Cat Adoption Application

Name
Age
Occupation
Co-Applicant
Co-Applicant Age
Co-Applicant Occupation
Street Address
City
County
State
Zip Code
Phone Number
Email Address
What is the name of the pet you are interested in?
List any general questions you would like to ask about this particular pet:
Are you willing to allow a representative from our rescue organization to visit your home by appointment?
Please check the primary reason for adopting this pet
Please indicate where you live:
Do you..
If you rent, do you have the landlord's permission to own a pet?
What is the apartment complex name?
What is the landlord's phone number?
How much is the pet deposit? $
How many times have you moved in the past 5 years?
Number of adults in household?
Does anyone in the household smoke?
Will this pet be a surprise for any family members?
If yes, who?
Do any family members have allergies?
Do any children live in the house?
If so, what are their gender/ages?
Number, type and age of pets currently in household
Do any of your current or did any of your past pets live primarily outdoors?
If yes, please describe pet
Are all current pets spayed/neutered?
What is your veterinarian's name and phone number?
How many pets have you owned in the past?
If Other, please describe:
Where will your new pet stay when home alone during the day?
What percentage of time will the pet spend inside the house?
Have you ever had a serious behavior problem with a previous pet?
If so, please describe:
Do you have a doggie door?
Have you always kept an ID tag (other than a rabies tag) bearing your phone number on your pets?
Are you willing to keep a collar and ID tag on all of your pets including a new pet at all times?
Under what circumstances do you think it is OK to leave a pet outside alone and unsupervised in an unfenced area?
What circumstances, in your mind, justify giving a pet up?
Have you ever given a pet up or had a pet for a brief period of time and it didn't work out?
If so, please explain the circumstances and what happened to it:
Have you ever looked at or applied for a pet with another rescue group?
If so, how long ago? Did you adopt? Please explain
If you are unable to keep your pet for any reason at any time will you return the pet to us?
If your pet later develops a medical problem that becomes expensive, what would you do?
If other, please explain:
Does your current cat(s) have their claws?
Will you declaw the new cat?
What type of food will you feed?
Brand name:
Please list the names and phone numbers of 2 personal references:
How did you hear about our organization
If other, please specify:
Typing your name will serve as legal signature. By signing, I am attesting to the truthfulness of my answers. Falsification of any of the above information will be grounds for disallowing the adoption of rescue pet and possible removal of sai
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