Adoption Application

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Adoption Form

Full Name *

Email Address *

Date of birth *

YYYY

What cat are you interested in adopting? *

Have you visited us? When was the last time you visited? *

Co-Adopter's Name

Co-Adopter's Email Address

Co-Adopter Phone

Relationship to Co-Adopter

Occupation *

Employer *

Ages of everyone in your home *

Address *

Apartment Number

City *

State *

Zip Code *

Phone Number *

Housing *

Rent house

Own house

Rent Apt/Condo

Own Apt/Condo

Live with Family/Friends

Mobile Home

(If you rent) Landlord’s Name

(If you rent) Landlord’s Phone Number

(If you rent) Is there a pet deposit?

Yes

Clear selection

(If you rent) Any pet/breed/weight restrictions?

Are all members of the household ready for the responsibility of a pet? *

Yes

Who will be responsible for this pet? *

Does anyone in this household have allergies to animal dander? Please specify. *

Have you adopted a rescue animal before? *

Yes

If yes, which rescue group or shelter? *

List name, breed, sex and age of each dog you currently own. *

List name, breed, sex and age of each cat you currently own. *

List name, species, sex, age and breed of any other type(s) of pets you currently own. *

Are all your pets spayed or neutered? *

Yes

If not spayed or neutered, explain why

Are all your pets current on all vaccines? *

Yes

If not all pets are current on vaccines, please explain why. *

Are your pets on heart worm & flea prevention? *

Yes

If not on heartworm & flea prevention, please explain why. *

Please select any pet(s) you owned in the past. *

Cat

Dog

Other:

Required

For any pets you had in the past but do not have anymore, what happened to these pets? Please explain. *

Veterinarian or Clinic Name *

Vet/Clinic Phone *

Vet/Clinic Address Line 1 *

Vet Address Line 2 *

City *

State *

Zip *

Names of all pets seen by the vet/clinic *

I want a cat that is: *

Playful

Lap cat

Good with cats

Good with dogs

Good with children

Are there any other pets in the household? (Roommates or other family member’s pets) *

Yes

If there are other pets in the household, please explain how many, breeds and also provide vet information.

My pet will live *

Inside only

Outside only

Primarily inside with access to outside

Will go outside only with supervision

Are you prepared to seek training or consult a vet for any behavioral issues? *

Yes

Do you plan to declaw? *

Yes

Would the cat have access to a dog door? *

Yes

How long will your pet be alone during the day? *

What will you do with your pet when you travel? *

What will you do with your pet if you have to move? *

If your pet is lost, what will you do? *

Do you have someone who could provide for your pet if you were no longer able to? *

Yes

Please share with us your pet experience and any other information you would like for us to know in considering your application. *

Do you give El Gato Charities permission to visit your home prior to adoption to do a home check? *

Yes

How did you hear about us? *

Website

Facebook

Instagram

Twitter

Snap chat

Animal Justice League

Other:

I certify that the above information is true and correct. El Gato reserves the right to deny any adoption application. By checking yes I agree below, I affirm that I have read and agree to all the above conditions* *

Yes, I agree

No, I disagree

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