Special Little Whiskers Rehoming Agreement Form

Special Little Whiskers Rehoming Agreement Form
Name of the Pet*
Applicant Details
Age-You must be aged 21+*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number (Mobile)*
Phone Number (Home)*
E-mail*
example@example.com
I / We live in/on a*

Single Family HomeDuplex / TwinCondo / TownhomeTrailerApartmentFarmOther
Other-please specify*
Who else lives in the household? Please list all children and adults, along with their ages.
If you rent, what is your landlord's name and phone number?
Do you have a fenced in yard?*

YesNo
Do you agree to return the cat to us if you no longer wish to keep them?*

YesNo
Do you have other pets?*

YesNo
How many and what types of pets?*

Cat-Male-NeuteredCat-Male-Not neuteredCat-Female-spayedCat-Female-Not spayedDog -Male-NeuteredDog-Male -Not neuteredDog-Female-SpayedDog-Female-Not spayedOther pets-Please specify
Is your pet used to other pets?*

YesNo
Do you know how to properly introduce cats to each other and to other animals?*

YesNoNo, but I'm willing to learnI don't have any other cats
Where does the pet stay while you are out?*
Have you or anyone in your household ever been convicted of a crime against animals? Please explain. *
Have you ever rehomed a pet? Please explain.
blanks*
Do you have a regular veterinarian?*

YesNo
Veterinarian’s name*
Clinic Name*
Clinic's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Clinic's Telephone*
Number of hours (average) pet(s) spends alone*
In the event of an emergency, who will take over the care of your pet? Please provide their name and phone number.
Please add at least two references*
I confirm that all information supplied above is correct and accurate.

Special Little Whiskers Rehoming Agreement Form

Applicant Details