Adoption Application, Contract and Waiver
Your Name
*
First Name
Last Name
Co-adopter(s) Name(s)
First Name
Last Name
Name of cat/kitten(s) You Wish to Adopt
*
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
How did you hear about us?
*
Have you ever owned pets?
*
Do you currently own any pets?
*
Please list name, age & breed for all current pets.
*
Vet's name & number for CURRENT PETS
*
Vet's name & number for PAST PETS
*
Most Recent Vaccination Dates for your pet(s) (distemper/FVRCP and rabies):
*
You MUST call your vet to give them permission to speak with us before we can proceed. Did you call your vet(s).
*
Yes
No
I have never had pets
Other
Please list any previous first/last names or addresses used with any present or past vets
*
Current pet's disposition and behavior towards other pets?
If you previously owned pets, list each pet's name, age, their cause of death and year they died.
*
Do you own or rent your home?
*
Own
Rent
If you selected OWN: We verify ownership via public county clerk records, if you live in a home that is owned by someone else (parent, guardian, sibling, etc) please enter their name and contact information:
If renting, what is your landlord's pet policy?
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
Is anyone in your household allergic to pets?
*
Yes
Yes but only mildly
No
Unsure
What is your opinion on declawing cats?
*
Do all members of your household agree on adopting?
*
Yes
No
It's a Surprise
What is your opinion on cats being indoor vs. outdoor?
*
Names/ages of household members (OLD - HIDDEN)
*
Please list names and ages of all adults and children in the household
*
Why do you want to adopt this cat or kitten?
*
How many hours per day would the pet be alone?
*
What is your plan for your new pet(s) should you become unable to care for them? Please write detailed plan with name and email or phone number(s) of people or organization who would take your pet(s).
*
If you have to leave town, emergently or planned, where would your pet stay?
*
How will you handle the kitten's or cat's need to scratch? What if they scratch your furniture? Please give a detailed description.
*
How do you plan to care for grooming such as nail care, dental care and general grooming?
*
Please provide the names, email addresses, and contact numbers for 3 personal references:
*
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:
Are you prepared for a 15-20 year commitment? Please consider your age, health, finances and living situation now and in the future.
*
Yes
No
Pet ownership means incurring expenses, including medical care. We estimate the annual cost of average veterinary care (yearly exam, shots and treatment of at least one minor condition) to be at least $500 on top of food. Are you prepared to cover these costs.
*
Yes
No
Under what circumstances, if any, would you need to return this cat to REAL Cruzan Cats?
*
Divorce/Separation
New baby
Become Allergic
Not allowed in new living space
Not enough time for pet
Scratches furniture
Becomes Aggressive
Moving too far away to bring pet with me
Sheds
Vet costs too expensive
Litter box issues
Too playful / Jumps on furniture, counters
Other
By clicking the submit button, I swear that I am 18 years of age or older. (If you are under 18 years old or live with your parents/guardians, they must co-apply for this pet.)
By clicking the submit button, I promise to provide sufficient shelter, food, water, medical care, comfort and love so that this animal will thrive and lead a happy indoor life as best as I/we are able. I/We will make available veterinary care as needed. I/We promise never to declaw him/her. If I/We must move from our current location, I/We will either take him/her with us
or provide for his/her care by returning him/her to R.E.A.L. Cruzan Cats.
By clicking the submit button, I agree to R.E.A.L. Cruzan Cats adoption process, will undergo a homecheck, and interview at the discretion of R.E.A.L. Cruzan Cats.
By clicking the submit button, I understand R.E.A.L. Cruzan Cats will check my references including veterinary and personal.
By clicking the submit button, I understand there is a non-refundable adoption donation associated with adoption of a pet from R.E.A.L. Cruzan Cats 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 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 R.E.A.L. Cruzan Cats BY EMAIL and provide a 14 day period to allow R.E.A.L. Cruzan Cats to make arrangements for my pet to be taken back into rescue.
By clicking the submit button, I agree to indemnify and hold harmless R.E.A.L. Cruzan Cats 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 R.E.A.L. Cruzan Cats 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 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 R.E.A.L. Cruzan Cats and provide transport to where R.E.A.L. Cruzan Cats deems appropriate.
By clicking the submit button, I verify all of the above information is true and accurate.
Signature of Potential Adopter
*
Date
*
Submit
Should be Empty: