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?*

YesNoDon't Know
Who will be the pet's primary caregiver?*
Do you live in a*

HouseApartmentCondoMobile HomeOther
Do you own or rent?*

OwnRent
If rent, provide name and phone number of landlord:
Does your landlord allow dogs?

YesNo
Are there any restrictions from your landlord, homeowner's association, or county/township restrictions?*

Number of petsSize or weight restrictionsBreed restrictionsNone
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?

YesNo
Does anyone in your home have allergies to cats or have asthma?*

YesNo
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?*

YesNo
If yes, what group?
Have you ever given up a pet?*

YesNo
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?*

YesNo
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?*

YesNo
Do you understand that a cat can be an 20 year commitment, and can cost $300 - $500 per year to care for?*

YesNo
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?*

YesNo
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*

YesNo
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?*

Adoptapet.comPetfinder.comFacebookFriend/Family MemberOther websitePetSmartOther
Should be Empty:

Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information