Cativists of Astoria Queens Foster / Adoption application

Cativists of Astoria Queens Adoption/Foster Application
Which cat or cats are you interested in Fostering or Adopting? (Name)
Please put N/A if you're open to any cat
Check each option that you are interested in.
Are you willing to work with us to correct any possible behavior issues that the cat may have?
Adopter Personal Information
Name

First NameLast Name
How old are you today?
Email
example@example.com
Instagram handle
example@example.com
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number

Area CodePhone Number
Yourself & Family
Please fill out the entire application. All questions marked with a ( * ) are required and they must be answered. If they are not, the application will not submit. If any of those marked required do not pertain to you, mark (N/A) in order to move forward with the application process.
List the Names & Ages of any additional people who live in your home.
Home Environment
Do you Own or Rent your home?
Choose which best describes your living situation.
If a Rental, does your lease permit you to have animals?
If fostering, are you able to provide your own supplies?
Landlords Name

First NameLast Name
Landlord's Phone #

Area CodePhone Number
Do you agree to keep the cat inside at all times?
Cat Living Space & Care

This is important information, Please be Specific.
How many hours per day will your cat be left alone?
Please describe in detail what the cat’s living situation will be. (Please give a detailed description including hours when no one will be home.)
Please be very Specific with your answer .
Current & Previous Pets

Including Vet Care
Have you had rescues previously?
If Yes, name, ages ? Describe: Where you got them, where they are now and if re homed why?
Please be specific
Other animals living in your home? (Click all that apply)
Are your pets currently UTD on Vaccinations?
Are your pets Spayed or Neutered?
List ALL family Pets/ Include the Following: (Type / Breed / Age / Dates of last Vet. appointment & Vaccinations, & Spay/Neuter dates)
Are you open to fostering for another rescuer/organization if needed.
List all Previous pets that you've owned in the past 5 yrs. (Include: Years owned & where they are now.
Vets & Personal References
Name & Address of Current Vet

Name

Street Address Line

CityState

Zip Code
Phone Number

Area CodePhone Number
Name & Address of Previous Vet

Name

Street Address Line

CityState

Zip Code
Phone Number

Area CodePhone Number
Phone Number

Area CodePhone Number
Provide 1 personal Reference (Include: How they know you).
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By signing via electronicly I agree that the information that I have provided in this application is complete and correct. I understand that any false information I have provided will invalidate this and any future applications. I further declare that I am financially and physically able to care for a rescue animal if adopting. I understand that proper food and veterinarian care may be costly, and I am able and willing to meet the needs of my rescue animal. I understand the requirements and grant permission for Home Checks at random, both prior to and following adoption. I submit that if a Home Check reveals falsification or misrepresentation of any facts on my part, Cativists of Astoria Queens reserves the right to either refuse adoption or to nullify the adoption and reclaim said rescue from my premises without reimbursement of the adoption fees. I release Cativists of Astoria Queens from any liabilities I may incur from the adoption process or by the rescue while in my care.
Please sign below:

Type your full name as entered above
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Cativists of Astoria Queens Adoption/Foster Application

Adopter Personal Information

Yourself & Family

Home Environment

Cat Living Space & Care

Current & Previous Pets

Vets & Personal References

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