Cat Rescue Squad
Adoption Application
Name
*
First Name
Last Name
Co-applicant
*
First Name
Last Name
Age
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number (Mobile)
*
Phone Number (Home/Co-applicant)
E-mail
*
example@example.com
I / We live in a
*
Single Family Home
Duplex / Twin
Condo / Townhome
Trailer
Apartment
Own
Rent?- See next question
Other
Landlord Name and Phone number (if applicable) If so, we require a signed letter of authorization to have a pet.
Name
Phone Number
Are you interested in foster or adoption?
What type of dog/cat are you interested in adopting? Check all that apply
*
Kitten(s)
Puppy
Adult
Senior
Undecided/ No Preference
Do you have a fenced in yard?
*
Yes
No
Doesn't apply (Adopting Cat)
Do you have other pets?
*
Yes
No
Cat
Dog
How many Dogs or Cats do you have? Breed? Spayed/Neutered? Up to date on vaccines?
Are you interested in adopting a specific cat/dog?
*
Yes- I am applying for a dog/cat that I saw on Facebook
Yes- I am applying for a dog/cat that I saw on Petfinder/Pettango
Yes- I am applying for a dog/cat that I was on the website
Yes- I am applying to adopt my foster dog/cat
Yes- I am applying for a dog/cat that I met at an adoption event
No- I am still considering my options
Describe the type of personality and/or appearance you would like your dog/cat to have.
*
Ex: Playful, friendly, lap cat, good with kids, good with other dogs, good with other cats, male, female, certain color, etc.
Where does the pet stay (be confined) while you are out?
*
How do you discipline your pets and why? (describe)
*
Do you have a regular veterinarian?
*
Yes
No
Veterinarian’s name
*
Clinic Name
*
Clinic's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Clinic's Telephone
*
Number of hours (average) pet(s) spends alone
*
Who is this pet for? (We do not adopt as gifts/surprises)
*
Myself
My Family
Friend (helping with application only)
What would ever be a reason to rehome your pet?
*
Are all members of the household aware of the adoption and in agreement?
*
Yes
No
How many people are in the household and ages?
Is your home busy or quiet?
*
Example: Busy, Quiet, a mixture of both
Are you financially prepared to provide this pet with annual Veterinary care? Emergency Care? Or Vet care for health problems?
*
Please Select
Yes
No
If you had to move, are you willing to find housing that accepts pets?
*
We adopt as strictly *Indoor only*, is this agreeable to you? Dogs must not live outside but have access to a safe area
*
Yes
No
Secured Catio at home
Are any members of the household allergic to pets? (eg. Dogs, Cats etc.)
*
Any Questions, Comments? Anything else we should know? If interested in a specific animal, please put the pets name and where you saw the animal.
Please add at least two references
*
Type a question
I confirm that all information supplied above is correct and accurate.
Signature
Submit
Submit
Should be Empty: