Special Little Whiskers Rehoming Agreement Form

Special Little Whiskers Rehoming Agreement Form
Thank you for your interest in welcoming our kitties into your home! Our suggested donation for bringing them home is $50 ($65 if you rehome two of them together!)
Name of the Pet*
How soon are you looking to take your kitty home?
Applicant Details
Age-You must be aged 21+*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number (Mobile)*
Format: (000) 000-0000.
Phone Number (Home)*
Format: (000) 000-0000.
E-mail*
example@example.com
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?
Why are you choosing to bring home a cat at this time?
YesNo
YesNo
YesNo
Cat-Male-NeuteredCat-Male-Not neuteredCat-Female-spayedCat-Female-Not spayedDog -Male-NeuteredDog-Male -Not neuteredDog-Female-SpayedDog-Female-Not spayedOther pets-Please specify
YesNo
YesNoNo, but I'm willing to learnI don't have any other cats
Where does the pet stay while you are out?*
Number of hours (average) pet(s) spends alone*
Have you or anyone in your household ever been convicted of a crime against animals? Please explain. *
YesNo
Please explain what happened.
Please list the name and phone number of two references. Reference 1*
Reference 2*
YesNo
Veterinarian’s name*
Clinic Name*
Clinic's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Clinic's Telephone*
Format: (000) 000-0000.
In the event of an emergency, who will take over the care of your pet? Please provide their name and phone number.
I confirm that all information supplied above is correct and accurate.

Special Little Whiskers Rehoming Agreement Form

Applicant Details