Application to Adopt a Kitten From K's Kitten Rescue in Brick NJ

Adoption Application K's Kitten Rescue

Brick NJ
Do you have a particular cat in mind? If open to any within a particular gender, size, color or your choice of pet is not known yet, please write that here) *
Your Name *

First Name Last Name
Your name *
First & Last Name
Your name *
First & Last Name
Your Address *

Street Address

Street Address Line 2

City State

Zip Code
Your Email *
Your Phone Number *

Area Code Phone Number
Is this a landline or cellphone? *

landline cellphone
List all names and ages of all residents of your home (i.e *
Please list any pets currently living in your home, and if they are vaccinated and altered. If none please type none or N/A *
Are your current or previous cats

Indoor only Indoor outdoor Mostly outdoor N/a
If you adopt a new cat or kitten(s) from us how do you plan to keep it/them?

Indoor only Indoor / outdoor Mostly outdoors
Vet reference *even if you haven't been there in a long time or have moved please note where you did take your pets in the past* (please call your vet and give notice that we will call. If you have not been to a vet please note that in the space below) *
Vet Practice / Clinics used for well care, shots or treatment for illnesses etc
Phone Number for your primary vet if applicable

Area Code Phone Number
Phone Number for clinic or other vet used if applicable

Area Code Phone Number
What behaviors or other reasons would cause you to give up on this pet and return it to the rescue? *
When will you be ready to adopt this animal? *

Today This weekend Not ready yet, just researching
Is anyone in your home allergic to the animal you're planning to adopt? *

Yes No Yes, but it is tolerable for them and they are OK with it.
You live in a: *

Single Family Home Duplex/Twin Condo/Townhome Trailer Apartment
Do you rent or own this property? *

Rent Own Family Member Owns
If you rent, or live in a home that's owned by a family member other than yourself please provide us with contact info for the owner of record in the field below
Landlord Name

First Name Last Name
Phone Number of Landlord or HomeOwner

Area Code Phone Number
Do you plan to move house in the near future? *

Yes No
If yes, when do you expect to move?
Have you discussed this adoption with all members of your household? *

Yes No Yes, adults have discussed. Kids don't know yet.
If applicable, will your children be taught how to play gently and kindly with this animal? *

Yes No No children
Vet bills can be expensive. How do you plan on paying them? (e.g.: Pet insurance, care credit, out of pocket etc.) *
If anything were to happen to you (illness, unexpected disability, loss of home, etc). what would happen to your pets? *
Personal Reference Name and Phone Number *
Are you willing to allow us to make a home visit prior to adoption, either in person or via Skype, Facetime or Similar Interface

Yes No
Do you have any additional comments, questions or concerns? *
Adopter's Signature *
By checking the box below, you understand the terms of this form and adoptee. You hereby agree that you will not use this animal in any sort of fighting, breeding, or cruelty. You will love and care for this animal for the rest of its life, and you are ready to commit to that. You also agree, that if for any circumstances you can no longer provide love and care for this animal, you will contact an admin of the group and explain your situation before taking the animal to a shelter.

I understand the above, and have tried to the best of my knowledge to make sure all information is correct.
Please be aware: We typically ask an adoption fee of $150/ kitten to cover some of our costs. We fix them ($100-150 at the low cost clinic), do rabies shots ($20 ) and two sets of dystemper shots ($35 each). We test them for fiv and leukemia (another $35), treat for fleas with bravecto (3 months of protection, $45/ dose) and also treat for worms and other parasites (another $20 or so) and that doesn't count costs for vet visits to do all this. If you were to get a free cat somewhere and do all this for the animal, as you should to keep the cat healthy, it would cost you much more than our adoption fee.
Signature date *
Thank you for taking the time to submit this form. Please feel free to contact us at kskittenrescuenj@gmail.com or via our facebook page https://www.facebook.com/Ks-Kitten-Rescue-NJ-274375819630155/. After you click the Submit, you should get a message confirming that the form was successfully submitted. You will also recieve a confirmation email. Thank you!
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Adoption Application K's Kitten Rescue