Adoption Application, Contract and Waiver
Prospective Pet Parent
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First Name
Last Name
Date of Birth
*
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Month
-
Day
Year
*Must be 21 years of age to apply*
Name of Pet You Wish to Adopt
*
If you have not found one yet type "unknown"
Email Address
*
Phone Number
*
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Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
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
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
Do you own any pets?
*
Yes? No?, How many?
Pet Name(s)
Pet Breed(s)
(ie: cat, dog, bird etc)
Pet's disposition and behavior towards cats?
Has your pet(s) been vaccinated within the last calendar year?
Yes
No
Unsure
Please provide your veterinarian's name and phone number:
*
If you currently have pets a veterinarian reference is required
Do you live alone?
Yes
No
Other
If you selected "no" to the previous question, how many people are in your household?
2
3
3 or more
Are there children in the home? (If yes, please list ages)
*
How many hours per day would the pet be alone?
*
Do you own or rent your home?
*
Own
Rent
What is your landlord's pet policy?
*
If you rent, please provide your landlord's information here:
*
Do you plan to allow this cat or kitten to be indoor / outdoor?
*
INDOOR ONLY
OUTDOOR ONLY
INDOOR AND OUTDOOR
Have you ever surrendered a pet you own to any animal shelter including a "low" or "no kill" shelter?
*
Yes
No
If you have to leave town, emergently or planned, where would your pet stay?
*
Please provide the names, emails, and contact numbers for 2 personal references:
*
Ex: Friends, Neighbors or Co-workers. No relatives please
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:
Please Read The Below Adoption Contract In Full:
By clicking the submit button, I agree to Hopkins Cat Rescue Inc. adoption process and will undergo an interview at the discretion of Hopkins Cat Rescue Inc.
By clicking the submit button, I understand that submitting an application does not guarantee approval for adoption, nor does it hold the animal I am applying for. It is entirely up to Hopkins Cat Rescue, in its sole discretion to approve me for adoption- and at any point may revoke approval.
By clicking the submit button, I understand Hopkins Cat Rescue Inc. will check my references including veterinary and personal.
By clicking the submit button, I understand there is an adoption donation associated with adoption of a pet from Hopkins Cat Rescue Inc. and that it is tax deductible according to IRS 501(c)3 guidelines. I understand this donation will ensure the organization is equipped to rescue another homeless pet.
By clicking the submit button, I agree NOT to sell, trade, giveaway or otherwise transfer ownership of my cat.
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 Hopkins Cat Rescue Inc. and provide transport to where Hopkins Cat Rescue Inc. deems appropriate.
By clicking the submit button, I agree to keep the animal as a companion and not allow the animal to be used for medical or other experimental purposes or for business purposes.
By clicking the submit button, if I have other animals at home, I attest to the fact that all of my animals are current on their annual vaccinations and are spayed or neutered if of age. I fully and completely release Hopkins Cat Rescue, its agents and volunteers from any claim, cause of action or liability for illness my other animals may develop, even if said illnesses may have been procured from the animal adopted from Hopkins Cat Rescue.
By clicking the submit button, I agree to feed my cat on a regular schedule and ensure that fresh clean water is always available.
By clicking the submit button, I agree to provide my cat with necessary veterinary care including annual examinations; I agree to comply with the annual vaccination schedule for my cat as prescribed by my veterinarian.
By clicking the submit button, I agree that my cat will NOT live or sleep outdoors, and will remain indoors at all times.
By clicking the submit button, I agree NOT to use my car, or allow the use of my cat, for any activity prohibited by federal, state or local laws.
By clicking the submit button, I agree to permit an authorized representative of Hopkins Cat Rescue to visit my residence any time after adoption to examine my cat an ensure I comply with the terms of this agreement.
By clicking the submit button, I understand that the right to possession and ownership is not absolute, but conditional only and is subject to termination upon demand if at any time Hopkins Cat Rescue determines, in its sole discretion, that the conditions specified in this agreement have not been fully complied with, or if it is determined by Hopkins Cat Rescue, in its sole discretion, that the animal belongs to some other person. In either event, I agree to return the cat to Hopkins Cat Rescue upon demand.
By clicking the submit button, I understand there is no "cooling off" period, and that if I no longer want or can no longer care for my adopted pet, I agree to notify Hopkins Cat Rescue Inc. BY EMAIL and PHONE and provide a 14 day period to allow Hopkins Cat Rescue Inc. to make arrangents for my pet to be taken back into rescue.
By clicking the submit button, I agree to indemnify and hold harmless Hopkins Cat Rescue Inc. 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 Hopkins Cat Rescue Inc. will disclose any of the pet's health or behavior issues known by the above named rescue group before adoption is completed, but Hopkins Cat Rescue cannot guarantee the health or temperament of the animals adopted from it. Hopkins Cat Rescue, its past, present and future officers, directors, agents and employees shall not be responsible for any conditions or illness that the animal may have or may develope or for any damage or injury to any person or property that the cat may cause.
By clicking the submit button, I verify all of the above information is true and accurate.
Signature of Potential Pet Parent
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Today's Date
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Month
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Day
Year
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