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Cat Adoption Application

Requested Information
Date:
First Name:
Last Name:
Adopter's Age:
Spouse's First Name (if applicable):
Spouse's Last Name (if applicable):
Spouse's Age (if applicable):
Address (Street, City, Region, Postal/Zip, Country):
Phone, Home:
Phone, Cell:
Email:
If you do not currently own a pet, keep in mind that you are applying to adopt one and will need to secure a vet before placement.
Vet's Name:
Vet's Address (Street, City, Region, Postal/Zip, Country):
Vet's Phone:

Personal Referance #1
First Name:
Last Name:
Phone #:

Personal Reference #2
First Name:
Last Name:
Phone #:

Requested Information: Section 2
Your Employer:
Are you applying for a particular cat? If so, which one?
Number of adults in home?
Number of Children in home?
Childrens ages:
How long have you lived at your current address?
Do you own or rent?
If rent, please provide landlord's name, address and phone:
In what type of home do you live?
What type of enviornment?
To feed, vaccinate, license and provide medical care for this animal, what do you anticipate spending yearly? Consider the following estimated costs: One vet office visit: $35-$50, Annual shots: $20-$25 each x3 shots a year. Plus food, grooming, bed, medications, sick visits, license, etc. Can you afford the care?
If you adopt a cat and discovered a costly medical problem ($1000+), that is correctable, what would you do?
Are you willing and prepared to deal with potential medical problems and/or special needs, should they arrive in the future?
Which member(s) of the household will feed and care for this animal?
Have you considered the full ramifications of caring for a cat for its entire life- including illness and old age?
When you are away from home for a few hours, where will the cat stay while you are gone?
How many hours a day will this animal be alone?
When you go away for a few days, who will care for this animal?
Have you previously owned a cat?
If so, what kind(s), Breed - Sex - Age - Spayed / Neutered - Present location:
What discipline will you use?
What would your reaction be if you came home to pee/poop in the house?
What age range are you looking for?
What weight preference are you looking for?
Have you ever given up a dog/cat, or taken a pet of yours to a shelter?
Do you have other pets? If so, list breed, age, sex, size of each:
Are all other pets current on vaccinations?
Are your animals on heartworm preventative?
How long would you allow an adopted cat to adjust to you, your home and your current pets (if you have any) and what would you do after that period of time, if the cat has still not adjusted?
What do you know about rescues?
Why do you want to adopt a cat from a rescue?
We attempt to provide you with an honest evaluation of the temperament of any cat we have to place. Do you realize that often times the complete history of the animal may not be known, and you may encounter some behavioral issues? Are you willing to work with us on correcting those problems?
How much research have you done about the breed?
Please list any comments or questions you have:

Requested Information: Section 3
I certify that the information provided on this form is true and correct. I am also financially and physically able to care for the animal. I understand that proper food and veterinarian care may be costly, and I am able to meet these requirements. Submitting this application denotes information provided is true and correct. If, upon a home inspection, we find that information contained in this application is false, we retain the right to turn down your request or remove the animal from your premises without a refund of monies paid. If you decide that you cannot take care of the cat/want the cat, money will not be refunded. Submitting this application denotes acceptance of terms.
SIGNATURE OF POTENTIAL ADOPTER:
DATE:
SIGNATURE OF RESCUE REPRESENTATIVE:
DATE: