Cat Chance Adoption Application Form

C A T C H A N C E

A P P L I C A T I O N F O R C A T A D O P T I O N

Date*

YYYY-MMM-DD (e.g., 2021-May-15)

Name of Cat You Wish to Adopt*

If open to any cat, write "Any"

Colouration or Pattern

(e.g., brown tabby, calico, tortie, black, etc.)

Age of Cat

Specified in Available for Adoption Album

Age Range Considered

If open to any cat, write "Any"

A P P L I C A N T I N F O R M A T I O N

Applicant Name*

First NameLast Name

Email Address*

Primary Phone*

Area CodePhone Number

Secondary Phone

Area CodePhone Number

Applicant Address*

Street Address

Street Address Line 2

CityProvince

Postal CodeCountry

Applicant Date of Birth

YYYY-MMM-DD (e.g., 1980-May-15)

Employment*

Number of people in household*

#

Ages of children in household

#, #...

Is anyone in your household allergic to pets?*

YesNo

Does anyone in your household smoke?

YesNo

C O - A P P L I C A N T I N F O R M A T I O N

Name

First NameLast Name

Relationship

(e.g., daughter, partner, brother, etc.)

Email Address

example@example.com

Co-Applicant Phone

Area CodePhone Number

Co-Applicant Date of Birth

YYYY-MMM-DD (e.g., 1980-May-15)

Employment

G E N E R A L I N F O R M A T I O N

Type of Residence*

If rental, are cats allowed?

YesNo

Complex Name

Manager/Landlord

First NameLast Name

Phone Number

Area CodePhone Number

Type of Street*

Speed Limit

km/h

Where will the cat(s) live?*

Inside OnlyMostly InsideMostly OutsideOutside Only

Where will the cat(s) spend nights?*

Inside OnlyOutside Only

Will you allow the cat(s) to run loose?*

Yes, InsideYes, Outside

What area will be accessible to the cat(s) when you are at home?*

What area will be accessible to the cat(s) when you are away from home?*

How many hours per day will the cat(s) be alone?*

(e.g., #, range, infrequently, etc.)

What is the activity level in your home?*

Busy (visits from friends, meetings, children, parties at home)Noisy (TV, stereo, machinery, children playing, dogs barking)Moderate (normal comings and goings, occasional visits)Quiet (homebodies, few guests)Other

In the absence of the Primary Caregiver, who will care for the cat(s)?*

(e.g., family member, neighbour, friend, etc.)

If you have to leave town, unexpectedly or planned, where would your pet stay?*

(e.g., at friend's house, at home with family member, cat sitter, pet boarder, etc.)

If you become unable to care for your cat(s), what is your legacy plan for them?*

Do you consider your cat(s) to be a part of your family?*

YesNo

Are you aware that a cat is a large and long commitment?*

YesNo

Have you ever surrendered a pet you own to an animal shelter?*

YesNo

Under what circumstances would you return the cat(s) to Cat Chance?*

Are you willing to take responsibility if this cat acquires an illness?*

YesNo

Are you willing and able to pay the veterinary costs of caring for your new cat(s)?*

YesNo

Would you take your cat(s) to the vet to be spayed/neutered, if not already fixed?*

YesNo

Would you declaw your cat(s)?*

YesNo

How would you deal with problem behaviours such as clawing, scratching, biting, bathroom accidents, and hiding? What issues would not be tolerated in your household?*

Pet name, type/breed, age

How much time will you allow for your new cat(s) to adjust to your home?*

(e.g., days, weeks, years, however long it may take, etc.)

P E T I N F O R M A T I O N

Have you had any pets in the last five years?*

YesNo

Are there other pets currently living in your household?*

YesNo

In order from youngest to oldest, please list your current pets

Pet name, type/breed, age

Do any of your pets have special requirements or take medication?

(e.g., blind, diabetic, Pica disorder, aggression, raw food diet, etc.)

Are these pets spayed/neutered?*

YesNoN/A

Where do these pets live?*

Indoors OnlyIndoors/OutdoorsOutdoors OnlyN/A

Please list any previous pets and the reasons they are no longer with you

Pet name, type/breed, age, reason (move, divorce, death)

Current Vet or Clinic

Name of Vet or Clinic (if none, write "N/A")

Vet Clinic Phone

Area CodePhone Number

C A T C H A N C E I N F O R M A T I O N

How did you hear about Cat Chance?*

Would you be interested in contributing more to Cat Chance's efforts?*

Yes, by donating cash or suppliesYes, by trapping community catsYes, by fostering community catsYes, by helping with social mediaYes, by driving cats to vet appointments/picking up donationsI would like more information about Cat Chance's effortsNo, thank you

P E R S O N A L R E F E R E N C E

Reference Name*

First NameLast Name

Relationship*

(e.g., family member, partner, neighbour, employer etc.)

Reference Phone*

Area CodePhone Number

Best Time to Contact

(e.g., evenings, weekends only, 9am-5pm on weekdays, etc.)

Have you ever been convicted of an animal-related crime, such as cruelty to animals, animal theft, or abandonment?*

YesNo

Comments

By clicking the submit button, you are signing off on the following:

I agree to the Cat Chance Adoption Application process, including personal reference and vet clinic check, home visit (virtual or in-person), and contract arrangements
I understand there is an adoption fee associated with adoption of a cat or pair of kittens from Cat Chance. I understand this donation will cover their spay/neuter, dewormer, and flea treatments, and ensure the organization is equipped to rescue another community cat
I understand that it is my responsibility to see and evaluate the cat, for myself, prior to adoption
I understand there is a one-week trial adoption period, and that if the cat is not well suited to the household, I can return within one week for full refund of the adoption fee and pickup arrangements
I understand that after the trial adoption period, if I no longer want or can no longer care for my adopted cat, I agree to notify Cat Chance so they can make arrangements for my cat to be surrendered back into their care
I agree to indemnify Cat Chance and hold harmless against any losses, lawsuits, claims, injury, or damages incurred by me or to any persons or property by my adopted cat, once adoption has been completed
I understand that Cat Chance will disclose the health and any known behaviour issues of the cat or kittens prior to adoption
I agree to not separate, by giving away or selling, one of an adopted bonded pair and agree that should Cat Chance learn of this separation, I forfeit all ownership to the cat(s)
I verify all of the above information is true and accurate, I understand that Cat Chance reserves the right to reject any application with falsified information, and has the right to refuse any applicant

The adoption of a lifelong animal friend should not be impulsive, but rather a carefully thought out decision, which will ensure a loving, lasting relationship. Should it ever become necessary to surrender my adopted cat, I understand that the cat must be returned to Cat Chance.

Signature/Initial

Please sign or place your initial

Date*

YYYY-MMM-DD (i.e., 2021-May-15)

Thank you for completing this application!

Please click SAVE FORM and then SUBMIT so we receive your application.

After this application is received and reviewed, Cat Chance will make a decision about suitability based on the information you have provided - we try to match you with the best cat (or kittens) for your household!

You will hear back from Cat Chance within 5 days of your application if your application was deemed the best fit for the cat (or kittens)!

If you have not heard back from us within that period, please consider applying for another amazing community cat!