ANIMAL RESCUE Adoption Application
Please answer all the questions to the best of your ability. The purpose of this form is to ensure that it is a purrfect fit for both the adopter* and the cat being adopted. *All adopters must be 21 years of age or older. PLEASE TRY NOT TO ANSWER “N/A”
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What is the name of the Cat(s) or Kitten(s) in which you are interested in adopting? If you are unsure at this time, you may leave this question blank.
Why are you interested in adopting this particular cat(s)? If you do not have a cat in mind, please explain why you are interested in adopting. *
CONTACT INFORMATION
Name (First, Last) *
Phone Number *
Date of Birth *
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Email *
Street Address *
CITY, ZIP CODE *
What is your name on Facebook/Instagram/Tiktok etc? *
ABOUT YOU, YOUR HOME AND THOSE IN YOUR HOUSEHOLD
Please list the other members of your household including children. For adults 18+ please list full name: *
What is the field of employment of ALL ADULTS in the home? *
Do you live in an apartment or a house? How many bedrooms? *
Do you have outdoor space? *
How many hours a day are you away from your home on average? *
Please provide two (2) personal references (Name, Phone Number, Years Known) *
How long have you lived at your current address? *
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Do you rent or own? *
Please provide the name and number of your landlord (renters) or HOA/condo association (if applicable for owners): *
Does anyone smoke inside the home? *
Do you or a family member have allergies? *
If your application is approved, the next step for adopting this cat is a home visit, which is just a casual visit to get you know you and discuss cat ownership. Are you ok with this requirement? *
PET OWNERSHIP HISTORY
What kind of Pet(s) do you currently own? List names, type animal and age. If you do not have any pets put N/A. *
Are your current pets up-to-date on their vaccinations? When was their last vaccine? *
How often do your animals visit the vet? *
What kind of maintenance care do you do for your pets? *
If you have had past pets, why do you no longer have them?  If you have never had any pets put N/A. *
Please provide your PAST veterinarian name and phone number. PLEASE CALL YOUR VET TO GIVE APPROVAL TO SPEAK TO US. Do not write n/a. *
Please provide your CURRENT veterinarian name and phone number. PLEASE CALL YOUR VET TO GIVE APPROVAL TO SPEAK TO US.  Do not write n/a. *
THIS CAT'S LIFE WITH YOU
Will the cat(s) or kitten(s) be living indoors or outdoors? *
What brand and type of food do you feed your current pets, and what would you feed your new cat? *
What brand and type of cat litter would you use for your new cat? *
Do you use flea/parasite prevention? If yes what kind? *
What kind of toys etc will you have for your cat? *
Where will your cat sleep? *
Do you have friends or family who visit you with their pets? *
Do you plan to adopt more animals in the future? *
Declawed? *
Insurance? *
Under what circumstances would you give this cat away to a friend or family member? (Please check all that apply) *
Required
Under what circumstances would you give this cat to an animal shelter? *
Required
Have you had any recent major life changes, or expect to in the near future? *
What will you do if this cat decides to use the arm of your couch as a scratching post? *
What will you do if this cat starts peeing where it shouldn’t instead of the litter box? *
How often do you travel, and what arrangements are made for your animals while you’re away? *
What will you do if you move from your current home? *
What will you do if this cat becomes extremely sick or develops a chronic health condition? *
List potential reasons that you would render you unable to care for this cat. *
What provisions will you make for this cat should you become unable to care for him or her? *
Who will take over care of your animals should a catastrophic life event happen to you? (Death, Disability, etc) - Name and contact number of emergency caretaker who would take over your animals: *
Has that person officially agreed to take over care of the animals? *
FINE PRINT
Do you agree to donate the adoption fee for this pet? The fee is non-refundable and depends on the cat as noted in their adoption profile. While this donation does not cover the full medical expenses paid to get this kitty ready for adoption, it is the agreed fair amount. *
Do you consent to us screening your adoption application, including some or all of the following: Checking listed personal and veterinary references, contacting the HOA/landlord or complex and any other searchable public record? ***PLEASE ENSURE THAT YOU CONTACT YOUR VET OFFICE/REFERENCES AND GIVE PERMISSION TO SHARE INFORMATION WITH US*** *
Kittens should receive their first FVRCP vaccination at 6 to 8 weeks of age, followed by three booster shots given once a month until 11 weeks of age. Do you agree that you will continue to protect your kitten with these vaccinations with the recommendation from a veterinarian? *
You understand that you are applying to adopt a cat/kitten whose medical history is unknown. Cats are tested for FIV and FeLV (leukemia) before placement and we cannot anticipate future medical problems which may arise. You agree that, as the cat's legal owner, all future veterinary costs are your sole responsibility from the date the adoption contract is finalized. During any "foster-to-adopt" period, the cat(s) will still be under the care of the rescue. *
The average expense of a healthy cat is $3000 to $4000 per year, to include food, litter, environmental enrichment (toys) and yearly veterinary preventative care. Do you agree to make such a financial commitment to this cat? *
Do you agree to seek prompt and quality veterinary care as soon as the need arises? *
Are you mentally, physically and financially able to care for this cat or kitten and provide a safe and loving environment in which you will provide food, water, shelter, clean litter, cat scratcher and any other care needed? *
Over-the-counter flea and tick preventatives (Hartz, Adams, etc) can be extremely dangerous to cats and dogs. Reactions can cause problems such as skin inflammation, seizures and death. Do you agree to only use veterinarian-approved products such as Revolution Plus, Frontline, Advantage, Capstar and Bravecto? *
The average lifespan of a cat is 15-20 years. Do you agree that you are comfortable making a commitment to this cat to be its guardian and caretaker for the rest of its life? *
By electronically signing below you acknowledge that the information provided in this form is true and correct to the best of your knowledge. Please type name below to sign. *
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