Adoption Application

In order to be considered for adoption you must: Be 21 years of age; understand that an adoption counselor must approve your application; present a current photo ID / State Driver’s License. Are you 21 or over? *

Full Name

First Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Are you a US citizen / Permanent Resident? *

YES NO

E-mail

Home Phone

Area Code Phone Number

Work Phone

Area Code Phone Number

Cell Phone

Area Code Phone Number

Best Number And Time To Call

Drivers License #

DL State

DL Exp. Date

Date of Birth *

Are You

employed retired student stay at or work from home

If Employed:

Employer Name

Occupation

Type of employment

full time part time varies

Hours Worked Per Week On Average

Where did you hear about Town Cats, Inc.?

Have you adopted from us before? *

yes no

Is this pet adoption for: *

yourself immediate family someone else

Do you want this cat for: *

indoors outdoors barn

While cats are low maintenance there is some time and expense involved in cat ownership. Cats may live on the average 15 to 17 years, and possibly even 20 years. Are you prepared to care for a cat this long? *

yes no

There are ongoing expenses for cat care also, (cat food, cat litter and yearly veterinary care). Are you financially prepared to care for a cat? *

yes no

It may take a couple of weeks for a cat to adjust to a new home, are you prepared to allow for this period? *

yes no

Often you may have to separate the new cat(s) from your resident cat(s) in order to introduce them in a calm manner. Can this be done in your residence?

yes no NOT Applicable

Do you: *

own rent/lease live with relatives/parents

If rent / lease or live with Relatives/Parents/Friends:

Name (required)

Phone (required)

Area Code Phone Number

Email (required)

Are the other members of the household aware you are adopting a cat?

yes no

Does anyone in your household have allergies? *

yes no

If yes, do you know what types of allergies?

Are there any children in your household?

yes no

If yes, please: List # of children and list ages of children:

If you move in the future what will happen to your pet? *

Approximately how many hours per day will there be no-one home?

Have you had pets before? *

yes no

If yes, who is your family veterinarian / clinic?

List veterinarian / clinic: Phone #

You understand we reserve the right to use your vet as a reference?

yes no

If yes, please list any current or recent animal companions:

Please provide 2 personal references: (One should be a family member)

1) Name *

Phone # *

Email

2) Name *

Phone # *

Email

I, the undersigned, do hereby release Town Cats, Inc., its directors, officers, trustees, volunteers and representatives from liability to myself and/or my part for any damage accident, or injury to person(s) or property incurred in relation to visiting the shelter or animals under the control of the organization.I hereby affirm that all of the above information is true and correct. I understand that submission of this application does not necessarily mean that I will be approved to adopt, and Town Cats, Inc. reserves the right to reject any applicant. I authorize Town Cats, Inc. to verify any and all information in this application. (Without your signature we cannot approve this application)I hereby adopt ___________________________from Town Cats of Ocean City Maryland. I understand that Town Cats has found this cat to be fit for adoption, but assumes no responsibility for its future behavior. I do not hold Town Cats responsible for errors provided to me about this cat. I accept the fact that it is my responsibility to provide this cat with good shelter, food and proper medical care by a licensed veterinarian, and other care that it may need to maintain good health.Town Cats maintains the right to check on the care of the adopted animal (home visits) and reclaim it if it deems necessary. If for any reason I cannot continue to provide a loving home for this animal, it is our policy that the animal must be returned to Town Cats. I accept all responsibility for this cat at the date of adoption and understand it is my responsibility to have this animal altered (if the animal has not already been spayed or neutered) within 4 months of today. Cats adopted from Town cats are family pets and cannot be used for breeding, medical or experimental purposes.

Cat Name

Date:

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E-Signature *

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Town Cats, Inc. - Adoption Application