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The Kitten Angel Rescue Adoption Application
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* Indicates required question
What is the name of the kitten(s) you are interested in?
*
Your answer
First and Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Partner's First and Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Address
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Your answer
Email
*
Your answer
Phone number
*
Your answer
How long have you lived at this address?
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Your answer
Do you own your home?
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Yes
No
Other:
If you rent, please provide your landlord/Community name
Your answer
If you rent, please provide your landlord/Community phone number
Your answer
How many adults are there in your home? What is their relationship to you?
*
Your answer
If applicable, what are the ages of the children in the home?
Your answer
Does anyone in the family have a known allergy to dogs/cats?
*
Yes
No
Other:
Do you have time to provide adequate love and attention to the animal?
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Yes
No
Are you willing to allow a home check by a Kitten Angel Rescue volunteer?
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Yes
No
What other pets do you have? (specify type/number/ages)
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Your answer
Have your other pets ever been around other animals?
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Yes
No
N/A
Other:
Are these pets up to date on vaccines?
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Yes
No
N/A
Other:
Are these pets spayed/neutered?
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Yes
No
N/A
Other:
Have you ever surrendered a pet? If so, why?
*
Your answer
Where will the cat spend the day? (describe)
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Your answer
Where will the cat spend the night? (describe)
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Your answer
Number of hours per day (average) animal will spend alone?
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Your answer
Who will have primary responsibility for this cat’s daily care?
*
Your answer
Who will have financial responsibility for this cat?
*
Your answer
Are you aware of the yearly cost of maintaining a healthy pet, consisting of but not limited to yearly vaccinations, monthly flea and Heartworm prevention, healthy food, litter, toys and unforeseen incidences such as illness or accident?
*
Yes
No
Other:
Do you agree to provide regular health care by a Licensed Veterinarian?
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Yes
No
Other:
Name and Phone number of the Veterinarian you will be using:
*
Your answer
Name and Phone number of prior Veterinarian:
*
Your answer
Are you looking for a declawed kitten?
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Yes
No
Other:
When do you plan to declaw your new kitten?
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Never
6 months
1 year
Other:
Do you plan to let the cat outside?
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Yes
No
Other:
How frequently do you leave town?
*
Your answer
What arrangements would you make for your pet(s) if you leave town?
*
Your answer
What temperaments are looking for in a pet?
*
Playful
Affectionate
Active
Shy
Lazy
Lap Cat
Required
Desired Age
Your answer
Desired Size
Your answer
Desired Sex
*
Spayed Female
Neutered Male
No Preference
Required
If you can no longer keep your pet do you agree to contact The Kitten Angel Rescue first?
*
Yes
No
Please list two people who are familiar with both you and your pets that we may contact:
Name, Address, Phone, Relationship
(relative, neighbor, friend, etc)
*
Your answer
I am aware that the adoption fee for the kitten is non-refundable.
All of the Information I have given is true and complete. This cat will reside in my home as a pet. I will provide it with quality cat food, plenty of fresh water, indoor shelter, affection, annual physical examination and vaccinations under the supervision of a licensed Veterinarian. The Kitten Angel Rescue reserves the right to deny an adoption at any time, for any reason. Thank you!
By typing my name below, I am authorizing Electronic Signature on this application. Upon adoption, a hand-written signature and photo ID will be required.
*
Your answer
Today's Date
*
MM
/
DD
/
YYYY
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