Feline Network adoption appli...

For Official Purposes ONLY

Interview:

Data:

Screener:

Feline Network Rescue

www.novafelinenetwork.com

www.petfinder.com/shelters/VA333.html

(Ph) 703-919-2067 (Fax) 703 471-1161

APPLICATION FOR ADOPTION

This form is not only to provide proper education on the commitment of owning a new cat/kitten, but also to ensure that you understand the full responsibility of the care involved with your new pet. Please take the time to answer all questions honestly and fully. Some may seem redundant and unnecessary, but we have good reason to restate what appears to be the same question. We consider adopting a cat very seriously and hope to determine if the cat you are applying for is appropriate for you and your family and vice versa.

Date:

Name _______________________________________________________

Address ________________________________________________________________

City__________________________________

ST.___________Zip_______________

E Mail address________________________________________

Home Phone ______________________________________ Work Phone__________________________

Cell_______________________________ Best time to call and which #?___________________________

Occupation _____________________________________Occupation________________________________

Employer_______________________________________Employer__________________________________

Are you an AD military family? ____________

Are you at least 21 years old?____________________

1.What inspired you to fill out this application for adoption today? _________________________________________________________________________________________

2. Did you come here today specifically to: adopt a cat? buy other pet’s food and supplies curiosity other (explain)________________________________________________________________________________________

3. What experience do you have with cats?_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. Please explain why you want to adopt a cat?

5. Will the cat be: a pet companion for other pet barn cat mouser in your home office pet gift?

6. Do you prefer: Male Female Short hair Long hair Kitten Adult

7. Personality type? _____________________________________________________________________________________

8. Names of cat(s)/kitten(s) you are interested in now: _________________________________________________________

9. How long have you been at your present address: _______________Are you planning to move in the next year? ____

10. Who lives in your home?

Name _________________________________Age: _____________________________Relationship_______________

Name _________________________________Age:______________________________Relationship_______________

11. Would your cat go with you if you moved? ________ Do you: rent own apartment/condo house mobile home, live with parents

12. If you rent, does your contract allow pets? _____________ Is there an additional fee for pet security? ________Additional monthly rent if animal lives there? _____

Are you in a financial position to assume that added cost? _______

13. If you rent, what is your landlord’s name and phone number?

We must have this information._________________________________________________

We will contact your landlord to verify if pets are allowed in any housing.

14. Has each family member or roommate agreed to allow a cat in the household? Yes No Have to discuss yet

15. Are you certain no one in your home is allergic to cats? Certain Don’t think so Don’t know

16. If your family status changes, (married, divorced, new baby, changed roommates) would you keep your cat?

Yes No

17. List pets you currently have:

Pet’s name Breed Age Neutered Obtained from/ Kept where Time Owned

Example: _Fido_______Dog_________4__ Yes No Ferret Rescue/ Back yard

_________________________________ Yes No _________________________________

18. Are your pets current on their vaccinations? Yes No

Have your cats been tested for feline leukemia and AIDS? Yes No Results:______________________

19. List pets owned in the last 10 years that are no longer living or do not live in your home now

Pet Age Neutered Alive? Reason no longer with you/Cause of death

__________________________________ Yes No ___________________________________________

20. Have you ever lost a pet, given a pet away, had a pet die at an early age or due to an accident? Please give details:

__________________________________________________________________________________________________

___________________________________________________________________________________________________

21. Have you ever had a cat declawed? Yes No

22. Will you be declawing your new cat? (Circle one) Yes No I don’t know

Even if you say no, Please explain above answer (REQUIRED))_________________________________________________________________________________________________________________________________________________________________________________________________

23. Name, address and phone number of your current or last veterinarian (at least name of practice and town)______________________________________________________We WILL call to see if your current pets are listed and up to date on vaccines and care.

24. The estimated annual medical costs for a new pet are $550, more as they get older. Am emergency room visit can cost over $1000, Are you financially able and willing to provide annual checkups, vaccinations, and ANY medical care necessary to keep the cat healthy and comfortable?

Yes No

25. Where will you keep the litter box? __________________________

26. Where will the cat sleep? _______________________________Eat? ___________________

27.. If your new cat jumped up on the kitchen counter, how would you feel_________________________________________ What would you do? ___________________________________________________________________________________________________________________________________________________________________________________________________

28. If your new cat urinated outside of the litter box, what would you do? ___________________________________________________________________________________________________________________________________________________________________________________________________

29. What is the worst behavior you have ever had to contend with in a pet? ____________________________________________________________________________________________________________________________________What did you do? ________________________________________________________________________________________________

30. How many hours a day will your new pet be home alone without humans ___________________

31. Will you let the cat outside? Yes No If yes, ______ attended _______ unattended ________collar & tags?

32. How long do you think a cat should be left outside? attended________________________unattended______________?

33. Do you know about microchiping for identification?

34. Do you have a fenced yard? Yes No

35. If your cat gets lost, what steps would you take to find it?

36. Getting adjusted to a new home, family members and other pets may take several months. How long are you willing to allow the new cat to adjust to its new home? ________________________________________

37. What will you do if your new cat does not get along with your present pet(s)? ____________________________________

38. Who will you care for your cat if you go away for the weekend? _______________________________________________

39. Go on vacation, or away on an emergency? ________________________________________________________________

40. We are looking for “forever” homes for our kittens and cats. Cats can be expected to live as long as 20 years with proper nourishment, loving care and medical monitoring. Are you ready to commit to keeping this cat for up to 20 years? ________________If not, please reconsider your idea to adopt a cat. Thank you!

By signing this form, I/we acknowledge that all information on this form is true and correct. I/we understand that any misrepresentation of fact may result in Feline Network refusing adoption privileges to me/us. If my/our request for adoption is approved and later Feline Network discovers the above information is not true or correct, I agree that Feline Network has the legal right to remove the cat from my home and find him a suitable home.

Signature ___________________________________________Date ______________

Adoption fees:

If spayed or neutered upon adoption:

$125 for one

$200 for two

If Not neutered/spayed:

$75 for one

$150 for two