OTC CAT ADOPTION APPLICATION

Name of cat(s) you are interested in? *

If the cat you are applying for is already currently reserved, would you be interested in another cat?*

Yes, please tell me who is in need of a home.No, my heart was only drawn to this one.Maybe! I'd like more information on cats that are available.Other

How did you hear about the cat(s) and Oak Tree Crew?*

YOUR FULL NAME*

(First, Last)

ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

PHONE NUMBER *

What type of phone number is listed above?*

EMAIL*

example@example.com

DATE OF BIRTH*

Date

ARE YOU ON FACEBOOK?*

YESNOOther

FACEBOOK NAME*

EMPLOYER*

Are all members of the household in agreement to adopt a cat at this time?*

YESNONOT DISCUSSED WITH EVERYONE YETOther

Who will be the cat's primary caregiver?*

What type of home do you have?*

If Condo, please provide condo by-laws for pet ownership. You can email them to OakTreeCrew@comcast.net.

Do you OWN or RENT your home?*

OWNRENTOther

If RENT, please provide Landlord Contact Information *

Landlord's Full Name & Phone Number

Personal Reference #1 *

Full Name & Phone Number

Phone (Per. Ref. #1) *

Please enter a valid phone number.

How do you know this person? (Reference #1)*

Personal Reference #2 *

Full Name & Phone Number

Phone (Per. Ref. #2) *

Please enter a valid phone number.

How do you know this person? (Reference #2)*

Personal Reference #3*

Full Name & Phone Number

Phone (Per. Ref. #3) *

Please enter a valid phone number.

How do you know this person? (Reference #3)*

Please list the names of ALL ADULTS in your home:*

First, Last Name(s)

Please list the names and ages of ALL CHILDREN in your home:*

First Name (Age)

Have your children been around animals before? Please explain.*

Does anyone in your home have allergies? Please explain.*

Below, please list ALL pets you have had. Their NAME, SPECIES, AGE, SPAYED/NEUTERED, indicate if they are ALIVE or DECEASED (and what happened to them if they have passed.) *

Example: TIGER, cat, 8 years old, Neutered ; MAX, dog, 5 years old, Neutered, EMMA, cat 16 years old Spayed Deceased, congestive heart failure.

Have you adopted from an Animal Rescue before?*

YESNOOther

If YES , please provide the rescue name. *

Have you ever surrendered a pet to a rescue or shelter or rehomed a pet on your own?*

YESNOOther

If YES, please give details.*

YOUR VETERINARIAN*

Name of the Veterinarian Practice and the Doctor you prefer. If you do not currently have a Veterinarian please list the one you plan on using. ***Be sure to call your vet and give permission for an Oak Tree Crew Representative to talk about your account***

VETERINARIAN'S PHONE*

Describe your ideal cat for your home. This will help us to ensure a good match:*

How many hours a day will your cat be left home alone?*

Where will your cat sleep at night? Where will your cat be allowed while you are not home?*

If your cat has an accident outside of the litter box what type of corrective training do you plan to use?*

How long are you willing to allow for your new cat to adjust to your new home?*

Will this cat be :*

Indoor OnlyOutdoor OnlyIndoor & OutdoorOther

Do you plan to have this cat declawed?*

Are you aware that a new environment for a cat can be very stressful and they need time to adjust and decompress? They may display uncharacteristic behavior during this period of time.*

YESNOWould like more informationOther

What circumstances would lead you to give up a pet? And what would you do if you faced this sort of decision?*

Do you understand that having a pet will cost $500.00or more per year in basic routine vet care and preventatives?*

YES

NO

WOULD LIKE MORE INFORMATION ON COSTS

Please read and initial below to better understand our adoption process.

I understand the adoption process for this cat includes : a completed application, a check of your personal and vet references , permission from landlord (if applicable), home ownership verification, a phone/in person interview and a home visit with all family members present. ___________ initials

I understand my responsibilities as an adopter includes: providing my new pet with vet care, including check ups, booster vaccines or titer test, heartworm & flea/tick preventative medications, etc. I will be solely responsible for the health, safety and behavior of my new pet. ___________ initials

Once adopted I release OakTree Crew , Inc. involved in this adoption and hold harmless from responsibility for any medical expenses incurred on behalf of this pet and for the behavior of this pet. If at anytime in the future I cannot care for this pet I will contact OakTree Crew, Inc.for rehoming and will under no circumstances bring this pet to a shelter. initials

I understand that meeting a rescue animal can carry a risk and I will not hold this cat’s rescuers liable for any harm that comes to me or my family during a meeting with the animal. I will follow all rescue

directions on how to greet an animal. ___________initials

initials

By completing this form, I agree to all the terms listed within it.

Applicant Signature ____________________________________________Date

Applicant Signature

Date

For Internal Use only

*Notes: