age 1-6 yearsSenior 7+ yearsFIV+/FeLV+Special Needs (Health or mobility issues)DeclawedNot sure yet
Personality traits (check all that apply)

PlayfulCalmLap catAffectionateIndependentLikes other catsLikes DogsGood with ChildrenLikes being outdoorsIndoor onlyShort hairMedium hairLong hair
Sex of kitty*

MaleFemaleNo preference
HPKR is responsible for the spay/neuter surgery and the initial, age appropriate vaccines. Your new cat will most likely need additional vaccine(s). Are you prepared to take your new cat to your vet for an exam and follow up vaccines shortly after adopting?*

YesNo
Have you considered annual cat expenses? They can range from $300 to $1000+*

YesNo
Are you aware that your new cat may hide, refuse to eat, and have accidents when adjusting to a new environment?*

YesNo
What is the time frame that you are willing to let the cat adjust to the new environment?*
Are you aware that certain house plants and flowers are unsafe for pets and should not be inside your home?*

YesNo
If behavior issues arise, what will you do?*
In what situation might you return the cat?*
Do you plan to let the cat outside?*

YesNoMaybe
Please explain
Do you plan to declaw the cat?*

YesNoMaybe
Please explain
Care Plan
Who will be financially responsible for care and medical expenses?*
Average number of hours your pet(s) will be alone each day*
Where will the cat stay when you travel?*
Do you have a plan in place if you can no longer care for your cat due to a personal illness or injury, or an unexpected change in dwelling conditions?*
Pet History
Is this your first pet?*

YesNo
How many cats do you currently have living in your home?*

Don’t have any cats currently1234More than 4
List the cats currently living in your home along with their sex, age, breed, where you acquired them, and how long you have had them. Write NA if you do not have any cats. For example: Poppy, female, 5 years old, calico DSH, rescued her from HPKR in 2021.*
Cats: Indoor/Outdoor*

IndoorOutdoorBothN/A
How many dogs do you currently have living in your home?*

Don’t have any dogs currently1234More than 4
Please list the dogs currently living in your home along with their sex, age, breed, where you acquired them, and how long you have had them. Write NA if not current pets. For example: (1) Toby, male, 4 years old, golden retriever, got him in 2021 from a breeder when he was 11 weeks old.(2) Porter, male, 12 years old, beagle mix, got him in 2013 from Recycled Best Friends.*
Dogs: Indoor/Outdoor

IndoorOutdoorBothN/A
Do you use monthly preventatives for your dog(s)? Please give details.
Are all your pets spayed/neutered? If not please explain.
Do you have a regular veterinarian?*

YesNo
Name and phone number of your current veterinarian for pets listed above. If No vet list NA*
If no current pets, please explain your experience with previous pets from the past ten years and what happened to them?*
Veterinary and Personal References
Which veterinarian do you plan to use for your new cat?
Have you been to any additional veterinarians or animal hospitals in last 10 years that you have not already shared? This would be helpful for verifying vetting history.
Are you on social media? If so, please include your account name and the platform. For example: "Happy Paws Kitten Rescue" on Facebook.
Please list two un-related references, such as friends, neighbors, or co-workers. Include name, phone, and relationship.*
Additional Information and Agreement
Is there anything else you would like to share?
Legal Agreement

I certify that all information is true and understand that Happy Paws Kitten Rescue’s decision is final. I agree to return the cat to HPKR if unable to keep it and release HPKR from any health-related liability.
Signature*

First NameLast Name
Should be Empty:

Pet Rescue Adoption Application Form

Applicant Details

Household/Lifestyle

Residence

About the Adoption

Care Plan

Pet History

Veterinary and Personal References

Additional Information and Agreement