Online-Cat-Application

Cat Application
You must be at least 18 years of age to be considered as an adopter and have the consent of all members of your household. C.A.R.E of DC reserves the right to refuse adoption to anyone.
Date

MonthDayYear
Name of cat you want to adopt*
Adopter's Name*

First NameLast Name
Co-Adopter's Name

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Adopter's E-mail*
Co-Adopter's E-mail
Adopter's Phone Number*

Area CodePhone Number
Co-Adopter's Phone Number

Area CodePhone Number
Current Employer*
I/we live in a*

Single Family HomeDuplex/TwinCondo/TownhomeTrailerApartment
Do you rent or own this property?*

RentOwn
If you rent or you live in a condo or townhome please provide landlord or management company contact information *
Names and ages of all permanent residents of your home (adults/children)*
Is anyone in your home allergic to cats?*

YesNo
Please list all the current pets in your home*
Will your cat live indoors or outdoors?*
Do you plan on declawing your cat?*

YesNo
Please provide your veterinarian's name address and phone number. (Please call them and givepermission to release information to us)*
Please provide 2 personal references name, phone number and relationship. Other than family members. (If you do not have a veterinarian please list 3)
Reference #1*

First NameLast Name
Phone Number*

Area CodePhone Number
Type a question
Reference #2*

First NameLast Name
Phone Number*

Area CodePhone Number
Relationship*
Relationship
Reference #3

First NameLast Name
Phone Number

Area CodePhone Number
Relationship
Relationship
Have you ever returned, given away or surrendered a cat? If so, please explain.*
I agree that if I am permitted to adopt, I will have the adoptive cat checked by my own veterinarian within 7 days of said adoption, and will provide medical care, at my own expense, for any conditions previously unknown to C.A.R.E. of DC, as well as routine yearly exams for as long as I own the cat. I understand and agree that giving false information in response to any of the questions above will disqualify me from adopting a pet from C.A.R.E of DC, and will nullify all adoption(s) and/or adoption agreements between the applicant and C.A.R.E. Of DC.
Please read the above, check this box, sign, and click Submit.*

I/We have read and understand all of the above.
Applicant's Signature*
Date*

MonthDayYear
Co-Applicant's Signature
Date

MonthDayYear
Should be Empty:

Cat Application