Adoption Application

PLEASE READ

You must be 21 years of age or older and been employed by your current employer for a minimum of 6 mths.

We have the right to refuse any application without cause or reason. Your submission of an application does not guarantee approval for adoption. If you schedule a meet and greet and are a NO CALL/NO SHOW your application will be discarded.

Our goal is to place our pets into the home that is most suitable for them. Thank you for your submission and understanding. We are an all volunteer 501 c 3 organization so allow us up to 72 HOURS to review the application.

The more detail you provide, the better. All of our adoptable CATS are vaccinated, spayed or neutered AND FELV,FIV,HW NEGATIVE (UNLESS OTHERWISE NOTED) and have been examined by a licensed vet. We cannot guarantee breed, age or any health issues. We strive to adopt healthy cats.
CAT ADOPTION APPLICATION
Enter the message as it's shown*
Are you 21 years of age or older?*
If you are under 21 years of age, you are not eligible to adopt a pet. If you still reside with your parents, they will have to apply and take full responsibility for the pet. This includes paying for all costs associated with the adoption, including the initial adoption fee, food, water, and litter. They will also be responsible for any medical expenses that may arise during the life of the pet.
What is your year of birth?*
Date*

MonthDayYear
Name of cat(s) you wish to adopt*
Description of the cat(s) you wish to adopt*
Color, size, etc
Sex of Cat
Description of cat (Color, Adult or kitten)*
Why do you want to adopt this particular cat? (What draws you to him or her) What personality traits are you looking for?*
Please tell us what, if any, behaviors or characteristics would be "deal breakers" for you in a CAT. *
Who/Whom are you adopting the cat for? (SELECT ALL THAT APPLIES)*

YourselfSignificant OtherChildParentFriendYour Current "Pet" to be a buddy
Who(m) will care for the new pet on a daily basis?*
Where will the new pet reside? Be specific*
If the new pet is indoor/outdoor please explain how you plan to keep the cat safe? Also explain what type of sheltering you will provide?*
Do you currently own cats?*

YesNo
Are your current cats:*

Indoor OnlyIndoor/OutdoorOutdoorDo not currently own pets
Does your current residence have a double door or way to protect the pet from escaping*

YESNO
Are you Planning on Declawing ? (Your answer does not exclude you from adopting)*

YesNot SureNo
If you answered Yes to planning to declaw please tell us why
Full name of Person Applying For Cat(s)*
ie. Cat Hill
Your age*
Cellphone Number*
Address*
City*
State*
Zip Code*
Email*
Are You*

EmployedRetiredStudentUnemployedOther
Employer and Employer phone number*
If not employed type N/A
Name of your current employer?*
If Retired denote "NA"
How long have you worked at your current place of employment?*
Do You Currently?*

Own "House"Rent "House"ApartmentDuplex"Own" Townhouse"Rent" TownhousePatio HomeAssisted LivingLive with Parents"Own" CondoModular HomeOther
How long have you been at your present address?*
Are there any restrictions as to how many pets you can have?*
If No denote "NA"
If you rent, please list your landlords name and number*
If you do not rent type N/A
If you rent is there a pet deposit PER pet?*
Type N/A if not applicable
If in the future you move what will you do with your pets, who will take ownership?*
How many Adults (>18 yrs.) AND how many children are in your household and what are their ages? ie (2 Adults, 1 child 5 yrs)*
Rate your household's activity on a scale of 1-5 (1 being like a library and 5 being like a circus)*

12345
Does anyone in your family have allergies to cats*

YesNo
If any allergies develop, what will happen to your new cat?*
Name of Your Veterinarian and Phone Number*
If you do not have a current veterinarian denote "NA"
May we contact your veterinarian regarding you current or past pet's medical history?*
Yes, No or NA
Under what conditions would you return this cat (s) to us? *
Current Pet History
Species Pet#1*
How long have you owned this pet?*
If No Current Pets Type "NA"
Spayed or Neutered*
If current pet(s) is not spayed or neutered please explain why?
If No Current Pets Type "NA"
Declawed*
Pet Is Housed*
Species of Pet #2*
How long have you owned this pet?*
If No Current Pets Type "NA"
Spayed or Neutered*
If current pet(s) is not spayed or neutered please explain why?*
IF No Current Pets Type "NA"
Declawed*
Pet Is Housed*
Species Pet#3
How long have you owned this pet?
If No Current Pets Type "NA"
Spayed or Neutered
If current pet(s) is not spayed or neutered please explain why?
If No Current Pets Type "NA"
Declawed
Pet Is Housed
If more than 3 pets currently or in past 5 years, please tell us the following about each one: Species, How long you owned this pet, Deceased, If Deceased the Cause, Spayed or Neutered, If Declawed and Where the Pet was Kept? If not applicable type "N/A"*
Have you ever had to give up a pet? (This will not exclude you from adopting)*

YesNo
If "Yes" above explain why?
If No type N/A
If the cat exhibits inappropriate behavior (ie. urinating or defecating inappropriately, scratching furniture etc.) how will you handle the situation?*
How will you care for you cat when you travel or if you have an emergency requiring an extended stay away from home?*
List 2 Personal References (NOT FAMILY MEMBERS) including phone numbers*
Lastly, tell us about your lifestyle (describe a typical day in your life for us)? This is to see if the cat you have selected is a good fit for you or you are a good fit for the cat, we may recommend another cat based on your lifestyle and our cat's needs. Thank you for your understanding.*
Please select a star rating on how easy this form is to use? 1 star "not easy at all" to 5 stars "very easy". This will help us to improve our application to make it faster and smoother for you the applicant.
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CAT ADOPTION APPLICATION