Request edit access
Cat Adoption Application
Cats $200; kittens $220. $50 off pairs. 
Includes spay/neuter; vaccines; aids/leukemia, stool test; microchip, as well as any other previous medical costs. 

You're making a great choice!

Thank you for choosing to adopt from Staten Island Hope Animal Rescue. This is a non-refundable fee.  All adoptable cats are to be indoor pets only.  

**We only have cats and kittens available at our rescue. We ask that you double check to make sure that there are no allergies to cats. Especially when adopting kittens.  If you are looking to adopt a dog or puppy please message us via our contact page and we can recommend rescues that may better suit your needs.
Sign in to Google to save your progress. Learn more
Interested in a cat or a kitten? *
First, Last name *
Phone *
Address:  Street, include city, state, zip *
Email Address *
Age *
Employment status *
Have you ever been accused or convicted of a crime against animals (cruelty, abuse, neglect, etc.)? *
Required
What is your monthly budget to care for a new pet? *
How did you hear about Staten Island Hope Animal Rescue? *
Who lives in your home (# people with ages/ # pets with age) *
Type of residence: *
Required
Do you currently? *
Required
Is your residence pet friendly? *
Length of time living at residence. *
Landlord phone # if renting
Any allergies in residence? *
Is everyone in the household in agreement about adopting a new pet? *
Where did you see the cat/kitten you applying to adopt? *
I am interested in adopting a cat that is: *
Required
Name of pet you wish to Adopt. (Please be sure to include this) *
What is your reason for adopting a cat? *
Describe your experience w cat/kitten ownership. *
I agree that if I am adopting a cat, I may not have the cat declawed at any time, for any reason. *
Will your new cat be kept: *
Do you have a room or area where you could isolate a new cat while they decompress? *
Do you currently have any pets in your home? *
If yes, please provide the Breed, Age, and Gender of all animals currently in your care: *
Are your current pets current on vaccinations and spayed/neutered? *
References from various sources are essential to your application approval. The #1 delay in application processing is due to delays in getting responses from references. With that in mind, choose 3 individuals that can easily be contacted via email or phone. *
Veterinarian reference (if you currently have pets) *
Veterinarian Contact No. *
Employer Name and your position with company *
Employer - Contact Number *
How do you plan to prevent furniture scratching? *
Terms of Acceptance of following questions.. *
Required
Personal References-Name , Phone and Relationship *
Staten Island Hope Animal Rescue is not liable for injury, damages, or medical conditions for which we are unaware of at the time of adoption. *
Required
Staten Island Hope rescue makes every attempt to adopt healthy pets. However, if the adopted Question pet becomes ill within 14 days of adoption from what is deemed a shelter related illness the rescue will take responsibility for the medical needs of that pet. The diagnoses and treatment must come from a rescue-authorized veterinarian.  We are not responsible for unauthorized vet visits. *
Required
If you cannot cover veterinarian care, or if animal is found to be in conditions where basic care is not able to be met, SIHAR is able to revoke adoption privilege and seize the adopted animal(s). *
Required
Any condition or circumstances making it necessary for you to relinquish or transfer ownership must be authorized by our adoption representative or director; no animal may be dropped off at a shelter,  Animal care and control or other facility  without our direct knowledge by phone. *
Required
Electronic Signature *
Today's Date *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms