Life Animal Rescue Cat Adoption Application

Life Animal Rescue Cat Adoption Application

COMPLETION OF THE APPLICATION DOES NOT GUARANTEE PLACEMENT. WE RESERVE THE RIGHT TOTURN DOWN POTENTIAL ADOPTERS AS WE DEEM NECESSARY. DUE TO THE NUMBER OF APPLICATIONS RECEIVED, YOU WILL BE CONTACTED ONLY IF YOUR APPLICATION IS A MATCH
Date*

MonthDayYear
Date
I would like to Adopt *
Have you ever adopted from us before?*

YesNo
Have you ever filled out any of our applications before?*

YesNo
Your Name*

First NameLast Name
Cell or Home Number*

Area CodePhone Number
Work Number*

Area CodePhone Number
Email*
example@example.com
Address*

Street Address

Street Address Line 2

City

Postal / Zip Code
Name of animal you adopted from LIFE (if applicable):
Who shares your household?*

SpouseRoomateChildrenLive AloneWith parentsSignificant Other
What are the ages of your children, if any?
Is this your child's first Pet?*

YesNo
Do you live in a*
Do you own or rent?*

OwnRent
If you rent, do you have permission to have a cat?

YesNo
Do you have a:*
Do you have a*

BalconyDeckPatioYard
Will the cat be allowed to go on/in it?*

YesNo
Is anyone in your household allergic to cats?*

YesNoSlight allergies
If so, who is allergic?
Will the cat be?*
If the cat goes outdoors, will it be? *
Will the cat be allowed?*
If you leave for part of the day, will the cat be left? *
Where will the cat sleep at night? *
Is anyone home during the day?*

YesNoPart of the time
Have you ever had a cat before*

YesNo
What happened to the cat(s)?
Do you have other cats?*

YesNo
What are their age(s)?
Have they been tested for Feline Aids?*

YesNon/a
Have they been tested for Leukemia?*

YesNon/a
Do you have any other type of animals?*

YesNo
What kind, how many, breed, their ages?
Will the dog interact with the cat?*

YesNon/a
Do you have a pet door?*

YesNo
If Yes:
Are all your pets spayed/neutered?*

YesNon/a
If no, why not?
Do you plan on declawing this cat?*

YesNo
If yes, why?
When you go on vacation, who will take care of the cat? *
Under what circumstances would you give up your cat?*

I would never give up my catDivorceMovingNew BabyBitesLarge Vet billsScratches ChildrenAllergiesNot using Litter BoxClaws FurnitureHides/UnsocialSheddingDoesn't get along with other pets
Comments or Questions
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