Adoption Application

Full Name

First NameLast Name

Age

Address

Type of Residence (apartment, house, shared, etc.)

How long have you lived there?

Email Address

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Occupation

Employer

Driver's License Number / Photo ID number

Do you:

How long have you lived at your current address?

If renting, landlord name and phone number:

If renting, is pet permission documented?

Who lives in your home (adults, children, roommates)? Ages?

How many adults live in the home?

How many children live in the home?

Ages of children:

Does anyone in the household have allergies to animals?

Is everyone in the household aware of and in agreement with this adoption?

Do you have other pets? Please list species, ages, temperament, spay/neuter status. Are they indoor or outdoor pets?

Are your current pets up to date on vaccinations and veterinary care?

Are your pets tested for FIV/FeLV (cats)?

Have you owned pets before? If so, what happened to your previous pets?

Have you ever had a pet with behavioral or medical needs? How did you handle it?

Have you ever rehomed or surrendered a pet? Please explain the circumstances.

How would you handle common issues like scratching, hiding, or litter box problems (cats)?

What does a typical day look like for you? How long would the animal be alone?

Are you willing and able to transport the cat to vet appointments if needed?

Veterinarian Name, Clinic Name and Phone Number:

May we contact your veterinarian for a reference?

Are you comfortable administering medications if required?

Which animal are you interested in adopting?

Why do you want to adopt this animal?

Who will be the primary caregiver?

Will the animal be:

What steps would you take to prevent escapes (windows, doors, visitors)?

What would you do if the animal became ill or injured?

Under what circumstances would you consider returning the animal?

Are you prepared to provide: food and supplies, routine veterinary care, emergency medical care, daily attention and enrichment?

Estimated annual cost of pet ownership can exceed $1,000–$3,000+ per year. Are you financially prepared?

What will you do if the animal develops behavioral or medical issues?

What will happen to the animal if you move?

What will happen to the animal if you can no longer care for them?

Will windows have secure screens?

Will the animal have access to open balconies and/or terraces?

Are toxic plants or hazards present in the home?

Veterinary reference (if you’ve had pets before)

Personal reference #1 (non-family) Name, Relationship, Phone number:

Personal reference #2 (non-family) Name, Relationship, Phone number:

Are you willing to follow rescue guidelines and communicate regularly with updates?

Do you agree not to rehome or transfer the cat to anyone else?

Agreement and Certification:

By signing below, I certify that all information provided is true and complete. I understand that:

Submission of this application does not guarantee approval.

The rescue may contact my landlord, veterinarian, and references.

If approved, I agree to provide proper care and veterinary treatment.

If at any time I can no longer keep the animal, I will contact Melody's Garden Sanctuary and will not abandon, sell, or give away the animal without written permission.

I understand that indoor-only placement may be required.

I agree to return the animal to the rescue if requested due to welfare concerns.

Signature