Rescue K-911 Cat Adoption Application
Today's Date *
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Name of cat(s) you are interested in: *
Your answer
Your Name: *
Your answer
Email *
Your answer
Street Address: *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
How long have you lived at this address? *
Your answer
DOB
MM
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DD
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YYYY
Home Phone: *
Your answer
Cell Phone: *
Your answer
Best time to reach you: *
Your answer
Occupation and Employer *
Your answer
Name of Veterinarian: *
Your answer
Vet Phone Number:
Your answer
This cat will be: *
*select all that apply
This cat will need to get along with: *
*select all that apply
What type of personality are you hoping for in your new pet? *
Your answer
Rescue animals can take 6-8 wks to fully adjust to their new home. What are your expectations of this animal and it's behaviors? *
Your answer
Household Information *
Please list the names, ages, and relation of all in the household:
Your answer
Is anyone in the household allergic to animals? *
Your answer
Dwelling Information *
Have you ever owned a cat before? *
What pets do you currently own? How long have you owned them? *
Your answer
If you currently own a dog/cat, is it spayed/neutered? *
Your answer
If you currently own animals, are they current on all vaccinations and prevention? *
Your answer
Have you ever given a pet away before, to anyone, for any reason? If so, please tell us about this experience. *
Your answer
How many hours per day will this pet be WITHOUT human companionship?
Your answer
Who will be the primary caretaker of the cat?
Your answer
Are you willing to have Rescue K-911 visit your home? *
Personal Reference Information: *
Please supply names and telephone numbers for 3 personal references:
Your answer
* I have read the above information carefully and have filled out this application honestly. I understand that omission of information and/or failure to answer all questions and sign the application can result in this application being declined. Also, if an omission or untruth is discovered after an adoption takes place, I understand that the rescue reserves the right to annul the adoption and reclaim the animal. I give the rescue permission to investigate the information provided, including conducting a background check, as well as contact veterinarians and related officials. I understand the adoption decision is dependent on many factors, including but not limited to the compatibility of the family and home to the individual pet, and other applications received on this pet. I understand it is the rescue's sole prerogative to decide which home is most appropriate, that my application can be denied at any time for any reason, that their decision is final and I will not contest it. The rescue's goal is to place pets in loving, lifelong homes and any information gathered is used only to that interest. *
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