Save A Stray Rescue Cat Adoption Application

Cat Adoption Application
You must be 28 years or older to adopt.

You must be a resident of Long Island.

Renters must provide a copy of their lease and/or landlord permission to have a pet.

Dear Applicant:

Thank you for your interest in adopting from Save A Stray Rescue! We are a 501c3 non profit cat and kitten rescue located in Seaford, Long Island. All fees collected are tax deductible donations to the non profit and are used to care for our cats and kittens. Our mission is to Trap, Neuter and Return as many community cats as possible to reduce the feral cat population on Long Island and attempt to rescue as many adoptable cats and kittens and provide them with loving homes.

You are not purchasing a cat from us; you are adopting a cat that deserves a safe and loving home. Your application answers are assurance to us that our cats and kittens are going to a good, permanent home.

We do not use a first-come, first-serve process when adopting out our cats. Every cat is unique and we try to select the best home for them. The process is intended to ensure a long-term successful adoption for both the family and pet.

Cats can live for 15-20 years, so please make sure your lifestyle allows the time, patience, and financial ability to cover expenses your new pet will need over the years. Responsible cat ownership includes as-needed and routine veterinary care, quality food, litter, and other supplies. You must be at least 28 years old to adopt and live on Long Island within a 40 mile radius of our rescue.

All of our cats and kittens available for adoption are seen by a licensed veterinarian, we provide FeLV/FIV testing, spay/neuter, deworming, flea treatment, distemper and rabies vaccines.
Name of Applicant*

First NameLast Name
Age of Applicant*
Applicants must be at least 28 years old to adopt
Name of Co-Applicant

First NameLast Name
Email Address*
example@example.com
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Number*
Alternative Phone Number
Employer Name*
Employer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Job Title*
Annual Salary*
What type of cat are you interested in adopting? Check all that apply.*

Kitten(s)AdultSeniorUndecided / no age preference
Are you applying for a specific cat/kitten?*
List the name(s) of all cats you're interested in
Describe the personality and/or appearance you would like your cat to have:*
Ex: playful, friendly, lap cat, good with kids, good with other dogs, male, orange etc.
Who is this pet for?*

MyselfRelativeFriendOther
Are all members of the household aware of the adoption and in agreement?*

YesNo
Have you adopted from Save A Stray Rescue previously?*

YesNo
When are you available to take possession of your newly adopted cat/kitten?*
If future, please provide an estimate as to when you'll be ready to bring home your new cat
Home & Family
Describe your home*

Single-FamilyApartmentCondo/DuplexPublic HousingStudent Housing
Do you own or rent your home?*

OwnRentI live with a parent, guardian or family member
If you rent or live in a family member's home, please provide landlord’s name & contact information here:*
Who else lives in the home? Please list name, relation & ages for individuals.*
Ex: Michael, husband (41); Jessica, daughter (7). Susan, mother-in-law (80).
Is your home busy or quiet?*

BusyQuietA mix of both, depending on the time & day
Are any members of the household allergic to pets (eg. dogs, cats etc.)*

YesNo
If you had to move, are you willing to find housing that accepts pets?*

YesNoMaybe
Current & Past Pets
Do you have any pets currently?*

YesNo

Have you had any pets of your own in the past 10 years?*

YesNo - this is my first pet

Have you ever had a pet euthanized?*

YesNo
If yes, please explain the circumstances:
Have your current or past cats been mostly indoor with some time spent outdoors? How often did they go out? Please explain:*
Will your new cat be

IndoorIndoor/outdoor
Have you ever had a pet go missing/escape from home, car, carrier etc. what did you do to retrieve, find your pet? Please explain.*
Do you have any declawed cats in your household currently?*

YesNoN/A - this is my first pet
Do you plan on declawing your adopted cat?*

YesNoI don't know
Have you declawed any of your past or current cats?*

YesNoN/A - this is my first pet
Are you willing/able to take your pets to yearly check-ups?*

YesNo
If your pet becomes ill, are you able to afford a veterinary bill?*

YesNo
How many hours per day would the cat be alone?*
How would you deal with behavioral issues such as excessive meowing, destructive behavior, inappropriate urination etc.?*
Does your home have space (i.e. a spare bedroom, office, or bathroom) to separate new pets from current pets during the acclimation and introduction period?*

YesNo
Are you willing to give your cat/kitten time to adjust to its new environment? (Note: this could take anywhere from several days to several months)*

YesNo
If you have to leave town, urgently or planned, where would your cat stay or who would take care of it?*
If you were no longer able to care for your pet, or had to move, what would happen to your pet?*
Have you ever had to re-home a pet or surrender it to an animal shelter, animal control etc.?*

YesNo
If you answered "Yes" to the above question, please explain the circumstances:
Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment?*

YesNo
If you answered "Yes" please provide a detailed description:
Are you willing and able to care for your cat for the full duration of its life (15-20+ years)?*

YesNo
Are you willing to give Save A Stray Rescue access to your home (home visit) as part of this application process?*

YesNo
Veterinarian References

Please list your current / previous / planned veterinarian(s) and their phone number(s). Save A Stray Rescue will contact them to verify your current pets are up to date on shots, fixed and FeLV/FIV tested; this is a requirement for new pet adoptions. Please call their office(s) to authorize release of information to Save A Stray Rescue. If you are planning to utilize another vet but are not currently a client, please note that information.
Veterinarian Name*
Veterinarian Phone #*
List name that the pet(s) are listed under (if applicable) and the name of the pet:*
Previous Veterinarian Name
Previous Veterinarian Phone #
List the name that the pet(s) are listed under (if applicable) and the name of the pet:
Personal References

Please provide 2 non-family references (eg. neighbors, coworkers, family friends etc.)
Reference 1*

First NameLast Name
Reference Phone #*
Relationship to Reference 1*
Ex. Neighbor, coworker, roommate, family friend
Reference 2*

First NameLast Name
Reference 2 Phone #*
Relationship to Reference 2*
Ex. Neighbor, coworker, roommate, family friend
Terms & Conditions
I certify that I am at least 25 years of age*

AgreeDisagree
The information I have provided on this application is true. I also recognize that any misrepresentation or omissions may result in the loss of privilege to adopt from Save A Stray Rescue*

AgreeDisagree
I understand that Save A Stray Rescue has the right to deny any application for any reason and is not required to disclose the reason*

AgreeDisagree
I understand that Save A Stray Rescue is not able to guarantee the health or temperament of any cat, as many cats come in with unknown histories. There are traits that could change upon adoptions and I take responsibility to care for and address these issues if they do arise*

AgreeDisagree
I understand that anything could happen in life, and if I find that I am no longer able to care for my adopted cat, I agree to contact Save A Stray Rescue by phone and/or email to discuss return/or need for help of the adopted animal*

AgreeDisagree
I understand that I am to immediately contact Save A Stray Rescue in the event that my adopted cat is lost/missing*

AgreeDisagree
I attest that the cat I am adopting is for me, in my home, and NOT a gift for anyone*

AgreeDisagree
I understand that I am responsible for paying for all follow-up vaccines, wellness visits & medical procedures my pet will require in the future.*

AgreeDisagree
I hereby authorize Save A Stray Rescue to contact my references, veterinarian(s), and landlord to verify said statements.
Signature*

First NameLast Name
Date*

MonthDayYear
Should be Empty:

	Name	Type of Animal	Sex (M/F)	Age	Fixed? (Y/N)	Up-to-date on vaccines? (Y/N)
Pet 1
Pet 2
Pet 3
Pet 4
Pet 5
Pet 6
Pet 7
Pet 8

	Name	Type of Animal	Sex (M/F)	Age	Why don't you have them any longer?
Pet 1
Pet 2
Pet 3
Pet 4
Pet 5
Pet 6
Pet 7
Pet 8

Cat Adoption Application

Home & Family

Current & Past Pets

Veterinarian References

Personal References

Terms & Conditions