AniMeals Adoption Application

AniMeals Adoption Application

Online Submission
Our Cat Adoption Contract is designed solely to protect the welfare of the cat you are considering adopting. Please let us know if you have any questions about this agreement. Thank you for your cooperation.
Date:*

MonthDayYear
Cat's Name:*
Have you visited this cat at the shelter yet?

Yes, I have visited this cat at the shelter already.No, but I plan to visit this cat at the shelter.No, I do not plan to visit this cat at the shelter.Other
Primary Adopter's First & Last Name:*
Secondary Adopter's First & Last Name:*
Contingency Plan Adopter's First and Last Name (If Primary/Secondary adopter's are 67 years +)

First NameLast Name
Primary Adopter's Home Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is this the same as your mailing address?*

YesNo
Primary Adopter's Mailing Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth: *
**Must be 21 years or older**
Adopter's Home Phone Number:*

Area CodePhone Number
Adopter's Cell Phone Number:*

Area CodePhone Number
Adopter's Email:*
example@example.com
Adopter's Place of Work:*
Adopter's Work Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please describe the type of cat you are looking for:*
Is this going to be a registered Emotional Support Animal (ESA)?
Is this your first cat?*

YesNo
Why do you want this cat? (check all that apply)*

CompanionCompanion for another animalHouse PetBarn CatMouserOffice petOther
How many adults are in your home?*
How many children are in your home?*
What are the children's ages?*
FAMILIES WITH CHILDREN UNDER 6 YEARS OLD AND UNDER WILL NOT BE ALLOWED TO ADOPT KITTENS 6 MONTHS OLD AND YOUNGER
Does anyone in the home have cat allergies?*

YesNo
Do you own or rent your home?*

I own my homeI rent my home
Who is your landlord?
May we contact them to confirm consent for animals in the home?

YesNo
Landlord's Phone Number:

Area CodePhone Number
Where will this cat be kept?*

IndoorOutdoorsIndoor/OutdoorsOther
Do you plan on having this cat declawed?*

YesNo Way!
Current Veterinarian: *
Veterinarian's Phone Number:*

Area CodePhone Number
Pet's names that have visited this Veterinarian?*
Personal Reference #1:*
First & Last Name
Personal Reference #1 Phone Number:*

Area CodePhone Number
Personal Reference #2:*
First & Last Name
Personal Reference #2 Phone Number:*

Area CodePhone Number
If you move, will you take this cat with you?*

Yes I will take this cat with meNo I won't take this cat with me
Under what circumstances would you not keep this cat? (check all that apply)*

DivorceAllergiesMovingIllness in the familyNew babyLitter Box problemsBiting or scratchingGrew too bigPets didn't get alongPet became illChildren ignoring the petNot obedient enoughSheddingI would not give up this cat for any of the above reasons!Other
Are you willing to take responsibility for this animal for the next 10-20 years?

YesNo
If for any reason you cannot care for the animal, what or who is your contingency plan?
How much are you willing to spend on medical costs for the animal?
If costs exceed this amount, what steps will you take?
Have you ever adopted or dropped off a cat at AniMeals before?*

Yes, I have adopted from AniMealsYes, I have dropped off a cat at AniMealsNo, I have not adopted from AniMealsNo, I have not dropped off a cat at AniMeals
If you have dropped off a cat at AniMeals, please briefly explain:*
What are your current pets' species, names and ages?*
If you currently have cat(s) have they been Spayed/Neutered and Vaccinated? (check all that apply)*

They HAVE been Spayed/NeuteredThey HAVEN'T been Spay/NeuteredThey HAVE been VaccinatedThey HAVEN'T been VaccinatedI do not have a cat currently
How will you introduce your new animal in the home?
Have you ever turned an animal into a shelter in the past?*
Have you ever had an animal euthanized? If yes, please explain.
Have you ever abandoned an animal? If yes, please explain.
Do you, or anyone living in your home, have any criminal charges pending or have you ever plead guilty to a crime, forfeited bond, been convicted of a crime, including a plea of no contest or deferred prosecution, whether or not an appeal is pending?

YesNo
If "Yes", please describe:
Authorization to Release Veterinary Records
Veterinary Name:

ClinicName
Fax Number:

Area CodePhone Number
Pet Parent Name:

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Pet's Name:
Breed:
I hereby certify that I am the owner (Pet Parent) or authorized agent of the Pet Parent of the above-described pet(s). Further, I hereby request and authorize this veterinarian to release the requested medical information for my pet(s) to AniMeals. I release the veterinarian and staff from any legal responsibility or liability for the release of information to the extent indicated as authorized herein. This authorization expires 90 days from the date of signature. I understand I may revoke this authorization, but the revocation may not be applied retroactively once the information specified herein has been released.
Adopter's Signature:

Clear
**Use Mouse/Finger to digitally sign this Form**
Date:

MonthDayYear
AniMeals Adoption Contract
Thank you for choosing AniMeals, please take your time to fully read and sign the following Adoption Contract.
The above named person or persons, hereinafter referred to as Adopter(s), agree to adopt and adhere to the following Animal Adoption Contract.*

Yes, i agreeNo, I don't agree
Adopter(s) agree to not declaw any cat adopted from AniMeals..*

Yes, I agreeNo, I don't agree
Adopter(s), if renters, have the knowledge and consent of the landlord to have a pet.*

Yes, I agreeNo, I don't agree
Adopter(s) agree to provide a permanent, loving home for this animal.*

Yes, I agreeNo, I don't agree
Adopter(s) agree to accept full responsibility for the emotional, behavioral, physical, and financial needs of this animal for its entire lifetime. If an illness occurs, adopter will seek veterinary advice and services. Adopter can afford to do so.*

Yes, I agreeNo, I don't agree
Adopter(s) agree to provide adequate food, water, shelter, fencing, training, love, and attention to this animal.*

Yes, I agreeNo, I don't agree
Adopter(s) agree that if they cannot keep this cat for any reason, and their contingency plan falls through, they will return the animal to AniMeals.*

Yes, I agreeNo, I don't agree
Adopter(s) agree that the animal will never be sold, given away, abused, used for medical experimentation, or relinquished to an animal shelter or facility.*

Yes, I agreeNo, I don't agree
Adopter(s) agree to obey all animal laws and to provide all necessary vaccinations and preventative medications recommended by their veterinarian.*

Yes, I agreeNo, I don't agree
Adopter(s) agree animal adoption is a permanent placement.*

Yes, I agreeNo, I don't agree
Adopter(s) agree that there is no refund of the adoption donation.*

Yes, I agreeNo, I don't agree
Adopter(s) understand that by voluntarily signing this agreement, Adopter(s) enter into a legally binding Animal Adoption Contract with AniMeals, and a breach of any term(s) of this Contract is actionable by AniMeals. Adopter(s) also understand that failure to abide by the terms of this Contract, or willingly and knowingly giving false information is a material breach of this Contract. In the event there is a breach of any part of this this Contract, Adopter(s) agree to pay $500.00 in liquidated damages. This liquidated damage is agreed to for the purpose of establishing value of the adopted animal. Additionally, in order to facilitate the collection of damages for breach of contract, Adopter(s) waive any challenge to venue and agree that the appropriate venue for this matter is the State of Montana, County of Missoula.*

Yes, I agreeNo, I don't agree
Adopter(s) understands that no one can predict how an animal will react in a new situation. Therefore, Adopter(s) will exercise prudence and caution in introducing this animal into the new situation until the animal has become fully adjusted to its new environment and Adopter(s) have had an opportunity to become familiar with this animal’s unique personality. Adopter(s) assume full responsibility for the conduct of this animal, and AniMeals makes no guarantees in regards to the health or temperament of the animal.*

Yes, I agreeNo, I don't agree
Adopter(s) will not allow for the animal to be used for rituals, racing, fighting, medical, or experimentation purposes. It will be nothing other than a house pet, companion, and family member.*

Yes, I agreeNo, I don't agree
Adopter(s) understand that while ownership and responsibility for this animal belongs solely to the Adopter(s), if you can no longer keep the animal, for any reason whatsoever, or provide it with reasonable care, including food, shelter, or veterinary care, Adopter(s) will contact AniMeals and allow them the opportunity to find another home for the animal. Outside of the approved contingency plan, the adopted animal shall not be sold, adopted, or given away to anyone else, nor shall there be any transfer of ownership to any business or organizations without express permission from AniMeals. In this event, Adopter(s) will allow AniMeals a reasonable time to arrange for a suitable home for the animal. Adopter(s) will inform AniMeals if the animal has any behavioral or medical conditions, which makes finding another home unadvisable. If Adopter(s) must return the animal to AniMeals, Adopter(s) are responsible for return transportation.*

Yes, I agreeNo, I don't agree
Adopter(s) understand and allow AniMeals to contact them for later verification of the animal’s welfare. Adopter(s) will cooperate by providing requested information as related to the adopted animal as requested by AniMeals; this includes possible visits to the location of the animal and contact with the veterinarian caring for the animal. Adopter(s) will inform AniMeals of address changes and phone numbers during the life of the animal, to allow AniMeals to maintain contact with Adopter(s). If the animal becomes lost, Adopter(s) will notify AniMeals immediately.*

Yes, I agreeNo, I don't agree
Adopter(s) understand that in the event they do not follow the terms of this AniMeals Adoption Contract, or Adopter(s) neglect or abuse the animal, AniMeals maintains the right to re-take possession of the animal. The Adopter(s) also agree to pay AniMeals any and all expenses, inclusive of court costs and reasonable attorney's fee, in enforcing the provisions of this contract.*

Yes, I agreeNo, I don't agree
The Adopter(s) of the animal identified above in this AniMeals Animal Adoption Contract understand, agree, and heretofore promise to forever release, indemnify, and hold harmless AniMeals, or any of its agents or representatives from any and all claims, damages, costs, expenses, and causes of action arising out of any injuries or damages caused by the adoption of this animal. Adopters also understand that AniMeals will not be responsible for any medical care or costs required for the adopted animal from this day forth. In addition, Adopter(s) agree that AniMeals, its agents or representatives, cannot be held responsible for the behavior, health or disposition of this animal. AniMeals makes neither warranties nor guarantees as to the physical, medical or behavioral condition of this animal, its background or its suitability or compatibility. Adopter(s) releases AniMeals and all its agents or representatives from any and all responsibility with regard to this adoption, which Adopter(s) undertake voluntarily and with full knowledge of the above release and its implications.
Adopter(s) certify that they have read and understand the terms of this AniMeals Adoption Application Contract by signing below.
Date:*

MonthDayYear
Date
Adopter's Signature:*

Clear
**Use Mouse/Finger to digitally sign this Form**
Secondary Adopter's Signature:

Clear
**Use Mouse/Finger to digitally sign this Form**
Please verify that you are human*
After your completed addoption application is sent in, an AniMeals staff member will contact you within 2 business days.

Thank you for choosing AniMeals!
Should be Empty:

AniMeals Adoption Application

Authorization to Release Veterinary Records

AniMeals Adoption Contract