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Cat Rescue Adoption Questionnaire
Please complete this adoption questionnaire to begin the adoption process.
Email address *
Cat or Kitten Requested: *
Age of Animal *
Animal Name *
Applicant's (adopter) First Name *
Applicant's (adopter) Last Name *
Street Address *
City *
State *
ZIP Code *
Telephone Number *
Alternate Telephone Number
Have you or anyone in this household ever been convicted of animal abuse, animal cruelty, animal neglect? *
If the answer to above question was "yes", please explain:
Have you ever surrendered or turned an animal/pet over to the SPCA or Animal Control? *
If the answer to above question was "yes", please explain:
Have you ever had a pet die at an early age (5 years or younger) due to an accident? *
If the answer to above question was "yes", please explain:
Have you ever had a cat/kitten declawed? *
If the answer to above question was "yes", please explain:
Do you intend to allow this cat/kitten to go or to live outdoors? *
If the answer to above question was "yes", please explain:
Why do you want to adopt this animal? *
Have you ever owned a cat or kitten before? *
Do you currently own a cat or kitten? *
If the answer to the previous question was "yes," how many cat(s) do you currently own?
If you currently own pets, are they spayed or neutered?
If you currently own pets, are their shots/vaccinations up-to-date?
Do you currently reside in a: *
Do you own, rent or lease? *
If you rent, what is the deposit for owning a pet?
If you rent, What is the monthly fee or "pet rent" required?
If you rent or lease, please provide a copy of your rental or lease agreement that indicates cats are allowed.
Are there children under the age of 18 in this home? *
If the answer to the above question was "yes," please provide their ages:
Please provide the names of other persons (outside of immediate family members) sharing this household (if any):
Where will this cat or kitten be kept during the day? *
Where will this cat or kitten be kept at night? *
Who will be responsible for caring for this animal? *
How many hours will this cat or kitten be alone each week (Estimated): *
Who will be responsible for providing care for this animal if/when you travel on vacation or business? *
If currently renting and planning to move, will you make every effort to move to a "pet friendly" rental and be able to afford pet deposits?
If moving out-of-state, will you ensure the pet can go with you?
Does any member of your household or regular visitors have any kind of pet allergies? *
What course of action would you take if you or a member of your household were to found to be allergic to cats/pets? *
Providing food, Veterinary care (vaccinations, illness or injury), food, cat litter and toys can cost upwards of $600.00 per year. Are you prepared or able to meet that additional expense? *
Please list all of the pets you have owned in the past three years: Type, sex, age, spayed/neutered where are they now? *
Who is your current Veterinarian/Pet Hospital? *
Electronic Signature & Acceptance
I, the applicant for this cat adoption questionnaire, warrant the truthfulness of the information provided in this application. I understand that any misrepresentation of the statements given herein my result in the removal of the cat(s)/kittens(s) from my home by Cat Rescue, Inc.
Please Type in your first and last name *
Digital Signature Confirmation *
Required
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