Cat Adoption Application PCMM
Pet adoption is a serious responsibility. We are asking you to make a lifetime commitment to the cat you adopt. The policy of The Rescue House is to ensure that each person who adopts a cat be capable of and willing to accept that responsibility. Please read and answer each question carefully. YOU MUST BE OVER 18 TO APPLY.
Cat(s) for which you are applying
*
Why did you select this particular cat(s)?
*
Have you met the cat(s) you are applying for yet?
Yes
No
Primary Adopter
*
Enter your full name
Co-adopter (if applicable)
Address
*
Street Address
Street Address Line 2 (unit/apt number)
City
State
Zip Code
Email Address
*
example@example.com
Primary Phone #
*
2nd Phone #
Names & Relationship of others in home
*
Type of Home
*
House
Apartment
Condo
Townhome
Mobile Home
Other
Name of Apartment, Condo, Townhome complex
*
Do you
*
Own
Rent
Landlord / Property Manager
*
May a Rescue House representative visit your home prior to adoption?
*
Yes
No
The cat(s) will be:
*
Indoor
Indoor/Outdoor
Outdoor
Where will the cat(s) be when you aren't at home?
*
How many hours per day will the cat be left alone?
*
Who will be responsible for the care of the cat(s)?
*
Why do you want to adopt a cat? (choose all that apply)
*
As a companion
For your other pet(s)
For your children
For your spouse
Other
Have you previously been responsible for the care of a cat?
*
Yes
No
If you previously had a cat, please check all that apply:
*
Still have
Gave away
Sold
Strayed off
Stolen
Died
Other
What other animals live in or visit your home?
How will you introduce your new cat to your existing pet(s)?
*
On the first night home, where will the cat stay?
*
Do you have any overnight, or longer, trips planned for the first 2 weeks the cat is home?
*
Yes
No
Under what circumstances would you give up the cat(s)?
*
Divorce
Moving
Illness
Retiring
New job
Never
Pregnant/New Baby
Financial
Other
Are you or anyone in your home allergic to cats - now - or at any time in the past?
*
Yes
No
Cats/Kittens have been known to claw furniture, carpets, and drapes, dig in potted plants, etc
*
What do you feel is the best way to discipline a cat?
*
What would you do with the cat(s) if you had to:
*
If something should happen to you, who would provide for the continuing care of this cat?
*
If for any reason you are unable to keep this cat and/or are unable to find another adopter approved by The Rescue House, do you agree to return it to The Rescue House?
*
Yes
No
Are you aware that it could cost $1,000 or more every year to provide care for each cat?
*
Yes
No
Are you financially able and willing to provide adequate medical care if this cat should become sick or injured?
*
Yes
No
I HAVE UNDERSTOOD THESE QUESTIONS AND HAVE ANSWERED THEM TRUTHFULLY.
Signature
*
Sign with finger or mouse
Date
*
-
Month
-
Day
Year
Submission Date
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Please verify that you are human
*
Submit Application
By clicking 'Submit Application' below, you agree that the information you provided is accurate and truthful. You furthermore agree that your submission of this form, via the 'Submit Application' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this document.
Submit Application
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