PSE Cat Adoption Application

Cat Adoption Application PSE

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?

YesNo
Primary Adopter*
Enter your full name
Co-adopter (if applicable)
Address*

Street Address

Street Address Line 2 (unit/apt number)

CityState

Zip Code
Email Address*
example@example.com
Primary Phone #*
2nd Phone #
Names & Relationship of others in home*
Type of Home*

HouseApartmentCondoTownhomeMobile HomeOther
Name of Apartment, Condo, Townhome complex*
Do you*

OwnRent
Landlord / Property Manager*
May a Rescue House representative visit your home prior to adoption?*

YesNo
The cat(s) will be:*

IndoorIndoor/OutdoorOutdoor
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 companionFor your other pet(s)For your childrenFor your spouseOther
Have you previously been responsible for the care of a cat?*

YesNo
If you previously had a cat, please check all that apply:*

Still haveGave awaySoldStrayed offStolenDiedOther
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?*

YesNo
Under what circumstances would you give up the cat(s)?*

DivorceMovingIllnessRetiringNew jobNeverPregnant/New BabyFinancialOther
Are you or anyone in your home allergic to cats - now - or at any time in the past?*

YesNo
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?*

YesNo
Are you aware that it could cost $1,000 or more every year to provide care for each cat?*

YesNo
Are you financially able and willing to provide adequate medical care if this cat should become sick or injured?*

YesNo
I HAVE UNDERSTOOD THESE QUESTIONS AND HAVE ANSWERED THEM TRUTHFULLY.
Signature*

Clear
Sign with finger or mouse
Date*

MonthDayYear
Submission Date

MonthDayYear
Date
Hour MinutesAM/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.
Should be Empty:

Cat Adoption Application PSE

I HAVE UNDERSTOOD THESE QUESTIONS AND HAVE ANSWERED THEM TRUTHFULLY.

Submit Application