Cat/Kitten Pre-Adoption Application

Date*

Date

Name of Cat(s)/Kitten(s) applying for

Do you have transportation to pick up the cat/kitten you would like to adopt?

YesNo

Name*

First NameLast Name

Cell Phone*

Area CodePhone Number

Home Phone Number

Area CodePhone Number

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

How long have your lived at this address?*

Occupation*

Name of Employer*

Length of Time at Current Employer*

Other Adult Resident

Names and ages of children in home (if applicable)

Have you adopted from alleykattz rescue previously?

YesNo

If Yes, Approximate Date

Date

Have you adopted a pet from other rescues or organizations before?*

YesNo

Please list other rescues or organizations you have previously adopted from and approximate dates

Type of Residence*

HouseApartmentCondo/Co-opOther

Occupancy*

OwnRentLive with parent or guardianOther

If you travel, who will care for your pet when you are away?*

Is anyone in your home allergic to cats?*

YesNo

Who is this pet for?*

Who will be the primary caretaker?*

How many hours a day will the pet be left alone?*

Where will the pet be left when alone?*

Where will the pet sleep?*

What will you feed the pet? (Please select all that apply)*

Will you declaw (permanently remove claws surgically) the cat/kitten you would like to adopt?*

Yes, front paws onlyYes, front & back pawsNo

Pet will be kept:*

IndoorsOutdoorsBoth indoors and outdoors

Do you have screens on every window?*

YesNo

Have you ever had a pet before?*

YesNo

If yes, were you the primary caretaker?

If no, who was the primary caretaker?

Please list current and past pets you have owned in the past ten years, indicating age, type, gender, spayed, neutered, vaccination status, and where you got the pet.

Please ONLY list pets where you were/are the Primary Caretaker ie: you were/are responsible for all aspects of the pet's health including veterinary.

Please use the box toward the end of this section marked "Additional Information" to tell us about pets you were/are not the primary caretaker.

Pet #1 name & age

Type of animal

CatDogOther

Pet Status

Gender

Spayed/Neutered

Current with vaccines

Where did you obtain pet (please specify name of rescue/ shelter/store/breeder

Pet #2 name & age

Under what circumstances would you re-home or surrender a pet to a shelter? *

In an average year, how much do you estimate spending for vet care?*

Do you plan on purchasing pet health and accident insurance?*

YesNo

What is your feeling on the necessity of vet visits?*

What would prompt you to take your pet to the vet vs. seeking solutions to a health issue online?*

Do you agree to have pet spayed or neutered by the age of six months? Please note, alleykattz will provide this service at a spay/neuter facility of our choosing provided adopter provides transportation for pet.*

YesNo

If applying for kittens, would you be open to a pair? (Kittens often do better together)

YesNoN/A

Do you agree to home visits at the discrimination of alleykatzz rescue if there is cause for concern for the well-being of pet?*

YesNo

As your new cat transitions to your routine, it may take a month (or more) to adjust. Are you willing to devote time to the transition process?*

YesNo

I understand that if pet is found to be an outdoor pet in any capacity, the pet will be returmed to alleykattz rescue*

YesNo

Additional information you want to share about your pets that you feel might need further explanation. You may tell us about pets that you were not the primary caretaker here.

Please include ONLY veterinarians that you currently or have previously used for the care of your pet(s).

If you do not have a Veterinarian or a history with a veterinarian, please list N/A.

Filling in a Veterninarian that you have never used will confuse and slow down this process.

If you have had your pet(s) vaccines done at a pet store (ie Petco, Petsmart, etc) , please list that as well and be able to provide a copy of the most recent vaccine administered.

Veterinarian Name

First NameLast Name

Veterinarian Clinic Name*

Veterinarian Address*

Street Address

CityState

Veterinarian Phone Number *

Area CodePhone Number

Veterinarian Email

example@example.com

Name of clinic/practice, and location that vaccine was administered and approximate date of most recent vaccine

Attach a copy of your pets most recent vaccine records

Browse Files

Once your application has been submitted, you will receive an email with instructions as to how to submit this fee. Please understand that all our adoptees are fostered in loving, private homes so all meetings are done by appointment only. We do not use a first-come, first-serve process and we decide who is going to be the best match for each pet. The process is intended to ensure a best-fit, long-term successful adoption for both the adopter and pet.

alleykattz inc will not issue a final approval of adoption until a home visit is performed and the adopter's residence is deemed suitable and safe for the pet(s).

* By signing this adoption application, you agree to provide vaccinations, health check-ups and any additional veterinary care, by a qualified veterinarian, on a yearly basis, and you agree that the cat/cats/kitten/kittens, will remain INDOOR Only.

* Your adoption fee is a donation to alleykattz inc and is nonrefundable.

* When adopting a cat or kitten, you must bring a secure cat carrier along when picking up your new pet.

* If your adopted cat gets out of house please contact us so we can help you get the rescued cat back. We must be informed ASAP in order to help.

By signing this form, I/we acknowledge that the information on this form is true and correct. I/we agree to all provisions indicated on this form. I/we understand that any misrepresentation of fact may result in alleykattz rescue refusing adoption privileges to me/us. If my/our request for adoption is approved and later alleykattz rescue discovers the above information is not true or correct, this application becomes null and void. Because of my breach of contract, alleykattz rescue reserves the right to remove the adopted pet from my home, and I will be held responsible for any associated legal costs incurred as part of said reclamation process. In order to ensure the best homes for our rescued pets, we reserve the right to deny any adoption application.

Please read statement below and indicate your agreement by initialing

Initials*

I acknowledge that I have read and fully understand the contract presented above and by entering my full name and pressing "Sign Contract", I represent and warrant that I am the individual identified and I understand and agree to be bound by the legal contract set forth above.

Signature*

How did your hear about our Rescue?*

Please note All adoption fees are non refundable

Cat/Kitten Pre-Adoption Application

Personal Information

Property/Household Information

Pet Information

Veterinarian Reference Information

Additional Information