Rescue Cat Adoption Application

Adoption Application

Fur-Get Me Not Animal Rescue Inc.
Applicant Information
Name of the cat you are interested in:
Your full name:
Your age:
Street Address:
City, State, Zip
Home Phone:

Area CodePhone Number
Work Phone:

Area CodePhone Number
Cell Phone:

Area CodePhone Number
E-mail:
Employer:
Phone Number

Area CodePhone Number
Years at current employer
Name and phone number of 2 references not related and not living with you
Co-Applicant

First NameLast Name
Age:
Home Phone

Area CodePhone Number
Cell Phone

Area CodePhone Number
Household Information
Are all members of your household in agreement with this adoption?
Who will be the pet's primary caregiver?
Do you live in a

Other
Do you own or rent?
If rent, provide name and phone number of landlord:
Does your landlord allow dogs?
Are there any restrictions from your landlord, homeowner's association, or county/township restrictions?
How many adults are in your household?
How many children are in your household?
If children, what are their ages?
Have your children been around animals before?
Does anyone in your home have allergies to cats or have asthma?
Who will care for the cat while you are away or on vacation?
In the event you pass away or no longer able to care for the cat do have arrangements for your pets continued care, if so describe
Current/Previous Pet Information
List any pets you own or have owned in the past ten years, and their ages
Where are these animals now?
Are all of these pets are spayed/neutered?
Are all pets up to date on vaccinations?
Have you adopted from an animal welfare group before?
If yes, what group?
Have you ever given up a pet?
If yes, what were the circumstances?
Please provide the name and phone number of your current and/or previous veterinarian or clinic:
New Pet Information
How many hours each day will your new pet be home alone?
Will your new cat be permitted to go outside?
Do you intend on declawing your new cat?
What length of time will you allow your new pet to adjust to his new home?
Are you willing to work through your new pet's issues, if any?
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?
Do you understand that a cat can be an 20 year commitment, and can cost $300 - $500 per year to care for?
What circumstances would lead you to give up your new cat?
If you had to give up your cat, what would you do with him/her?
We ask for an adoption fee to help cover the cost of spay/neuter, vaccinations, microchipping, transport, training and foster care. Fees range from $100 to $350. Do you agree to pay the adoption fee associated with the animal?
I certify that the information provided in the application above is accurate, true and correct. I am financially and physically capable of caring for the animal I adopt. I understand and agree that falsification of any of the above information is grounds to reject my adoption application and nullify all adoption(s) and/or adoption agreements. I understand that there is no obligation to adopt an animal to me, now or in the future. I understand that my electronically generated signature is valid and legally binding for purposes of this application.
I have read and agree to the terms above
Signature

First NameLast Name
Mobile and tablet users may sign with a stylus or finger. PC users please use mouse to sign.
Date

MonthDayYear
How did you find out about us?

Other
Should be Empty:

Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information