Cat Adoption Application

Dear Prospective Parent,

Fix and Feed North Haven Inc is a 501 (c)(3) nonprofit organization that cares for feral cats by providing Trap - Neuter - Return services. In doing so we occasionally come across kittens and friendly cats which would be better to live in an indoor environment than out of doors. It is our goal to place these cats into loving, caring, and forever homes. You are not purchasing a pet from us, you are agreeing to adopt and care for a living, breathing ceature who deserves safety and love. Your answers to this questionnaire may be our assurance that the cat will live in a good, permanent home. All of your answers and information are confidential.

A potential adopter should fill out the adoption application and will be contacted to schedule a home check and to meet the cats they are interested in. We do not use a first come, first served process when adopting out cats. Instead we focus on the best fit for each individual cat. This process is intended to ensure a successful long term adoption for both the family and the pet.

***Connecticut Residents Only

*** Please contact your vet (if applicable) to grant permission for Fix and Feed North Haven to speak to them.

*** Please contact your landlord (if applicable) and inform them we will be reaching out to them to confirm pets are allowed.

*** The adoption fee is $175 per cat or $300 for two

-Fix and Feed North Haven Inc

fixandfeednorthhaven.org

Your full name:*

Your age:*

Spouse/significant other name if applicable

First NameLast Name

Street Address:*

City, State, Zip*

Phone:*

Area CodePhone Number

Alternate Phone:

Area CodePhone Number

E-mail:*

Employer:

Length of time at current employer

Who will be the pet's primary caregiver?*

Are all members of your household in agreement with this adoption?*

YesNoDon't Know

Do you live in a*

Do you own or rent?*

OwnRent

If rent, provide name and phone number of landlord:

Does your landlord allow cats?

YesNo

Are there any restrictions from your landlord or subdivision?*

Number of petsNone

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

List any pets you owned in the past and your current pets and their ages*

How many of these pets are/were spayed/neutered?

Where are these animals now?

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?

Veterinarian Information

Please list your current / previous / planned veterinarian and their phone number. Fix and Feed will contact them to verify your current pets are up to date on shots and altered; This is a requirement for new pet adoptions. PLEASE CALL THEIR OFFICE TO AUTHORIZE RELEASE OF INFORMATION TO FIX AND FEED. If you are planning on using another vet but are not currently a client, please note that information.

Veterinarian Name

Vet Clinic Name

Vet Phone

Area CodePhone Number

Vet Email

example@example.com

If your pets account is listed under another name (example maiden, relative, rommate) list it here.

Name of cat you are interested in

What type of personality do you want your cat to have? (i.e. calm, energetic, couch-potato)*

Will your cat be*

Indoor OnlyOutdoor OnlyIndoor / Outdoor

Do you understand that a cat can be an 18 year commitment, and can cost $200-$500 per year to care for?*

YesNo

Are you willing to give your new cat/kitten several weeks to adjust to its new environment?*

YesNo

Do you plan on declawing your cat?*

YesNoNot sure

If your cat becomes ill, are you able to afford a veterinary bill?*

YesNoNot sure

Do you agree to stay in touch with Fix and Feed North Haven and provide photo updates if requested?*

AgreeDisagree

I certify that I am at least 21 years of age and the information I have provided on this application is true. I also recognize that any misrepresentation or other omissions may result in the loss of privilege to adopt from Fix and Feed North Haven.*

AgreeDisagree

I understand Fix and Feed has the right to deny application for any reason*

AgreeDisagree

If interested in a particular cat/kitten, I understand Fix and Feed cannot hold any cat until I am approved.*

AgreeDisagree

I understand Fix and Feed is not able to guarantee the health or temperament of any cat, as many cats come in with unknown histories. There are traits that could change upon adoption, and I take responsibility to care for and address these issues if they do arise.*

AgreeDisagree

I attest the cat/kitten I am adopting is for me, in my home, and NOT a gift for anyone.*

AgreeDisagree

I understand I am to contact Fix and Feed immediately in the event that my adopted cat is lost/missing*

AgreeDisagree

I understand anything can happen in life, and if I am no longer able to care for my adopted cat, I agree to contact Fix and Feed by phone and/or email to discuss assistance needed or return of the adopted animal.*

AgreeDisagree

How did you find out about Fix and Feed North Haven?*

I understand that I assume full responsibility for the welfare of this pet from the date of adoption.

Cat Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information

Terms and Conditions