CCR Adoption Application

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Please fill this form out completely. Completion of this application does not guarantee adoption of the animal you are applying for today. All applicants are screened and then the best suitable home is chosen for each animal. Please allow 3-5 business days for our team to review your application and check references.

All pets in the household must be up to date on core vaccines and spayed or neutered.

We reserve the right to refuse adoption to any applicant for any reason.

This questionnaire becomes part of our contract.

WE WILL CONTACT YOU IF YOUR APPLICATION HAS BEEN APPROVED TO START THE NEXT STEP OF THE PROCESS.

PLEASE DO NOT VISIT THE CLINIC UNLESS YOU HAVE A SCHEDULED APPOINTMENT.

PHONE NUMBER *

Name(s) of Applicant (First & Last) *

Email: *

Name of animal you are interested in adopting *

FULL ADDRESS (including city, state and zip code) *

Today's Date *

YYYY

How did you find out about this pet? *

Facebook

Petfinder

Adopt-a-Pet

Saw in clinic

Other:

Date of birth *

YYYY

Are you over the age of 18? *

YES

Do you own or rent your home? What kind of home is it? *

If you rent, please provide landlord name & phone number. Are you allowed pets in your rental? *

Are you currently employed? How long have you been employed there? *

Are there any children in the home? If so, please list ages below. *

Are all members of your household in favor of the adoption? *

Does anyone in your household have allergies to animals? *

Please list any current & prior pets (cats, dogs, rabbits, etc.) you have had and any current pets in the household. Please give name, age and if they are still with you. Are they spayed/neutered & up to date on vaccinations? *

Please provide prior veterinary care facility name & phone number for references. We will call them to check vaccination status, please let them know ahead of time to allow us permission to ask about care of current or past pets. *

Please provide future veterinary care facilities you are considering going to for vet care. *

Pets are an investment of your time and money. Are you able to provide medical care, food and grooming for your pet for their entire life? *

Yes

Other:

Are you able to make a long-term commitment to care for your pet for its entire life span, which could be as long as 15 years or more? *

Yes

Other:

Why would you like to add this pet to your family? *

How long during the day would the pet be left alone? *

Do you plan to spay/neuter? *

Do you plan to have your cat declawed?
*

Will your cat be indoor, outdoor, or both? *

What kind of food do you plan on feeding your cat? *

If your cat were to develop behavior problems, how would you address it? *

Is there any reason you may not be able to keep this pet in the future? *

I ACKNOWLEGE THAT this application does not guarantee adoption of the animal you are applying for today. All applicants will be screened and then the best suitable home will be chosen for the animal. We reserve the right to refuse adoption to any applicant for any reason. This questionnaire becomes part of our contract. WE WILL CONTACT YOU IF YOUR APPLICATION HAS BEEN APPROVED AND TO START THE NEXT STEP OF THE PROCESS. *

Would you like to provide any personal references for us to contact in regards to your pet care?

Submit

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