Adoption Application
Prospective Pet Parent
First Name
Last Name
Name of Pet(s) You Wish to Adopt
Your Instagram account:
Why are you looking to adopt at this time?
who will this cat or cats be for?
Please list the name of any person who will be co-adopting the cat
Email Address
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Employer Information
Name of Company/ Direct Supervisor
Street Address
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Length of Current Employment
Length of time at current residence
How old are you today?
Do you own any pets?
Pet Name(s)
Pet Breed(s)
Pet's disposition and behavior towards other cats?
Please provide your veterinarian's name and phone number:
If you have pets at home, have they been tested for FIV and FELV (SNAP TEST)?
Are your pets at home Spayed or Neutered and up to date on vaccinations?
Are you willing to show us your VETERINARY records to confirm the above?
Do you own or rent your home?
Own
Rent
Does anyone under the age of 21 reside in your home?
Yes
No
Do you have a balcony or private outdoor space?
Yes
No
Will you provide yearly vet visits as well as medical care as needed for the cat?
Yes
No
Do you have screens on ALL of your windows?
Yes
No
What food will you be feeding your cat? Please be specific as to brand and type.
How many pets are you allowed to have as stated in your lease?
If you rent, please provide your landlord's information here:
Have you ever surrendered a pet you own to any animal shelter including a "low" or "no kill" shelter?
Yes
No
Are there children in the home? (If yes, please list ages)
Is anyone who lives or stays in your household allergic to cats?
Under what circumstances would you return the cat?
How many hours per day would the pet be alone?
How would you handle any behavioral issues?
Will the kitten/cat have Any outdoor access?
If you have to leave town, emergently or planned, who would care for your pet ?
Are you committed to providing a permanent home for the lifetime of this cat/cats?
In the event you can lo longer care for this cat (personal, financial) who would provide care?
Please provide the names, emails, and contact numbers for 3 personal references:
Please provide the names and ages of any pets who are no longer with you from the past 5 years. Please include reason pet is no longer with you.
Catstoria has an adoption fee of $125 per cat and $200 for two Cats. Do you agree to pay this fee?
*
Please type yes or no.
Catstoria spays/neuters all animals in our care. Adoptions are not official until the day of spay/neuter. Please type "Yes" if you agree.
*
Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment?
Yes
No
If you answered "Yes" please provide a detailed description:
By clicking the submit button, I agree to the CATSTORIA adoption process, will undergo a homecheck, and interview at the discretion of CATSTORIA.
By clicking the submit button, I understand CATSTORIA will check my references including veterinary and personal.
By clicking the submit button, I understand I will provide a copy of my lease upon request with it's pets policy OR provide landlord contact information.
By clicking the submit button, I promise to provide proper nutrition, veterinary care, and a safe environment for all adopted cats.
By clicking the submit button I promise to seek immediate medical care for this animal in the event of sickness or or injury, including unusual symptoms such as loss of appetite, coughing, vomiting, diarrhea, blood in urine/stool, allergies, skin conditions, lethargy, all at my (Adopter's) own expense.
By clicking the submit button, I promise to reach out to CATSTORIA to help with any transitional issues the cat may have if adoption is approved.
By clicking the submit button, I am verifying that the cat(s) I am applying for are not a gift for another person. They are for me.
By clicking the submit button, I promise this animal is intended solely as a house pet and companion. Adopter will not allow the animal to be used for medical or other experimental purposes or for commercial entertainment or for any other business purpose.
By clicking the submit button, I understand there is an adoption donation associated with adoption of a pet from CATSTORIA of $125 per cat/kitten and $200 per pair. I understand this donation will ensure the organization is equipped to rescue another homeless pet.
By clicking the submit button, I am attesting that I am financially able to provide for the animal for the duration of their life - including unforeseen medical expenses.
By clicking the submit button, I promise to keep the cat indoors only.
By clicking the submit button, I understand that if I no longer want or can no longer care for my adopted pet, I agree to notify CATSTORIA BY EMAIL and provide a 14 day period to allow CATSTORIA to make arrangents for my pet to be taken back into rescue.
By clicking the submit button, I agree to indemnify and hold harmless CATSTORIA against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet, once adoption has been completed.
By clicking the submit button, I understand that CATSTORIA will disclose any of the pet's health or behavior issues known by the above named rescue group before adoption is completed.
By clicking the submit button, I understand that if given the cat I will NOT declaw the cat or cats under any circumstances.
By clicking the submit button, I understand that if I no longer want my pet, or am no longer able to care for my adopted pet, I will be directed to surrender my pet to CATSTORIA and provide transport to where CATSTORIA deems appropriate. I will NOT give this pet to another person for any reason without written permission from CATSTORIA.
By clicking this button, I understand and agree that CATSTORIA does not guarentee the health, training or temperament of the animals placed for adoption.
By clicking this button I agree to reimburse CATSTORIA for any and all legal fees and court costs it occurs enforcing the terms and conditions of this agreement.
By clicking the submit button, I fully and completely release CATSTORIA, its directors, officers, employees, agents and servants, from any claim, cause of action or liability for any defects or illnesses this animl may have or develop and indemnify and hold CATSTORIA, its directors, officers, employees, agents and servants harmless against all claims, causes of action, or liability, including, but not limited to, those asserted by third persons, for any injury, death, or damage to persons, animals, or property caused or alleged to be caused by this animal.
By clicking the submit button, I will allow CATSTORIA to conduct a home visit after adoption if CATSTORIA is notified of any concern for the well-being of the cat(s).
By clicking the submit button, I verify all of the above information is true and accurate. If CATSTORIA determines that this agreement has any false or misleading statement, CATSTORIA shall have the right to terminate the adoption at any time, reclaim the animal, and excercise all of the rights and remedies provided in this agreement for breaches of the agreement.
By clicking the submit button, I have read, and fully understand this agrement and agree to be bound by its terms.
Signature of Potential Pet Parent
Submit
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