Adoption Application

Adoption Application

Fill out all questions to the best of your ability. You can save and come back if needed. Use the back button on your browser to return to Rescue Kitty
Applicant Name *

First Name Last Name
Phone Number *
Cell phones are preferred and make the adoption process faster.
Is this a cell phone that can receive text messages? *

Yes No
Email *

Confirmation Email example@example.com
Age of Applicant *
Address *

Street Address

Street Address Line 2

City State

Zip Code
The address above is a(n):

Apartment House Townhouse Other
For the above address, do you:

Own Rent Live with parents or guardians
Name of parents or guardians
Phone Number
Enter a number where we can reach a parent
Are your parents or guardians aware that you are applying to adopt a cat?

Yes No
Will your parents or guardians be active caretakers of the cat?

Yes No
Landlord's Name:
Landlord's Phone:
Please enter a valid phone number.
Does your Landlord allow cats?

Yes No Don't know
Deposit Required?
Enter a dollar amount
Monthly Rental Increase?
Enter a dollar amount
How many kitties are you applying for on this application? *

Single Kitten/Cat Pair of Kittens/Cats More than two
Name of cat(s) you are applying to adopt: *
If you don't have a particular kitten in mind, just put "Any"
Description of cat(s) you are applying to adopt: *
e.g. Grey Tabby, Tortie, young, adult, etc.
Do you want this cat for: *

Companion (yourself) Gift Other
Where will the cat be kept during the day? (check all that apply) *

Indoors only Indoor/Outdoor Basement Garage Barn Other
Where will the cat be kept at night? (check all that apply) *

Indoors only Indoor/Outdoor Basement Garage Barn Other
Do you prefer a declawed cat? *

Yes No
How many days per week will the cat be left alone? *
For how many hours? -
How many adults in the household? *
Include yourself
Ages?
Enter all ages for each adult in the household
How many children in the household? *
Ages?
Enter all ages for each child in the household
Is anyone in your house allergic to cats? *

Yes No
If you move in the future what will you do with your cats? *
If something should happen to you, who would care for your pet(s)? *
How much do you anticipate spending yearly to feed, vaccinate, license, and provide medical care? *
Enter a dollar amount
Would you be willing to let us visit your home before the adoption is complete? *

Yes No
Have you ever given a pet up? *

Yes No
Why?
Number of cats you currently own? *
Leave 0 if you don't have any other cats
Names and ages?
Number of dogs you currently own? *
Leave 0 if you don't have any other dogs
Names, ages and breeds?
Enter any other pets you have owned in the last 10 years that aren't included above
Ex: Fluffy, Cat, Passed away at 16 years old
Do you have a veterinarian for the above animals? *

Yes No
Vet's Name
Please contact your vet and give permission for them to speak with Rescue Kitty
Vet's Phone Number
Please enter a valid phone number.
Please provide Reference #1: *

First Name Last Name
Phone Number *
Please enter a valid phone number.
Please provide Reference #2: *

First Name Last Name
Phone Number *
Please enter a valid phone number.
Do you realize a cat may live 15 years or more? *

Yes No
It may take your new kitty 2 or more weeks to adjust to its new home. Are you prepared to allow this much time? *

Yes No
When would you be ready to bring your new kitty home if approved? *

Month Day Year
Date
Many of our kitties need to be in homes with other kitties or are part of a bonded pair of siblings. If necessary would you consider taking a pair?

Yes No
Tell us about yourself! What's your story and why would you give a Rescue Kitty a wonderful forever home?
Electronic Signature: By signing below, I certify that the information I have given is true and that I recognize that any misrepresentation of the facts may result in my losing privilege of adopting a cat from Rescue Kitty. I authorize investigation of all statements on this application.

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