Adoption Application, Contract and Waiver
Name of cat/kitten(s) You Wish to Adopt
Street Address Line 2
State / Province
Postal / Zip Code
Antigua and Barbuda
Bosnia and Herzegovina
Central African Republic
Cocos (Keeling) Islands
Democratic Republic of the Congo
Turkish Republic of Northern Cyprus
Papua New Guinea
Republic of the Congo
Saint Kitts and Nevis
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
Tristan da Cunha
Turks and Caicos Islands
United Arab Emirates
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Do you own any pets?
Pet Name(s) and age(s), specify dog, cat or other.
Most Recent Vaccination Dates for your pet(s) (distemper/FVRCP and rabies):
Please provide your veterinarian's name and phone number (call your vet to give them permission to speak to REAL Cruzan Cats):
If you were known by a different name or had a different address at the time of the last visit please provide it. Also please provide names of previous pets.
Pet's disposition and behavior towards other pets?
Have you ever had a pet die? Please provide details on pet's name, age, and cause of death, and veterinarian's name/phone number:
Do you own or rent your home?
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?
Are there children in the home? (If yes, please list ages)
Why do you want to adopt this cat or kitten?
How many hours per day would the pet be alone?
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?
If you answered "Yes" please provide a detailed description:
Are you aware that pet ownership means incurring some expenses, including medical care. We estimate the annual cost of average veterinary care (yearly exam, shots and treatment of at least one condition) to be at least $200. Are you prepared to cover these costs.
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 of $250 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
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